EFTA00220252.pdf

Invoice Number: 7-687-94151 Invace Date: Dec 31. 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) 622.11471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Dec 31, 2004 FedEx Express Services Transportation Charges 22.50 Base Discount -6.75 Special Handing Charges 2.05 Total Charges USD.S. 17.80 TOTAL THIS INVOICE.- ....LSD $ 17.80 You saved $6.75 in discounts this period! IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts refetenced in This invoice have been transferred and asagned lo. are owned by. and we payable to FedEx Express. To ensure primer croft. oleos, return We Rorkevon, yow owners to Finks Moose do notilaploor104. Ptlaso mak° your Nock payable to Ebb. Ii Fce (forgo oI b,teit CPCCk twe wd crania, low on reinwe ode Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Jan 15. 2005 7.687-94151 USD $ 17.80 22920750768791O.513700000178065 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 FeclEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00220252  Invoice Number: 7-687-94151 Invoice Date: Dec 31, 2004 Account Number: Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No.:Airbill No. Reason Code Explanation AFFORE 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 'limber 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 1or 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.: Suite: City: Zp Phone; ( Authorizing Signature: EFTA00220253  Invoice Number: 7-687-94151 Invade Date: Dec 31. 2004 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Dec 22, 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel surcharge of 13.00% so this shipment. Delivery delayed by &Waken beyond our control. Tracking ID 828308387594 Sender Recipient Service Type FedEx MO Priority OARRENINDYKE JOHNNY GIMP' Package Type FedEx Envelope NYSG LLC SECOND CITY CAPITAL Zone A 457 MADISON AVE O69A:rest JRBYDT NEW YORK NY 100224843 US Packages 1 0.5 Ds Delivered Dec 29.200409:18 Transportation Charge 22.50 Signed by MERRY Fuel Statham 2.06 Discount -8.75 Customs Total Transportation Charges USD $ 17.80 Entry Dale Dec 23.2004 FedEx Use G5324US01O84 Shipment Detail Subtotal _USD $ 17.80 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220254