EFTA00220132.pdf

Invoice Number: 7-604-88703 Invace Date: Sep 07. 2004 Account Number: Page: 1 of 3 FedErt Tax ID: MAX HOTEL SERVICES CORP 457 MADISON AVE FL 4 NEW YORK NY 10022-6843 Billing Account Shipping Address: Invoice Questions? MAX HOTEL SERVICES CORP 457 MADISON AVE FL 4 Contact FedEx Revenue Services NEW YORK NY 10022-6843 US Phone: (800) 622.11471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet:www.feclex.com Invoice Summary Sep 07, 2004 FedEx Express Services Transponation Charges 13.35 Special Handing Charges 10.93 Total Charges USD.S. 24.28 TOTAL THIS INVOICE _USD $ 24.28 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in This invoice have been transferred and asagned lo. are owned by. and we payaWe to FedEx Express. To ensure prwer neck none noun no Rorke vigh yaw winnow to Forks Moose do notilaploor Ptlaso mak° your Nock payable to FodE.N. Fce (forgo 0 I b,teit CPCCk t✓re adcontain row on !owns ode Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Sep 22. 2004 7.604.88703 USD $ 24.28 258776227604887039200000242814 SP 01 000001 97702 A 1ASNGLP MAX HOTEL SERVICES CORP 1...11.1.1...1.1.1.1.11...1...1.1..1.11 11111 11..1.11 457 MADISON AVE FL 4 NEW YORK MI 10022-6843 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00220132  Invoice Number: 7-604-88703 Invoice Accountt Number: Page: 2 of 3 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 Eking Remember to include recipient's account number 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 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 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 Signatuie: EFTA00220133  Invoice Number: 7-604-88703 Invoice Date: Sep 07.2000 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Dropped off: Aug 26, 2004 Payor: Recipient Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEr: has applied a luel surcharge ol 7.0D% lo this shpmenl. Distance Based Piscine. Zone 2 Authorizabon on eredil card number supped Ice payment of transaction was amine& transaction invoiced. Goal Card a xxxxxxxxotx79309 Tracking ID 847945060565 Sender Recipient Service Type FedEx Ptio6ty OrerrigN OLNIA TIERNAN JEAN TATGE Package Type FedEx Envelope BRADLEY EVANTS AIAS Zone 2 457 MADISON AVENUE Packages 1 NEW YORK CITY NY 10022 US Weigh) 1.0 las. 0.5 kgs Delivered Aug 27. 200410:03 Transportalion Charge Svc Area Al Fuel Stscharge Signed by A.RAMAS Decimed Goal Card FedEx Use 219133210300018N Total Charge USD S 24.28 Shipment Detail Subtotal ALSD S 24.28 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220134