EFTA00218830.pdf

Invoice Number: 4-963-12823 Invooce Date: N v 21 2 Account Number: Page: 1 of 3 FedEx Tax ID: NYSG Lit 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622.11471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Nov 21, 2003 FedEx Express Services Transponation Charges 28.75 Base Discount -10.75 Special Handing Charges 0.54 Total Charges 18.54 TOTAL THIS INVOICE.- _._IUSD $ 18.54 You saved $10.75 in discounts this period! IIIIIIIIIIIIIIIIIIIIIIIIII The FotEx Ground accounts reteteneed in Ihis invoice have been transferred and asagned to. are owned by. and we payaNe to FedEx Express. To ensure primer croft phase noun Um Rorkevon, yow owned to Ferkr. Moose do notilaploor Uh. Ptlaso mak° your Nock payable to Ebb. Fce (forgo oI b,teit r*cc hue rod cononse low on !avow ode Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Dec 06. 2003 4.963.12823 USD 518.54 2292O750149631282384OOOOO1851495 SP 01000001 97702 A I ASNGLP IIIIIIIIILIIIIIIIILIIIIIIIIIIIIIIIIII 11.11 IIIIIIII NYSG LLC FedEx 457 MADISON AVE P.O. Box 371461 NEW YORK NY 10022-6843 Pittsburgh PA 15250-7461 EFTA00218830  Invoice Number: 4-963-12823 Invoice Dale: Nov 21. 2003 Account Number: Page: Adjustment Request FAX TO (800) 548-3020 Tracking No.:Airbill No. Reason Code Explanation FlfFORE YOU FAX REASON CODE KEY Reason Please kiclude detailed explanation for each adjustment request. Code Description DUP Duplicate Giffin° Remember to include recipient's account weber or third party's PND Shipment Never Sent account number if applicable. RATE Incorrect Rates or Pieces RRA Rebill Recipient - Include Recipient's Account No. From: RSA Rebill Sender RTA Rebill Thit Party - Include Third Part's Account No. Name Date SUR Incorrect Surcharge - Please Explain OTHR Other - Please Explain Business Phone Business Fax This form cannot be used to request Invoice Adjustments due to Service Failures or lack of a POD. To request adjustments I or Service Failures or lack of a POD. please call 1-800-622-1147. visit our internet site at www.ledex.com or register for FIO. Fedtz Federal Express Please Indicate change In address ler the account a listed below E Physical Address ❑ Billing Address ❑ Mailing Address Account Number: Name: Address: Apl.: Suite: City: Zp Phone: ( Authorizing Signature: EFTA00218831  Invoice Number: 4-963-12823 Invoice Date: Nov 21.2003 Account Number: Page: 3 or 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Nov 17. 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge - FedEx has applied a luel surcharge of 3.00% lo this shpmeal. FecEx has audaed this alibi" la correct pieces. weight. and service. Any changes made are leaved in the invoice arnoint. Tracking ID 825982197680 Seder Recipient Service Type FedEx Intl Priority LAUREN KWIN1HER WILLIAM KARR Package Type FedEx Envelope NYSG ISO S. INC Zone I 457 MADISON AVE OrigrDest. JRBSTT NEW YORK NY 100224843 US Packages 1 Weight 0.6 Cs Transponagon Charge 28.75 Delivered Nov 18. 2003 17:09 Fuel Swcharge 0.54 Signed by C.GUMBS Discount -10.75 Total Transportation Charges USD S 18.54 Customs Entry 0ale Nov 18. 2003 FedEx Use G83I1M501O? Shipment Detail Subtotal USD S 18.54 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218832