EFTA00219925.pdf

Invoice Number: 7-169-01311 Fe&x® Invoice Date: Account Number: Page: Oct 09. 2003 1144-2081-6 1 of 5 JEFFREY E EPSTEIN FedEx Tax ID: 71.0427007 358 EBRELLO WAY PALIA BEACH FL 33480 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1107 1.1-F 7.6 (CST) Fax: (800) 548-3020 Internet: VANV.feckoccom Invoice Summary Oct 09, 2003 FedEx Express Services DOGS Tax. Customs. Other Fees 116.11 Total Charges USD $ 116.11 TOTAL THIS INVOICE . USD $ 116.11 The FedEx Ground accounts referenced in this invoice have been transferred and assigned to. are owned by, and are payable to FedEx Express. To ensure proper credit. please return this portico with your payment to Fed& Please do not staple or fold. Please make your check payable to FedEx. Invoice Account Amount ❑ For chap at address. check here and complete form on renrse side. Number Number Due Remittance Advice 7-169-01311 1144-2081-6 $116.11 Payment due upon receipt 114420817169013112100001161116 1111101111I I I III I I II 11 II I I tall IIII II ,IIIIIII.I.1IIIIIrtlIIIIIII.II.all JEFFREY E EPSTEIN 358 EBRELLO WAY FedEx PALIA BEACH FL 33480 P.O. Box 1140 001506 MEMPHIS TN 38101.1140 10x .•03i0). unc-taxi eo/aoosno .. ROXOTY0884.0240%40) MON* EFTA00219925  Invoice Number: 7-169-01311 Invace Date: Oct 09. 2003 Account Number: 1144-2081-6 Page: 2 of 5 FedRa. Please indicate change in address for the account I listed below: PPQ3ical Address BiHQ Address MailiQAddress Account Number: 1144-2081-6 Name: Address: Apt/Suite": City: State: Zip: Phone: ( ) Fax: Authorizing Signature: FOX IIIIIO11IIIIIIIIIIIIIII 0189•7401 0473101/31 ROXOTY0884.0NCOSUA EFTA00219926  Invoice Number: 7-169-01311 FedEx Invace Date: Account Number: Page: Oct 09. 2003 1144-2081-6 3 of 5 FedEx Express Shipment Summary by Payor Type Original Shipper Number of Shipments Duties. Tax. Customs. Other Fees TOTAL USD S Number of Shipments 1 Total Charges USD $ 116.11 TOTAL SHIPMENTS 1 TOTAL CHARGES USD $ 116.11 111111//1UIIIIIIIIIIIIIII rox.•wtio• OIM•NOI oun Gene ROXOTY0884.0NCOSUA MORO. EFTA00219927  Invoice Number: 7-169-01311 FedEx Invote Date: Account Number: Page: Oct 09. 2003 1144-2081-6 4 of 5 FedEx Express Shipment Detail By Payor Type (Original) Shipped: Oct 03. 2003 Payor: Shipper Reference: 277FX0006 Tracking ID 828821138280 Sender Reopient Service Type FedEx Ind Pilot* JE JEAN MARIE BURTEL Package Type FedEx Pak JEFFREY E EPSTEIN CrigIDest FLUITNF 457 MADISON AVE Fl. 4 Packages 1 NEW YORK NY 100226843 US Weight 3.0 lbs. 1.4 kgs Defivered Ccl 08. 2003 10:35 Oct 03. 2003 - Ccovernon Rare EUR.USD 1.1934223950 Signed by .FERRANDI Transportation Charge 0.00 FedEx Use 15251/J_ Total Transportation Charges USD $ 0.00 Customs Gastmis Duly EUR n.00 26.26 Entry Dale oo 04. 2003 Original VAT EUR 68.00 81.15 Entry No. FRC0064943770275 Advancement Fee EUR 720 8.59 Dec. Value USD 300.00 111000 Charge EUR 0.09 0.11 Total Duties, Tax. Customs. Other Fees USD $ 116.11 Shipment Total —.—.— USD 116.11 Shipment Detail Subtotal USD S 116.11 Inll11111I111111Y1I111IYI I-DX..0340P 01$11, 001 062330On FE0XDP1O184. MOWS» • IdA/N16 EFTA00219928  Invoice Number: 7-169-01311 Fedbir Invoxe Date. Accounl Number: Air Waybill: Oct 09, 2003 1144-2081-8 828821138284 Page: 5 of 5 DOCUMENT JUSTIFICATIF DE LA REALISATION DES DROITS DE DOUANE ET DE LA TVA DECLARANT/BEPRESENTANT OIS Nf AM ORGtOEST '''.iiittletONTREE nieeetilreje' — tettreisiltitirtiese mare 828821138281 nul \ r 04'10 29(Q 2770(0306 649677 04(102003 EXPEDITEUR JE TTREY E EPSTEIN JE 457 MADISON AVE FL 4 NEW YORK 100226843 S IR E 7 REFERENCE FACTURE EXPEDITEUR MON`4A:E DE FACTURATION VAteUR FAcTUREAFFM i VALEUR FRET( FM FRET 14 I TAU:K.020,1**ra t., :s 56 267 5' 071 l 1.121200 POIDS ARTICLES COLIS LIVRAISON 1.4 I I US ARTICLE N( DENI3NAM0KG0MMERCIALE NOMENCLATURE PREfERENCE 2.3. BABY CFF TARTICLE EN CERNMOUE 69'20" . VALEUR DECLAREE VALEUR FRET ORIGINE USUP I POIDS PIECES JO/NTES 264 02 56 Ce US - DESCRIPTION DES DM:10Sn TAXES TAUX MONTANT DROITS ANTIDUMPING SUR 0.00 020 DROITS DE DOUANE SUR 0000003D8 7.00 22.00 TAXES ADDITIONELLES SUR 000000348 0.00 0.00 TVA SUR 000000346 19.60 61.00 LIQUIDATION TOTALE 90.00 ARTICLE NT DESIGNATISCOMMERCIALE NOMENCIATUE ' "" PREEEENCE .ALEJg DECS.“, VALEUR FRET ORIGINE 05UP POIDS PIECES JOINTES DESCRIPTION.DESDPMETSET.TAXES TAUX. MONTANT DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR TAXES ADDITIONELLES SUR TVA SUR LIQUIDATION TOTALE Please note: Clairns for refund of the Duties end Taxes from French customs, must be submitted by the importer. by mail. Due immediately: Charges on this invcice include Dulies and Taxes which Federal Express has paid Co French Customs on your behalf. &rots end omissions must be reporter' in writing immediately upon receipt S invoice. FIX.•0350”4011447001087840034 .. niXOTY0241.Mael mse006 EFTA00219929