EFTA00218753.pdf

Invoice Number: 4-915-50560 Invace Date: Oct 24. 2003 Account Number: Page: 1 of 3 FedErt Tax ID: NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 62211471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Oct 24, 2003 FedEx Express Services Transponation Charges 39.50 Base Discount -16.50 Special Handing Charges 1.04 Total Charges L1SD.$.. 24.04 TOTAL THIS INVOICE.- _._11SD $ 24.04 You saved $16.50 in discounts this period! HIIIIIMIIIIM The FecEx Ground accounts retetenced in This invoice have been transferred and asagned to. are owned by, and we payable to FedEx Express. To ensure prwer wedLobos* return Pb Rorkevon, yow payment to Finks Moose do notilaploor104. Ptlaso mak° your Nock payable to Ebb. Ii Fr (forgo oI b,teit r*cc twe wd condo, low on rewrites* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Nov 08.2003 4.915.50560 USD $ 24.04 229207504915505608400000240422 SP 01000001 97702 A I ASNGLP 1...11,1,1,..1,1,1,1,11...1...1.1.,1,11 11,11 16.1.11 NYSG LLC FedEx 457 MADISON AVE P.O. Box 371461 NEW YORK NY 10022-6843 Pittsburgh PA 15250-7461 EFTA00218753  Invoice Number: 4-915-50560 Invoice Date: Oct 24.2003 Account Number: Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No..Airbill No. Reason Code Explanation UPC/RE 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 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 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 ❑ Mailing Address Account Number Name: Address: Apt.: Sete: City: Zp Phone ( AWN:riding Signature: EFTA00218754  Invoice Number: 4915-50560 Invoice Date: Oct 21. 2003 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Oct 15. 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge. FedEx has applied a kid surcharge ol 4.50% to this shipment. Tracing ID 825982197718 Sender Recipient Senfice Type FedEx bill Priority CATHERINE FRANCOIS GOFFINET Package Type FedEx Pak NYSG LLC Zone 0 457 MADISON AVE 069A:test. JRWZCO NEW YORK NY 10022.8843 US Packages 1 Weight 1.01105 Transportation Charge 39.50 Delivered Oct 17. 2003 11:51 Fue4Strcharge 1.04 Signed to/ Discount -18.50 Total Transportation Charges USD S 21.04 Customs Entry Dale Oct 16.2003 FedEx Use G2775US010? Shipment Detail Subtotal _USD S 24.04 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218755