EFTA00217091.pdf

Invoice Number: - Invoice Date: Jul 01.2005 Account Number: Page: 1 of 3 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. El00[ 622.1147 M.F 7.6 (USTI Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Jul 01, 2005 FedEx Express Services Transportation Charges 12.03 Special Handing Charges 1.39 Total Charges USD-6.. 13.42 TOTAL THIS INVOICE.- _._USD $ 13.42 IIIIIIIIIIIIIIIIIIIIIIIIII The FotEx Ground accounts reteteneed in This invoice have been iransferred and asagned lo. are owned by. and we payable to FedEx Express. To ensure wwer croft obese morn Um Rorke vigh yaw payment to Forks. Please do not slant& or lob. %nano realm your Nock payable to FodE.N. 0 For things of Stott Peckhere ad sundae low on nnertesile Invoice Account Amount Number Number Due Remittance Advice Your payment Is due by Jul 16, 2005 USD 513.42 SP 01 000001 97702 A 1ASNGLP NYSG LLC Il..I.II 457 MADISON AVE NEW YORK NY 10022-6843 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00217091  Invoice Number: Invoice Date: Jul 01.2005 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: EFTA00217092  Invoice Number: - Invoice Date: Jul 01.2005 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jun 27. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a heel surcharge ol 11.50%e this shipmenl. Distance Based Pncing. Zone 0 Feats has audded this shipment for canal pacNages. weight. and service. My changes made are reflected in the invoice amount. Tracking ID Sender Recipient Service Type FedEx Slandard OvernigN PEG UGLAteD Package Type FedEx Envelope NYSG LLC N A PROPERTY INC Zone 4 457 MADISON AVE Packages 1 NEW YORK NY 100224843 US Weigle 2.0 lbs. 0.9 kgs Delivered Jun 28. 21:05 12Z3 Transportalion Charge 6.58 Svc Area A2 Fuel St:charge 0.76 Signed by 0.0AKLEY FedEx Use 178092750810001SW Total Charge USD S 7.34 Picked up: Jun 28, 2005 Payer: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel surcharge ol 11.50% to INs sNpmeni. Distance Based Pricing. Zone 2 Tracking ID Sender Reed:lent Service Type FedEx Privity Cnerright JAMES M BLEILER Package Type FedEx Envelope NYSG LLC BLEILER INSURANCE AGENCY Zone 2 457 MADISON AVE Packages 1 NEW YORK NY 100224843 US Weigh) NIA Delivered Jun 29.2005 09.54 Transportation Charge 545 Svc Area Al Fuel Surcharge 0.63 Signed by O.CRUZ FedEx Use 179111560:000019V Total Charge USD S 6.08 Shipment Detail Subtotal IISD S 13.42 EFTA00217093