EFTA00216954.pdf

Invoice Number: 1-942-94202 Invace Date: Aug 09. 2004 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 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Aug 09, 2004 FedEx Express Services Transponation Charges 4.75 Special Handing Charges 2.11 Total Charges USD.S. 6.86 TOTAL THIS INVOICE _USD $ 6.86 IIIIIIIIIIIIIIIIIIIIIIIIII The FotEx Ground accounts reteteneed in Ihis invoice have been transferred and asagned to. are owned by. and we payable to FedEx Express. To ensure ersper wed X Wiese rerun Uin Rorkevon, yow owners to ANC.. Moose do notilaploor Uvl. Ptlaso mak° your Nod payable to Egan. I— Fry (forgo oI b,teit CPCCk hue rod sontroe low on rooms* Invoice Account Amount Number Number Due Remittance Advice Your payment is due by Aug 24. 2004 1.942.94202 USD $ 6.86 22920? S0194294 20285000000 68660 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 EFTA00216954  Invoice Number: 1-942-94202 Invoice Date: Aug 09.2004 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 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 ❑ Malang Address Account Number: Name: Address: Apt.: Saito City: Zp Phone: Authenzing Sonnet: EFTA00216955  Invoice Number: 1-942-94202 Invade Date: Aug 09. 2004 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jul 29. 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEir has applied a fuel surcharge of 7.50% to this shgmenl. Distance Based Pricing. Zone 2 The delivery commitment lot Express Saver Packages to homes or private residences (Incirdng home &Mos) is 7P/A the tried business day for all regions. FecEx has aucHed this shgment for correct packages. weigh. and service. My changes made ale reflected in the imote amount. Release signature co Tracking ID 848277201450 Sender Recigen1 Service Type FedEx Egress Saver LAUREN KLVIN7NER JEFF SCHANTZ Package Type FedEx Pak !MG LLC Zone 2 457 MADISON AVE Packages 1 NEW YORK NY 100224243 US Weigh 2.0 lbs. 0.9 kgs Delivered Jul 30. 2004 13:31 Transportation Charge 475 Svc Area 3R Fuel Surcharge 0.36 Signed by W.NTNER Residential Delvery 175 Feder Use 211162070430234061E Total Charge USD S 6.86 Shipment Detail Subtotal _USD S 6.86 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216956