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Invoice Number: 1-655-95220
Invace Date: Mar 26. 2004
Account Number:
Page: 1 of 3
FedEx Tax ID: IM
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice Questions?
Contact FedEx Revenue Services
Phone: (800) 622.11471.1-F 7.6 (CST)
Fax: (800) 548.3020
Internet: www.feclex.com
Invoice Summary Mar 26, 2004
FedEx Express Services
Transponation Charges 30.00
Base Discount -11.10
Special Handing Charges 1.23
Total Charges 20.13
TOTAL THIS INVOICE._._..._.._.__._..._.._.__.__.-t1SD$ 20.13
You saved $11.10 in discounts this period!
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The FecEx Ground accounts referenced in this invoice have been transferred and &carped lo. are owned by. and we payable to FedEx Express.
To ensure prwer cm:Ito/ow return Pq Rorkevon, yow powwow Finks
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Number Number Due
Remittance Advice
Your payment is due by Apr 10. 2004 1.655.95220 USD $ 20.13
229207501655952206600000201316
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
EFTA00216621
Invoice Number: 1-655-95220
Invoice Date:
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 HO.
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: Aptr Suite:
City: Zp
Phone (
Authorizing &goose:
EFTA00216622
Invoice Number: 1-655-95220
Invade Date: Mar 26, 2004
Account Number:
Page: 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Mar 23.2004 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 8.50% lo this shpmenl.
FedEx has amMed this alibi" Ice correct paces. weighl. and service. Any changes made are reflected n the invoice arnoLni.
Tracking ID 828308387758 Sender Recipient
Service Type FedEx kill Priorily LOVIENKWINTNER CECILE OE JANGH
Package Type FedEx Envelope NVSG LLC FINANCIAL INST COMPANY. INC
Zone 1 457 MADISON AVE
OrigJDest. JRBSTT NEW YORK NV 100224843 US
Packages 1
0.7 Ca
Delivered Mar 24. 2004 15:50 Transponalion Charge 30.00
Signed by A.R0UDUZES Fuel &Enlarge 123
0iscouni - 11.10
Customs
Total Transportation Charges USD S 20.13
Enlry 0ale Mal 24.2004
FedEx Use G2907MS01O?
Shipment Detail Subtotal _USD S 20.13
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EFTA00216623
ℹ️ Document Details
SHA-256
7f2c56ad70027a2d95939474071cba3df0c63fd9c4105ab2c76eb574e0c02e71
Bates Number
EFTA00216621
Dataset
DataSet-9
Type
document
Pages
3
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