EFTA00219100.pdf
dataset_9 pdf 125.1 KB • Feb 3, 2026 • 3 pages
Invoice Number:
Invoice Date: Sep 09. 2005
Account Number:
Page: of 3
FedEx Tax I0
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Billing Account Shipping Address: Invoice Questions?
NYSG LLC
457 MADISON AVE Contact FedEx Revenue Services
NEW YORK NY 10022-6843 US Phone:
Fax:
Internet:
Invoice Summary Sep 09, 2005
FedEx Express Services FedEx News!
Transportation Charges 19.80 Win a 50 Plasma TV from FedEx Kinko s! Now through
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Special Handing Charges 4.49
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The FotEx Ground accounts referenced in this invoice have been transferred and asagned lo. are owned by. and we payable to FedEx Express.
To ensure prwer cm:110ns* rerun Urn Rorkevon, yew payment to FeeEr.
Moat° do notilaploor Ptlaso mak° your Nod payable to Egan.
Ii fce (forgo or n'teit CPCCk hue cod condo, low on reverses* Invoice Account Amount
Number Number Due
Remittance Advice
Your payment is due by Sep 24. 2005 USD $ 24.29
SP 01 000001 97702 A 1ASNGLP
NYSG LLC 1...11.1.1...1.1.1.1.11...1...1.1..1.11 11.11 11..1.11
457 MADISON AVE
NEW YORK NY 10022-6843 FedEx
EFTA00219100
Invoice Number:
Invoice Date: Sep 09.2005
Account Number:
Page: 2 of 3
Adjustment Re uest
FAX TO
Tracking No..Airbill No. Reason Code Explanation
UPC/RE YOU FAX
REASON CODE KEY
Reason
Please kiclude detailed explanation for each adjustment request. Code Description
DUP Duplicate Eking
Remember to include recipient's account 'limber 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 Thid Party - Include
Third Party'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 for Service Failures or lack of a POD. please cal
visit our internet site at www.ledex.com or register for FIO.
Fedlsz
Federal Express
Please Indicate change in address tor the account a listed below E Physical Address ❑ Billing Address ❑ Mailing Address
Account Number:
Name:
Address: Apt: Surto.
City: zp
Phone; (
Authorizing &gamin:
EFTA00219101
Invoice Number:
Invoice Dale: Sep 09.2005
Account Number:
Page: 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Aug 31. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge redEx has applied a luel surcharge ol 12.50% so this shipment
Distance Based Pricing. Zone 6
Release signature pulite.
Tracking ID Sender Recipient
Service Type FedEx Privity Overright a LARRY VISOSKI
Package Type FedEx Envelope NYSG LLC
Zone 6 457 MADISON AVE
Packages 1 NEW YORK NY 10022-6843 US
Weighl NfA
Delivered Sep 01. 200509:54 Transportation Charge 772
Svc Area AA Fuel Sucharge 097
Signed by Residential Delvery 2 CO
FedEx Use
Total Charge USD 10.69
Picked up: Aug 31, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 12.50% so this shipment.
Distance Based Pricing. Zone 2
Tracking ID Stride' Recipient
Service Type FedEx Slandard Overnight GENE RITTER
Package Type FedEx Envelope NYSG LLC MERRILL LYNCH
Zone 2 457 MADISON AVE
Packages 1 NEW YORK NY 10022-6843 US
Weighl NfA
Delivered Sep 01. 20050935 Transportation Charge 5 CO
Svc Area Al Fuel Surcharge 063
Signed by L.BLACKMAN
FedEx Use Total Charge USD 5.63
Picked up: Sep 01, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 12.50% so this sNpmenl.
Distance Based Pncing. Zone 5
Tracking ID Semler Recipient
Service Type FedEx Slandard Overnight SANDRA THORSON
Package Type FedEx Envelope NYSG LLC
Zone 5 457 MADISON AVE
Packages 1 NEW YORK NY 100226843 US
Weighl NIA
Delivered Sep 02. 20050646 Transportation Charge 7.08
Svc Area Al Fuel Sucharge 0.89
Signed by M.WARREN
FedEx Use Total Charge USD $ 7.97
Shipment Detail Subtotal _USD 5 24.29
EFTA00219102
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Document Metadata
- Document ID
- 29169076-fd90-459e-801a-78c98b711137
- Storage Key
- dataset_9/EFTA00219100.pdf
- Content Hash
- ecda9795aae8e140be8ea7f2f5942cfc
- Created
- Feb 3, 2026