EFTA00218925.pdf

Invoice Number: 5-378-21077 Invace Date: Feb 18.2005 Account Number: Page: 1 of 3 Ferias Tax ID: 71-0427037 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) 622-1147 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Feb 18, 2005 FedEx Express Services Transponation Charges 7.08 Special Handing Charges 0.53 Total Charges USD.S. 7.61 TOTAL THIS INVOICE ........._.._.__._..._.._.__.__.-USD $ 7.61 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in this invoice have been transferred and warped lo. are owned by. and we payable to FedEx Express. To ensure prwer w edl. oleos* return We Rorkevon, yaw owners to Forks Moose do not slag* or 104. Ptlaso mak° your Nock payable to Ebb. Ii Fce (tong< ol b,teit CPCCk two irdcontase low on !owns,* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Mar 05.2005 5-378-21077 USD $ 7.61 229207505378210776100000076176 SP 01 000001 97702 A 1 ASNGLP NYSG LLC 1...11.1.1...1.1.1.1.11...1...1.1..1.11 11.11 11..1.11 457 MADISON AVE NEW YORK NY 10022-6843 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00218925  Invoice Number: 5-378-21077 Invoice Date: Feb 18.2005 Account Number: Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No.:Airbill No. Reason Code Explanation {¢FORE YOU FAX REASON CODE KEY Reason Please kiclude detailed explanation for each adjustment request. Code Description DUP Duplicate Biffing 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 Part'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 I or 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: Sete: City: Ze Phone ( Autheriring Signature: EFTA00218926  Invoice Number: 5-378-21077 Invoice Dale: Feb 18.2005 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Feb 10. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surtharge FedEti has applied a luel surcharge of 7.50% to This shpmenl. Distance Based Pricing. Zone 0 Tracking ID 838903148577 Sender Recipien! Service Type FedEx Priority OyerrigN LAUREEN KWINTNER VERY FORIMN Package Type FedEx Envelope NYSG LLD VORYS SATER SEYMOUR PEASE Zone 4 457 MADISON AYE Packages 1 NEVI YORK NY 100224843 US MEM Weivll NIA Delivered Feb 11. 2005 09A2 Transponalion Charge 7.08 Svc Area Al Fuel Swchaige D.53 Signed by 0.WALKER FedEx Use 00115407000000192/ Total Charge USD $ 7.61 Shipment Detail Subtotal _USD $ 7.61 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218927