EFTA00610365.pdf

SENT VIA: FAX and FAX Number FedEx Credit Card Authorization Form Date: i /24/ 0 (1 (NINI/DDNYVY) Contact Name: DQPMN4 lit/ A1-LAC FedEx Account #: Company Name: LAE:air Re Coritrocfras Credit Card Holder Name: f FRC/ frP5 Credit Card Type: Authorizing Customer Statement I in tiggl 4-POLEP‘'' (card holder's name) from LA1 , de (company name) authorize Federal Express Corporation or one of its affiliated companies (-IedEs") to charge my credit card for payment to my FedEx account. I understand that the account will be charged in USD according to the exchange rate pros kin' by !WEN, Credit & Collections on the day the payment is made. I understand that my credit card stater:sent will show the amount charged in my credit card billing currency at my credit card company's conversion rate. I understand that I have the option to pay by cash or check in my local currency at my fedEs local sution or by check via mail. her understand that my account may he put on hold or "cash only" 0.11(14 until payment i • st due invoices c_2-h, cal Card-Holder Date OISIDDNYVY) gy rkin/ Printed Name EFTA00610365 FedEx Billing Online - Invoice Detail View haps:Ho% % let% com'gJholimoiceDetails.do u5 wen awn Noe I mammon Cow IDon sem, FedEx. Exast Shipping Son/INS/ TOMS Ship • Track • Manor My Account • Custom, Tools Fed& Billing Online Account Summary Sas ch/Econlood Prevoncst Invoice Detail View Invoice Summary title Iss Wang Inloanat n Chug. Summary Invoice na Total arclabl Omega 102 56 Noon no Total ducat* • 20 5i Carl no Total addrIcnal clorga 6 15 Nola typo Frays Told tun 006 Noce OM IS Jan 2009 Total Invoke 411110INK Dub 01110 20 Coo 7009 tau sew COO Oats POP Shipment Details Page 10 Per NCO I of buctalst. 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