EFTA00217830.pdf

Fedkz. Invoice Number: 4-395-08301 Invace Date: Account Number: Sep 27. 2002 Page: 1 of 3 Teas Tax ID: Invoice Questions? FedEx Account Services Phone: (800) 622.1147 M.F 7.6 (CST) Fax: (800) 548.3020 Internet: www.feclex.com Invoice Summary Sep 27, 2002 FedEx Express Services Transponation Charges 28.00 Base Discount -10.00 Special Handing Charges 0.45 Total Charges 090.4. 18.45 TOTAL THIS INVOICE.- _...111SD 18.45 You saved $10.00 in discounts this period! 11111111I11111111111II I The FedEx Ground accounts referenced in this invoice have been transferee and smutted lo. are owned by. and we payade to FedEx Express. To ensure proper yea please return this portion with YawPaylnent to Itax. Please do not slat* at fold. Please make your chock payable to Peas. Fcr (forge 01 ali.e.!.3 it•mk NT, * rdCOnVele imn on nYO'✓• ode Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Oct 12.2002 4.395.08301 USD $ 18.4,5 229207504395083019700000184574 SP 01 000001 97702 A I ASNGLP inriiiiwriiwuridnit' riltrininittlintillinlinti 1...11.1.1...1.1.1.1.11...1...1.1..1.11 11.11 11..1.11 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00217830  Invoice Number: 4-395-08301 Invoice Date: Sep 27.2002 Account 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 for the account a listed below E Physical Address ❑ Billing Address ❑ Malang Address Account Number: Name: Address: Apt.: Cott City: Zp Phone: ( Authorizing Signature: EFTA00217831  Invoice Number: 4-395-08301 Invoice Date: .17.62 Account Number: Page: 3 of 3 FedEx Express Payment Type Detail (Original) Picked up: Sep 20. 2002 Payor: Shipper Reference: NO REFERENCE INFORMATION Fedex intornalUso:438461031&50 Fuel Surcharge FedEsi has applied a fuel surcharge ol 2.50% to this shpmcdt. Insbcperirrisbng regulatory papery:sock Tracking ID 825305368020 Sender Ra t Service Type FedEx bill Priority OARREN NDYKE BARBARA CLIFTON-TIMMS Package Type FedEx Envelope NYSG LLC CLIFTON-TIHMS TECHNICAL SERVICES L Zone 0 Otig.iDest. JRBOCNV Pieces 1 Weight 0.5104 Delivered Sep 23.200210A7 Transportation Charge 2800 Signed by C.LIFTON TIMMS Discount -10.00 Fuel Srecherge 0.45 Customs Total Transportation Charges USD $ 18.45 Entry Dale Sep 21.2002 Payment Type Detail Subtotal . _USD $ 18.45 11111111I11111111111II I EFTA00217832