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Invoice Number: 4-629-24197
Invace Date: Mar 28.2003
Account Number:
Page: 1 of 4
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 Mar 28, 2003
FedEx Express Services
Transponation Charges 4.90
Special Handing Charges on
Total Charges 5.12
TOTAL THIS INVOICE _USD $ 5.12
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The FecEx Ground accounts referenced in Ihis invoice have been transferred and asagned 10. are owned by. and we payable to FedEx Express.
To ensure prwer cm:Ito/atm worn Uin Rorke vigh liar owned to Fork..
Moose do notilaploor Ptlaso mak° your Nock payable to FodE.N.
Ii Fce (forgo ol b,teit prima t✓ra and condor low on !wawa ode Invoice Account Amount
Number Number Due
Remittance Advice
Your payment is due by Apr 12. 2003 4.629.24197 USD $ 5.12
a
229207504629241979900000051248
SP 01000001 97702 A I ASNGLP
1...11.1.1...1.1.1.1.11...1...1.1..1.11 11.11 11..1.11
NYSG LLC FedEx
457 MADISON AVE P.O. Box 371461
NEW YORK NY 10022-6843
Pittsburgh PA 15250-7461
EFTA00218282
Invoice Number: 4-629-24197
Invoice Date: Mar 28.2003
Account Number:
Page:
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 Giffin°
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 e listed below E Physical Address ❑ Billing Address ❑ Mailing Address
Account Number:
Name;
Address: Ask Suitt
City:
Phone: (
Authorizing Signature:
EFTA00218283
Invoice Number: 4-629-24197
Invoice Date: Mar 28.2003
Account Number:
Page: 3 of 4
FedEx Express Shipment Detail By Payment Type (Original)
Picked up: Mar 21. 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel surcharge of 4.50% to This shpmenl.
Distance Based Pncing. Zone 2
Tracking ID 838319149360 Sender Reektient
Service Type FedEx Slandatd Overnight OARRENLYNDYKE CAROL BUICANTZ
Package Type FedEx Envelope NYSG LLC PINNADE COMMUNITER LTD
Zone 2 457 MADISON AVE
Packages 1 NEW YORK NY 100224843 US
Weighl 1.0 es. 0.5kgs
Delivered Mar 25. 20031083 Transpatalion Charge 4.90
Svc Area Al Fuel Strchatue 022
Signed by E.SERRVOTA
FedEtr Use 08320390046961/_ Total Transportation Charges USD S 3.12
Shipment Detail Subtotal ALSO 5 5.12
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EFTA00218284
Invoice Number: 4-629-24197
Invare Date: Mar 28. 2003
Account Number:
Page: 4 of 4
FedEx Ground Reference Chan
SERVICE CODES FEDEX HOME DELIVERY SERVICE GODES ZONE DEFINIT IONS
FedEx Ground 90) 4eoPOD. Nepoci 0-1
BOJ Propad 26 Omtal Sen..co 45 rare,
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EFTA00218285
ℹ️ Document Details
SHA-256
d225bb62d73e294fa54c78d8f4c75b8af3a509b4aacdbf2c702d6a8d102af3db
Bates Number
EFTA00218282
Dataset
DataSet-9
Type
document
Pages
4
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