EFTA00216957.pdf

Invoice Number: 1-943-52024 Invace Date: Aug 13. 2004 Account Number: 2292-0750-4 Page: 1 of 3 FedEx Tax ID: 71-0427007 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 Aug 13, 2004 FedEx Express Services Transponation Charges 14.26 Special Handing Charges 2.75 Total Charges USD.5.- 17.01 TOTAL THIS INVOICE _USD 17.01 IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in this invoice have been transferred and asagned lo. are owned by, and we payable to FedEx Express. To ensure prwer croft wease rerun Our Rorkevon, yaw owneniro ANC.. Moose do notilaploor Uvl. Ptlaso mak° your Nock payable to Ebb. Fce (forgo oI b,teit r*cc twe wdeononse low on rewrtesde Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Aug 28. 2004 1.943.52024 2292-0750-4 USD $ 17.01 22920750191.13520245300000170120 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 EFTA00216957  Invoice Number: 1-943-52024 Invoice Date: Aug 13.2004 Account Number: 2292-0750-4 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 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: ❑ Physical Address ❑ Billing Address ❑ Mailing Address Account Number: 2292-07S0-4 Name: Address: Am.: Seim: City: State. Zp Phone ( Fax: ( AWN:riding &gamut: EFTA00216958  Invoice Number: 1-943-52024 Invoice Date: Aug 13.2004 Account Number: 2292-0750-4 Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Aug 09. 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surtharge FedEx has applied a luel surcharge ol 7.0D% lo This shjxnent Distance Based Pricing. Zone 2 The delivery aimmilrnenl kr Express Saver Packages io homes or Nivel, residences (Including ho o8ieesl is 7PM the third business day for all regions. Release signature co IN. Tracking ID 808277201472 Sender Re st Service Type FedEx Express Saver LAUREN KWINTNER Package Type FedEx Envelope NVSG LLC Zone 2 457 MADISON AVE Packages NEW YORK NY 100224843 US Weigle NIA Delivered Aug 10. 20041228 Transportation Charge 431 Svc Area 3R Fuel Srecharge 0.32 Signed by K.WINTER Residential Oetvery 1.75 FedEa Use 222138120:00081:07(02 Total Charge USD S 638 Picked up: Aug 10, 2004 Payer: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a luel surcharge ol 7.00% lo Ohs shpmerti Distance Based Pawing. Zone 0 Trading ID 808277201483 Sender Recipient Service Type FedEx Natty OverrigN LAUREN KWINTNER PAUL BURKHARDT Package Type FedEx Pak NYSG ISO N A PROPERTY INC Zone 4 457 MADISON AVE Packages NEW YORK NY 100224843 US 2.010. 0.9 kgs Delivered Aug 11.200409:57 Transportation Owego 975 Svc Area A2 Fuel Surcharge 068 Signed by 0.0AKLEY FedEx Use 2231469000029022/ Total Charge USD S 10.43 Shipment Detail Subtotal 11SD 17.01 EFTA00216959