EFTA00220497.pdf

Fedkz. Invoice Number: - Invoice Date: Account Number: Oct 25.2004 Page: 1 of 3 FedEx Tax 71-0427007 Billing Account Shipping Address: Invoice Questions? Contact FedEx Revenue Services US Phone. El00[ 622.1147 /.6F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Oct 25, 2004 FedEx Express Services Transportation Charges 18.80 Special Handing Charges 1.78 Total Charges 20.58 TOTAL THIS INVOICE.- _._USD $ 20.58 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts retetenced in This invoice have been transferred and asagned lo. are owned by. and we payaWe to FedEx Express. To ensure prwer neck none noun Oin p041onwd yaw winnow to Forks Please do A0111400 a lob. Please rfAk0 your Nock payable to Ebb. 0 For chorine of widow. Pocktwo trd contain low en row wide Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Nov 09. 2004 USD 520.58 10(11(1.10(1.1.1.1.11(01(01(1..I.11 ILO 11..1.11 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00220497  Invoice Number: Invoice Date: Oct 25.2004 Account Number: 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 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 ❑ Mailing Address Account Number: Name: Address: Apt.: Suite: City: Zp Phone ( Autheriring Signature: EFTA00220498  Invoice Number: Invade Date: Oct 25. 2004 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Oct 19.2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surdlarge FedEx has **bed a leer surcharge ol 9.50% to this shipment. Distance Based Pncing. Zone 8 Tracking ID Sender Recipient Service Type FedEx Pnomy Overnight LAUREN KWINTNER ELLIOT SILVERMAN Package Type FedEx Pak NYSG LLC MCDERMOTT WILL & EMERY Zone 8 Packages 1 US Weigel 2.0 Ds. 0.9 kgs Delivered Ocl 20.2000 09:37 TranAportalion Charge 11 72 Svc Area A2 Fuel Si:charge Signed by JA1AHAFFEY FedEx Use 293109910:0000724/ Total Charge USD 12.83 Picked up: Oct 19.2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel surcharge ol 9.50% lo Ohs shpmenl Distance Based Pncing. Zone 0 Tracking ID Sender Rec,pent Service Type FedEx Priority CneingN LAUREN KININTNER PEG UGLANO Package Type FedEx Envelope NYSG LLC NA PROPERTY INC Zone 4 Packages 1 US Weighl NIA Delivered Ocl 20.2000 10:18 Transportation Charge 7.C8 Svc Area A2 Fuel &Doerr 0.67 Signed by K.GRAVES FedEx Use 293109910:0000192/ Total Charge USD S 7.75 Shipment Detail Subtotal USD 20.58 EFTA00220499