EFTA00216659.pdf

Invoice Number: 1-703-01993 Invace Date: Apr 09. 2004 Account Number: Page: 1 of 4 FedEx Tax ID: NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Billing Account Shipping Address: Invoice Questions? NYSG LLC 457 MADISON AVE Contact FedEx Revenue Services NEW YORK NY 10022-6843 US Phone: (800) 622.11471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Apr 09, 2004 FedEx Express Services Transponation Charges 6.45 Special Handing Charges 10.42 Total Charges USDA. 16.87 TOTAL THIS INVOICE _USD $ 16.87 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in Ihis invoice have been transferred and 1S9gried 10. are owned by, and we payable to FedEx Express. To ensure primer croft Meow fawn Pq Rorke vigh liar outmatch, Fete. Moose do notilaploor104. Ptlaso mak° your Nock payable to FodE.N. Ii Fce (forgo ol b,teit CPCCk hue wd crosser low on wows* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Apr 24. 2004 1.703.01993 USD $ 16.87 229207501703019933900000168731 SP 01000001 97702 A I ASNGLP 1...11.1.1...1.1.1.1.11...1...1.1..1.11 11.11 11..1.11 NYSG LLC FedEx 457 MADISON AVE P.O. Box 371461 NEW YORK NY 10022-6843 Pittsburgh PA 15250-7461 EFTA00216659  Invoice Number: 1-703-01993 Invoice Date: Apr 09.2004 Account Number: Page: 2 of 4 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 ler the account a listed below E Physical Address ❑ Billing Address ❑ Mailing Address Account Number: Name: Address: Apt r Suite: City: Zp Phone ( Authorizing Signatuie: EFTA00216660  Invoice Number: 1-703-01993 Invade Date: Apr 09. 2004 Account Number: Page: 3 of4 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Apr 01, 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEA has applied a leer surcharge ol 8.50%10 This shimmy. Distance Based Pncing. Zone 4 1s1 altempl Am 02.2004 al 10:32 AM. Incorrect recipent address. Original address. 38 JEFFERSON AVENUECOUJMBUS.C44 43215 FedEx has welted mis shipment 101COrted packages. weigN. and service. My changes made are reflected in the Wrote amount. Tracking ID 845613293577 Sender RecicieN Service Type FedEx Slandard OvernigN CECILIA TRACY PENWELL Package Type FedEx Envelope NYSG LLC I4SURANCE OFFICE OF ONO Zone 4 457 MADISON AVE Packages 1 NEW YORK NV 100224843 US NIA Delivered A,r 06. 20IM 14:51 Transportalion Charge v 15 Svc Area A2 Address Careakin Signed by S.GUFIL Fuel Surcharge C. 12 FedEA Use 09217489046163.1_ Total Charge USDS 16.87 Shipment Detail Subtotal _USD 16.87 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216661  Invoice Number: 1-703-01993 Invoice Date: Apr 09. 2004 Account Number: Page: 4 of 4 FedEx Ground Reference Chart SERVICE CODES FEDEX HOME DELIVERY SERVICE CODES ZONE DEFINI I IONS FedEx Ground 80) ....6aPOD. New Bt 804 Propad 2.6 Siux, Son.< 45 fry 8(6 Spnalure. Nepal 74 Crowd Spruce 48 44nIGAvs states 015 0.0)PCO. Preps() 810 Evening..auioPOD. Promo 9 Servs:eta Nana. 016 COO. Prepaid 814 Evening. Prepaid 10 Service to Puma Rico 017 EGO°. Prepad 818 Evening. Severe. Prepaid 14 &awe to Oaha 019 Papaw 820 Dais Cogan.PutoP00. Proper 17 Santana Aliaka 020 fiaesP00. Cake( 824 Dale Certain. Prepaid &awe %ohm Mania 021 Ccdect 828 Dace Conan. Signature. Prepaid 23 Scivico from Alaska 131 Ird Party. Rain klarager Alma Ur 839 Preniment Denary. AribPOD. Prepaid 25 StateIran Alaska 138 Pepad. Rehm Mannar 0 -ire Latel 831 Aspantmon: Dotnary. PrOpad SI It 54 Scivico to copula 137 Prepaid. Rolum IAatwor Parts Lau( 816 3rd NMI,. Resta Manger Panted Label 92 8 96 Service i.e.,,Hawed IDeleurec0 140 erd Pady. Return I% raper Caine Labe, 842 Prooact Return Manager Promo Ltd 408 Guaranteed Funds 000. Prepaid 847 3rd Pany. Revs Manna Onine Label 409 Currency COD. Panned 818 Repast Return Manager Doane Latel 410 aseePCO. COO. Ferman 850 SRI Party &leg 412 Afton®. ECOD. Raped 851 310 Party BON. PurciP00 415 haPCO.Guaramood Funds 03D. Prepaid 852 3r0 Party &beg. Spvrve OTHER CHARGE CODE DEFINITIONS 416 MAPCO. °wavy COD. Prepaid 853 310 Pony MIN. (wino 417 3ed Party Barg 854 3m Party Burg. Evenno. MADOD 418 Pany AuloPOD 855 310 Party Biling. (vying. Sgnaiure (I) COD reelect on Del..tryi 419 34 Party ERIN. COO 856 3rd Pony MIN. Deco Gran R) A0.0. lAcknOrifalacmoni ol Damn 420 3na Pany Bang Guaranteed Funds COD 857 3r0 Party &Irg. Oat* Cron. AulOPOD (4) Cal Tag 421 3.0 Party Ehers. efficacy COO 858 3rd Pony Ming. Dace Oman. Somalia* (4) Overrun, at CombhodLaogib and GNI 422 BI Roopiam 859 3m Pay Ditm3. 41Poorrment Delve, (5) Declared Yaks, 423 &I Reopen. AutoP00 808 3rd Pony Bldg. Apporonm Colvory..amoP00 (6) 4va:rcas Corrosion An 3m Party 91Irq. ECCO 869 BI Reopen 430 (7) Hacardcas kbacl 3'd Party811m AulePOD. COD 870 BO RixpontArzePOO (8 Autonialic Pedal of Dolvony 431 31Pany earg. AuiciF013. ECOD 871 BO Reopen. &gash,. le) Adaland Rending 432 3.0 PolyElam AuloP00. Cvie-cy COO 872 BO Reciponi. Evonrg Ovarlize Fain Saute Foo 433 34 Party Barg. AuiciF013. &warmed Ards. COO 873 BI Reopen. Evan,. AuloP00 (II) Overatitt > 150M 439 Prepecl. Coaranteect Ant. MOD 874 BO nrcoron Evonrg. &graham (12) Deanne C.O.D.. 24 hours 440 Roped. Currowy. ECOD 875 BO Reopen. Dale Cedar. (13) Actetiont COD.. 48 hours 441 Prepaid. Cuarreed Funds. E030. AulaP00 876 BO Rixponi. Dale Conalt.auloPCO (14) Fed(. Ground Row/moat 442 Propaa. Currorgy. ECOD. AotoPOD 877 BP FkcOenl. Dale Cedar, . Soma.. (IS) Fed& Ground RosizIonlal Rural 443 Shiftily Ehlks OuraMeed Funds. ECCO 878 DE Retrial. Airimmen Dolhory (16) ReturnsManager Transmiseco Fee 444 3m Party way Canny. ECOD 879 BE Recpent.Pppondincmt Ddriery.AveaPCO (20) FodEr Shrulue*Horeo Da4Arry 445 Shiftily Elks GuamMeed Funds. ECCO. AuIoP0O Fer1E. Date Certain Kama Mamie 446 3rd Party Mfrs Canny. EOM AuloFOD (21) (22) FodEs Apparilrand Ilona Dahery 933 Consoldalod Returns. 3.0 Pry. tan (23) Fed& EMS), We* Wheel (24) Fad& Home DoluaryResidatla FedEx International Ground (25) Fed& Nome Dekery Reeklec6el • Pont (26) Cash C.O.D. Outgo (27) Cash eon. P1* Deosiy Crape 022 AttOPCO. Prepaid (28) Cash C.O.D. Eon Delorormo auto.. 023 °CO.Prepaid (29) prendoemg Adranlage Chrge 026 Prepaid (30) RAE* Kama Dolcay Forced Apporn- cet 027 PasiPCO.Celkci PS) Fuel Surcharge 028 C.cdcra (36) Onmite >10r Contrive Lenge, erd Oitti 135 34 nerdy. %Wm Manager Powled Labe, (37) Ouapao> lOr INLength 141 Roped. Rolum lAanagot Ported Later (38) Onmtise >130' Centred Lenge, erdeitti 478 Guaranteed Funds. 000. Prepaid (39) Supplarnental Monica Package Charge 479 Ountecy. COD. Propad (40) Canada Goods 6 Simian Tax • 05T 480 Prepaid. AvloPOD. COO (4( ) came) Harrnorno3 Sales Tax HST 485 Roped. AutoPOD. Guaranteed Funds. CU() (42) Canals Ontec Saks Tee • 05T 406 AulePOD. Craw? COD 1441 Nix Scum 437 3m Party Bang (45) 0eort Co d Deane Surcharge 488 3.0 Paly&Ins AuluPOD (48) Consaidatea Returns Pc4)ban 429 34 Pony 8Ilrq. COD (47) Consollah4 Rehrins Padage 2444 244 493 zod PateSam Guranlecd Funds COD Ccasoldalod Rotwns Paige 4x4we 4x8412 (48) 491 31Party sang Cuvoncy COD Consollate0 nels•na Padage 64410 (WWI (49) 492 &I Accrue 150) Ccasoldalod Rotwns Paige exlCal2 - 10x12%16 493 BI RoopientriutaP00 COnsollak.0 Padage Al Chair (51) (52) Ccasoldalod Rotwns Owsrsizo Paduigre Charge (53) Resins Manager (54) Cowan Dicpuhp Lonefar. Charge (56) Urouronzod Cyorsizo a Isir Cameron Leap a arm EFTA00216662