EFTA00217721.pdf

Fedkz. Invoice Number: - Invoice Date: Account Number: Jul 19.2002 Page: 1 of 3 FedEx Tax ID: 71-0427007 Invoice Questions? FedEx Account Services Phone: (800) 622.1147 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fedex.com Invoice Summary Jul 19, 2002 FedEx Express Services Transponation Charges 38.00 Base Discount -15.00 Special Handing Charges 0.58 Total Charges .USD.S. 23.58 TOTAL THIS INVOICE.- _._11SDS 23.58 You saved $15.00 in discounts this period! 11111111I11111111111II I The FedEx Ground accounts referenced in this invoice have been transferred arid asagned lo. are owned by. and we payaWe to FedEx Express. To ensure proper ctodit pins. rem this portion with Yourpaydent to has. Please do not staple at fold. Phase forako your chock payable to Feat C For thrice of adthesir. check here awl consiete iv,. On ROOM* SCle Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Aug 03. 2002 USD $ 23.53 !minima 'LH II I II FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00217721  Invoice Number: Invoice Date: Jul 19.2002 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 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 HO. 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.: Suite: City: Zp Phone ( Autheriring Signature: EFTA00217722  Invoice Number: - Invoice Date: Jul 19.2002 Account Number: Page: 3 of 3 FedEx Express Payment Type Detail (Original) Picked up: Jul 11.2002 Payor: Shipper Reference: NO REFERENCE INFORMATION max Ktornatudo:Gasmo3u2so Fuel Surcharge FedEti has applied a luel surcharge of 2.50% to this shpmenl. FedEx has wedded this alibi" Ice correct pieces. weighl. and service. Any changes made are reflected n the invoice amoral. Inprcpertrrissing regulalory paperwork Tracking ID Sender Recipient Service Type FedEx kill Priardy OALE BASTIAN Package Type FedEx Pak NYSG LLC FINANCIAL TURST COMPANY INC Zone 1 8100 RED HOCK QUARTER Oridellest. amerr US STE B-3 Pieces 1 ST THOMAS VI Weigle 1.9 las Delivered Jul 12.2002 18:50 Transportation Charge 38.00 Signed by J.COURNELOUS Discount -15.00 Fuel Surcharge 0.58 Customs Total Transportation Charges USD9 23.58 Enlry Oale Jul 12. 2002 Payment Type Detail Subtotal . _USD 23.58 11111111I11111111111II I EFTA00217723