EFTA00220617.pdf
dataset_9 pdf 103.2 KB • Feb 3, 2026 • 3 pages
Fedkz. Invoice Number: -
Invoice Date:
Account Number:
Feb 04.2005
Page: 1 of 3
FedEx Tax ID: 71-0427007
Billing Account Shipping Address: Invoice Questions?
Contact FedEx Revenue Services
Phone. :800: 622.1147 M.F 7.6 (CST)
Fax: (800) 548.3020
Internet: www.fectex.com
Invoice Summary Feb 04, 2005
FedEx Express Services
Transportation Charges 13.16
Special Handing Charges 1.16
Total Charges 1424
TOTAL THIS INVOICE._ _._USD 14.34
IIIIIIIIIIIIIIIIIIIIIIIIII
The FotEx Ground accounts refetenced in this invoice have been transferred and 1S9gried lo. are owned by. and we payade to FedEx Express.
To ensure snow cm:Woos, own On Rorke vigh yaV ornneni to Foo2t.
Please do not slant& or fob. %nano realm your Nock payable to FodE.N.
0 For things el edition. dockhoe irdcwolthe low on rinvwesde Invoice Account Amount
Number Number Due
Remittance Advice
Your payment is due by Feb 19. 2005 USD 5 14.34
11..1.11
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00220617
Invoice Number:
Invoice Date: Feb 04.2005
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:
City: Zp
Phone: (
Aulnerising Signature:
EFTA00220618
Invoice Number:
Invade Date: Feb 04.2005
Account Number:
Page: 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jan 26, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a luel surcharge ol 9.00%l0 this shpment
Distance Based Pncing. Zone 0
FeclEx has aude,ed this shipment for coned packages. weigN. and service. My changes made are rattled fn the mote amounl.
Tracking ID Sender Recipient
Service Type FedEx Slandard Overnight LAUREN KIMN1NER PEG UGLAND
Package Type FedEx Envelope NYSG LIG NA PROPERTY INC
Zone
Packages 1
1.0100. 0.5 kgs
Delivered Jan 27. 2005 10:0 Transpenalion Charge 6.58
Svc Area A2 Fuel Swcharge 0.59
Signed by 0.0AKLEY
FedEx Use 026187320.00001564 Total Charge USD S 7.17
Picked up: Jan 31, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEA has applied a la surcharge ol R00% to this shprnenl.
Distance Based Pncing. Zone 4
Tracking ID Sender Recital
Service Type FedEx Slandard Overnight LAUREN KWIN1NER NA PROPERTY IND PEG UGLAND
Package Type FedEx Envelope NYSG LLD
Zone
Packages 1
Weighl NIA
Delivered Feb 01.200510A2 Transportalion Charge 6.58
Svc Area A2 Fuel Sureharge 0.59
Signed by D.OAKLY
FedEx Use 0311033208/000156/ Total Charge USD $ 7.17 =
Shipment Detail Subtotal USD S 14.34
EFTA00220619
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Document Metadata
- Document ID
- cf87f105-4591-43ef-b984-d1e206395101
- Storage Key
- dataset_9/EFTA00220617.pdf
- Content Hash
- 1e0d7ad305ceb49149d97b0e68e579bc
- Created
- Feb 3, 2026