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Invoice Number: 5-528-29874
Invoice Date: Aug 15.2005
Account Number:
Page: 1 of 3
FedEx 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: 622.1147 f.r.F 7.6 (ESTI
Fax: (800) 548.3020
Internet: www.tedex.com
Invoice Summary Aug 15, 2005
FedEx Express Services
Transportation Charges 17.76
Special Handing Charges 2.22
Total Charges USD.6.. 19.98
TOTAL THIS INVOICE._ _._USD 19.98
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The FotEx Ground accounts referenced in This invoice have been transferred and 1S9gried to. are owned by. and we payable to FedEx Express.
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Please do not slant& or lob. %nano realm your Nock payable to FodE.N.
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Number Number Due
Remittance Advice
Your payment is due by Aug 30. 2005 5.528.29874 USD $ 19.98
229207505528298747600000199847
SP 01 000001 97702 A 1 ASNGLP
NYSG LLC ILO
457 MADISON AVE
NEW YORK NY 10022-6843 FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00219024
Invoice Number: 5-528-29874
Invoice Date: Aug 15.2005
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 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 it listed below E Physical Address ❑ Billing Address ❑ Malting Address
Account Number:
Name:
Address: Aptr Sate
City: Zp
Phone: (
Aulnerising Signature:
EFTA00219025
Invoice Number: 5-528-29874
Invade Date: Aug IS. 2005
Account Number:
Page: 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Aug 03, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a luet surcharge ol 12.50% 10 INs sNpmenl.
Distance Based Pncing. Zone 0
FedEx has welded this shipment for coned packages. weight. and service. My manes made are rattled in the mote amounl.
Tracking ID 852108013034 Sender Recipient
Service Type FedEx Slandatd Overnight LAUREN
Package Type FedEx Envelope NYSG LLC
Zone 4 457 MADISON AVE 111111
Packages 1 NEW YORK NY 100224843 US
Weigh! 1.0 las. 0.5 kgs
Delivered Aug 00. 2005 11:35 Transportalion Charge 8.58
Svc Area A2 Fuel St:charge 082
Signed by 0.0AKLEY
FedEA Use 2150823504000158( Total Charge USD S 7.40
Picked up: Aug 09, 2005 Payer: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEx has applied a luel surcharge ol 12.50% 10 INs sNpment
Distance Based Pncing. Zone 8
FedEx has welded this shipment for coned pack:lees. weight. and service. My manes made are rationed ei the rivet. amounl.
Tracking ID 852108013089 Sender Recipient
Service Type FedEx Monty Overright LAUREN ANDREW KOMCASKY
Package Type FedEx Pak NYSG LI.0 WELL GOTSHAL MANGES
Zone 8 457 MADISON AVE
Packages 1 NEV! YORK NY 100224843 US =
Weird 2.0 las. 0.9 kgs E
Delivered Aug 10.200509x1 Transportation Charge 11 18
Svc Area A2 Fuel Suttharge 140 =
Signed by JAVILA ._
FedEx Use 221117280,4000724/ Total Charge USD S 12.58
Shipment Detail Subtotal USD S 19.98
EFTA00219026
ℹ️ Document Details
SHA-256
bf8cd0343cdd46d05c1584bd0103822b194abbf634f79bda88382687463c4890
Bates Number
EFTA00219024
Dataset
DataSet-9
Type
document
Pages
3
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