EFTA00217069.pdf

Invoice Number: Invace Date: Account Number: 2292.0750-4 Page: 1 of 3 Ferias Tax ID: 71-0427007 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: (800) 622-1147 M-F 7.6 (CST) Fax: (800) 548-3020 Internet: www.fectex.com Invoice Summary Jun 17, 2005 FedEx Express Services Transponation Charges 19.45 Special Handing Charges 624 Total Charges USDA. 25.69 TOTAL THIS INVOICE _USD $ 25.69 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in this invoice have been transferred and sinned lo. are owned by, and we payable to FedEx Express. To ensure proper croft oleos* rerun Um Rorkevon, yaw women! to ANC.. Moose do notilaploor104. Ptlaso mak° your <nod payable to nedE.v. Ii Fce (forgo oI b,teit CPCCk twe wd crosser low on reverts sde. Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Jul 02, 2005 MOM 2292-0750-4 USD $ 25.69 229207503884041280000000256924 SP 01 000001 97702 A 1 ASNGLP 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 P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00217069  Invoice Number: Invoice Date: Jun 17.2005 Account Number: 2292-0750-4 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 itiude 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 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 I or 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: ❑ Physical Address ❑ Billing Address ❑ Mailing Address Account Number: 2292-0750-4 Name: Address: Apt.: Sulu City: Stale. Zp Phone ( Fax: ( Man:riding &anon: EFTA00217070  Invoice Number - Invoice Date: Jun 17.2005 Account Number: 2292-0750-4 Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jun 09. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a luel surcharge of 11.50% to this shipment. Distance Based Pncing. Zone 6 Tracking ID Sender Rechient Service Type FedEx Standard OvernigN LAUREN BILL HAM/AOND Package Type FedEx Envelope NYSG LLC Zone 8 457 MADISON AVE Packages 1 NEW YORK NY 100224843 US Weigh N/A Delivered Jun 10. MS 11:56 Transpottalion Charge 7.37 See Area AA Residential Delvery 200 Signed by CHAMMZIND Fuel St:charge 085 FedEx Use 160200120 /00015W Total Charge USDS 10.22 Picked up: Jun 13, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel b.ircharge of 11.50%10 this shipmenl. Distance Based Pricing. Zone 2 Release signature on lie. Trading ID 852108412910 Sender Recipient Service Type FedEx Standard OvernigN LAUREN MS WENDY SAIFF Package Type FedEx Envelope NYSG LLC WILLOW LAKE DAY CAMP Zone 2 457 MADISON AVE 18 LAWRENCE AVE Packages 1 NEW YORK NY 1002243843 US HIGHLAND PARK KU 08904 US Weight N/A Delivered Jun 14.2005 11:1S Transpottalion Charge 5 CO Svc Area A2 Residential Detvery 200 Signed by 23370844 Fuel Surcharge 05-8 FedEx Use 164115263000015802 Total Charge USD 7.58 Picked up: Jun 14.2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surdiarge FedEx has applied a lue4 surcharge of 11.50%'0 INs sNpmenl. Distance Based Pricing. Zone 4 Tracking ID 852108412921 Sender Recipient Service Type FedEx Privity Overnight LAUREN PAUL BURKHARDT Package Type FedEx Envelope NYSG LLC NA PROPERTY INC Zone 4 457 MADISON AVE 8000 WALTON PKWY STE 100 Packages 1 NEW YORK NY 1002243843 US NEW ALBANY OH 43054 US Weigh NIA Delivered Ain 15. 2035 0923 Transportalion Charge 7.08 Svc Ana A2 Fuel Stscharge 0.81 Signed by E.NIGHTENGALE FedEx Use 165120840:0000192r Total Charge USD $ 7.89 Shipment Detail Subtotal _USD 5 25.89 EFTA00217071