EFTA00216496.pdf

Invoice Number: 1-559-23435 Invoice Date: Jan 30.2004 Account Number: Page: 1 of 3 FedEx Tax ID: NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone. :800: 622.1147 M.F 7.6 (G ST1 Fax: 1800) 548.3020 Internet: www.fedex.com Invoice Summary Jan 30, 2004 FedEx Express Services Transponation Charges 30.00 Base Discount -11.10 Special Handing Charges 0.85 Total Charges 19.75 TOTAL THIS INVOICE.- _._USD S 19.75 You saved $11.10 in discounts this period! IIIIIIIIIIIIIIIIIIIIIIIIII The FetEx Ground accounts reteteneed in Ihis invoice have been lianslerred and 1S9gried lo. are owned by. and we payade to FedEx Express. To ensure proper croliwease /Nun Unt Rorkevon, yow ownenno FeeEt. Please do not slant& or lob. %nano realm your add payable to nob. O For chicle of Stew. check here led eon:aft low on !envie Bide Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Feb 14. 2004 1-559-23435 USD $ 19.75 229207501559234354600000197528 SP 01000001 97702 AI ASNGLP 1,,,11,1,10,1,1,1,1,11...1...1.1..1.11 ILO NYSG LLC FedEx 457 MADISON AVE P.O. Box 371461 NEW YORK NY 10022-6843 Pittsburgh PA 15250-7461 EFTA00216496  Invoice Number: 1-559-23435 Invoice Date: Jan 30. 2004 Account Number: Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No.:Airbill No. Reason Code Explanation {¢FORE 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 number or third party's PRO 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 for 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 for the account a listed below E Physical Address ❑ Billing Address ❑ Mailing Address Account Number: Name: Address: Apt: Sete: City: Ze Phone ( Autheriring Signature: EFTA00216497  Invoice Number: 1-559-23435 Invade Date: Jan 30. 2004 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jan 22, 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel surcharge of 4.50% to This shipment. Tracking ID 825982197326 Sender Recipient Semite Type FedEx bill Priorily LAUREN KWINTNER MILES ALEXANDER Package Type FedEx Envelope NVSG LLC LSJ LIG Zone I 457 MADISON AVE OsigiDest. mesrr NEW YORK NY 10022-6843 US Packages 1 Weighl 0.510¢ Transportation Charge 30.00 Delivered Jan 23. 2004 16:51 Fuel Sinn:ego DJIS Signed by A.R00UGUZES Discount -11.10 Total Transportation Charges USD $ 19.75 Customs Entry Oale Jan 23. 2004 FedEx Use G9378AIS010/ Shipment Detail Subtotal _USD $ 19.75 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216498