EFTA00220614.pdf

Invoice Number: 7-980-61298 Invace Date: Jan 28. 2005 Account Number: Page: 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) 622-1147 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Jan 28, 2005 FedEx Express Services Transponation Charges 8.26 Special Handing Charges 0.74 Total Charges 9.00 TOTAL THIS INVOICE _USD 9.00 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in This invoice have been transferred and asagned to. are owned by. and we payable to FedEx Express. To ensure proper weds. oleos* return Um Rorkevon, yaw Kronen! to Draft Moose do notilaploor104. Ptlaso mak° your Nod payable to nob. Ii Fce (forgo oI b,teit prima twe wd crosser low on wows* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Feb 12.2005 7.980.61298 USD $ 9.00 229207507980612985400000090015 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 EFTA00220614  Invoice Number: 7-980-61298 Invoice Date: Jan 28.2005 Account Number: Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No.idirbill No. Reason Code Explanation {¢FORE YOU FAX REASON CODE KEY Reason Please kiclude detailed explanation for each adjustment request. Code Description DUP Duplicate Giffin° Remember to include recipient's account number or third party's PRO 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 axon e in for the account o listed below E Physical Address ❑ Billing Address ❑ Mailing Address Account Number Name. Address: Apt.: Suite: City: Zp Phone; ( Authorizing Signabse: EFTA00220615  Invoice Number: 7-980-61298 Invoice Date: Jan 28.2005 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jan 21. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a kW surcharge of 9.00% to this shipment. Distance Based Pncing. Zone 3 1st attempt Jan 24.2005 at 0727 MI. Tracking ID 802395474808 Sender Recipient Service Type FedEx Pnonty OreeirigN ERIC GANT AMERI N PA PORT EXPRESS Package Type FedEx Pak NVSG LLC Zone 3 457 MADISON AVE Packages 1 NEW YORK NY 100224843 US Weight 2.0 Cs. 0.9 kgs Delivered Jan 24. 2005 09:01 Transportation Charge 8.26 Svc /46a Al Fuel Surcharge 074 Signed by F.FASSIL FedEx Use 0211548704000724I Total Charge USD $ 9.00 Shipment Detail Subtotal _USD $ 9.00 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220616