EFTA00217077.pdf

Invoice Number: 3.896.45132 Invace Date: Jun 24. 2005 Account Number: Page: 1 of 3 FeclEx 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) 622.11471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.feclex.com Invoice Summary Jun 24, 2005 FedEx Express Services Transponation Charges 9.95 Special Handing Charges 1.14 Total Charges 11.09 TOTAL THIS INVOICE _USD 11.09 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. obese return Pb Rorkevon, yaw owners to FerfEr. Moose do notilaploor to, Ptlaso mak° your Nod payable to ncraut I— Fre (forgo oI b,teit prima bra sod crania, low on wows* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Jul 09, 2005 3.896.45132 USD 5 11.09 229207 5038964 51329300000110 983 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 EFTA00217077  Invoice Number: 3-896-45132 Invoice Date: Jun 24.2005 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 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 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 ( AWN:tiding Signature: EFTA00217078  Invoice Number: 3-896-45132 Invoice Date: Jun 24 2005 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jun 17. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEz has applied a keel surcharge of 11.50%10 this shipment. Distance Based Pricing. Zone 0 FeclEx has :tided this shipment for carted packages. weight. and service. My changes made are relleded in the invoice amount. Tracking ID 852106412932 Sender Recipient Service Type FedEx /Monty Owenght LAUREN PEG UGLAMD Package Type FedEx Pak NVSG LLC NA PROPERTY INC Zone 4 457 MADISON AVE Packages 1 NEW YORK NY 100224843 US Weird 2.0 Ds. 0.9 kgs Delivered Jun 20. 2035 1020 Transpottalion Charge 9.95 Svc Area 42 Fuel St:charge 1.11 Signed by 13.04KLEY FedEz Use 16808995040000724/ Total Charge USD $ 11.09 Shipment Detail Subtotal _USD $ 11.09 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00217079