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Invoice Number: -
Invoice Date: Jul I 1. 2003
Account Number:
Page: I of 3
FedEx Tax ID
NYSG Lit
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice Questions?
Contact FedEx Revenue Services
Phone. :800: 622.1147 M.F 7.6 (CST1
Fax: (800) 548.3020
Internet: www.fedex.com
Invoice Summary Jul 11, 2003
FedEx Express Services
Transponation Charges 58.50
Base Discount -22.50
Special Handing Charges 1.17
Total Charges 37.17
TOTAL THIS INVOICE.- _._11SD $ 37.17
You saved $22.50 in discounts this period!
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The FotEx Ground accounts retetenced in This invoice have been transferred and 1S9gried 10. are owned by. and we payade to FedEx Express.
To ensure pawn croft. ono* noun din Rorke vigh yew germeni to FesEr.
Please do not slap,* or lob. %nano realm your Nock payable to FodE.N.
O For change of Stews. dockhootedcoma:ft low on wow Bide Invoice Account Amount
Number Number Due
Remittance Advice
Your payment is due by Jul 26. 2003 USD $ 37.17
229207504773416344200000371767
SP 01000001 97702 A I ASNGLP
11.11 I1. hII
NYSG Lit FedEx
457 MADISON AVE P.O. Box 371461
NEW YORK NY 10022-6843
Pittsburgh PA 15250-7461
EFTA00218512
Invoice Number:
Invoice Date: Jul 11. 2003
Account Number:
Page: 2 of 3
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill No. Reason Code Explanation
FlfFORE 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:
EFTA00218513
Invoice Number:
Invoice Date: Jul 11.2003
Account Number:
Page: 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jul 03, 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge redEbt has applied a luel surcharge ol 3.50% to this shprnent.
Tracking ID Sender Recipient
Service Type FedEx bill Priority OARVENT INDYKE MARK LLOYD
Package Type FedEx Envelope NYSG LLC MICAELIN HOUSE
Zone 0 457 MADISON AVE
OrigAlest. JRBtON NEW YORK NY 100224643 US
Packages 1
Weight 0.5 Ds Transportation Charge 29.25
Delivered Jul 07. 2003 10A2 Fuel Swcharge 0.63
Signed by B.MERIGA Discount 1125
Total Transportation Charges USD S 1813
Customs
Entry Oale Jul 04. 2003
redEA Use G8160US0104_
Picked up: Jul 08. 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 3.00% 10 this Moment.
Tracking ID Sender Recipient
Service Type FedEx bill Priority DARREN bNDYKE BIM R ALLY
Package Type FedEx Envelope NYSG LLC MACFARLANES
Zone 0 457 MADISON AVE
069A:test. main NEW YORK NY 100224643 US
Packages I
Weight 0.5 Ds Transponalion Charge 29 25
Delivered Jul 10. 2003 0822 Fuel Swcharge 054
Signed by B.TEBROTH Oiscounl 11 25
Total Transportation Charges USD S 18.54 Q'
Customs
Entry Date Jul 09. 2003
FedEx Use G3502USOIOC Shipment Detail Subtotal USD S 37.17 M
EFTA00218514
ℹ️ Document Details
SHA-256
48f601b25f6d9e8d66d9d4eda13add9cfb1b4d8f06decb0aa126f3af770fc84d
Bates Number
EFTA00218512
Dataset
DataSet-9
Type
document
Pages
3
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