EFTA01319869.pdf

Invoice Number: 7-739-38644 Invoice Date: Apr 08.2005 Account Number: 2292.0750.4 Page: 1 o13 FixsEx Tax 10: 714427007 NYSG LLC 457 MADISON AVE NEW YORK NY 100224843 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M.F 7-6 (CST) Fax: (800) 548.3020 Internet: wrnviedex.ccm Invoice Summary Apr 08, 2005 FedEx Express Services Transportation Charges 31.50 Base Decant -11.75 Spinal Handling Charges 1.68 Total Charges 21.43 TOTAL THIS INVOICE LSD 21.43 You saved 511.75 in discounts this period! IIIIIIIIIIIIIIIIII The FedEx Ground accounts referenced in It noice have been translened and enured lo. are armed by. and are payable to FedEx Express. To olive propernee- please return ass wen van your payment aFeeEx. Pisan nor sage or rams. Please mare your cheek Payable la FccEs- el attest. cheek I've o- amperefen, on!even* bat Invoice Account Amount Number Number Due Remittance Advice Vow payment Is due by Apr 23. 2005 7.739.38644 2292-07504 USD $ 21.43 229207507739386444400000214367 SP 01000001 97102 A 1 ASNGLP NYSO LLC 1...11.1,1.., 1,1,1,11,..1,..1. .1,11 11.11 II.,I.II 467 MADISON AVE NEW YORK NY 10022-6943 FedEx PA. Box 371461 PitlSbutph PA 15250.7461 CONFIDENTIAL SDNY_GM_00349495 EFTA_00222187 EFTA01319869  Invoice Number: 7-739-38644 Invoice Date: Apr 08. 2005 Account Nut. 2292-O7504 Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No...Airbill No. Reason Code Explanation eFFORE YOU FAX REASON CODE KEY Reason Please include detailed explanation for each adjustment request. Code Description DUP Duplicate Sdling 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 Recipenrs Account No. From: RSA Rebill Sender RTA Rebid Third Parry 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 al www.ledex.com or register for FIO. Fedkx Federal Express Pane indicate change In address for the account x listed below: r- Physical Address E Blling Address I Mailing Address Account Number: 22924/760-4 Name: Address: Apt., Suite: City: State: Bp: Phone: I Fa,: I Aulhoraing Signature: CONFIDENTIAL SDNY_GM_00349496 EFTA_00222188 EFTA01319870  Invoice Number: 7-739-38644 Invoice Date: Ape 08. 2005 Accoum Number. 2292-07504 Page: 3 of 3 FedEx Express Shipment Detail By Payer Type (Original) Picked up: Ape 04.2005 Payer: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge. Fedex has appled a fuel surcharge or 8 5014 Co INS shernenl Traddng ID /M308387572 Sender Recieien1 Service Type Fee Intl Platy LAUREN KVANTNER AJAMES CASNER Package Type Fee Envebpe NVSG LLC STRYKER DuENSNGCASNO Zone I 457MADISON AVE 5126 DRAKES PASSAGE SUITE 4202 Oilg 'Pea JRIRSTT NEW YORK NY 100224843 US ST THOMAS VI Packages I Vic.01 0.51as Transporlaton Charge 31.50 Oelvered Apr 05. 2003 1325 Fuel Suecharoe 1.68 Signed by MBETHUNE Oiscounl -11.75 Total Transportation Charges uSOS 21.43 Customs Entry Date Ay 0.5. 2005 FedEx Uso GISOSVS010/ Shipment Detail Subtotal I1SD $ 21.43 IIIIIIIIIMIIIII CONFIDENTIAL SDNY_GM_00349497 EFTA_00222189 EFTA01319871