EFTA00218673.pdf

Fedkz. Invoice Number: Invoice Date: Account Number: Sep 19.2003 Page: 1 of 3 FedEx Tax ID: 71-0427007 Invoice Questions? Contact FedEx Revenue Services Phone. :800: 622.1147 M.F 7.6 (CST1 Fax: (800) 548.3020 Internet: www.fedex.com Invoice Summary Sep 19, 2003 FedEx Express Services Transponation Charges 28.75 Base Discount -10.75 Special Handing Charges 0.63 Total Charges JAMS. 18.63 TOTAL THIS INVOICE.- _._USD $ 18.83 You saved $10.75 in discounts this period! IIIIIIIIIIIIIIIIIIIIIIIIII The FetEx Ground accounts reteteneed in this invoice have been transferred and livened lo. are owned by. and we payable to FedEx Express. To ensure primer cm*. Ono, ;alum din portion vigh yaV per/m.0110 Fixer. Please do not Manton/ lob. Roane realm your Nock payable to Ebb. O For thing° of Stott check here led cartage low on rowwesile Invoice Account Amount Number Nut Due Remittance Advice Your payment Is due by Oct 04, 2003 USD $18.63 ILO II I II FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00218673  Invoice Number: Invoice Date: Sep 19.2003 Account Number: 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 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 ( Autheriring Signature: EFTA00218674  Invoice Number: Invoice Dale: Sep 19.2003 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Sep 15, 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge. FedEx has applied a fuel surcharge of 3.50% to this shOment Tracking ID Sender Recipient Service Type FedEx kill Priority LAUREN KWININER PAUL HOFFMAN Package Type FedEx Envelope NYSG LLD PAUL HOFFMAN PC Zone I Orig./Desk JR&S1T US Packages 1 Weighl 0.5 los Transportation Charge 28.75 Delivered Sep 18. 2003 14:01 Fuel Strcharge 0.83 Signed by B.WEATHERLY Discount -10.75 Customs Total Transportation Charges USDS 18.63 Entry Dale Sep It 2003 FedEx Use G1155iUS01O/ Shipment Detail Subtotal _USD 18.63 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218675