EFTA00216397.pdf

Fedkz. Invoice Number: - Invoice Date: Account Number: Sep 23.2005 Page: 1 of 3 FedEx Tax ID: 71-0427007 Billing Account Shipping Address: Invoice Questions? Contact FedEx Revenue Services US Phone :800: 622.1147 M.F 7.6 (CST) Fax: (800) 548.3020 Internet: www.tedex.com Invoice Summary Sep 23, 2005 FedEx Express Services Transportation Charges 7.08 Special Handing Charges 0.92 Total Charges LISD.S. 5.00 TOTAL THIS INVOICE.- _._USD $ 8.00 IIIIIIIIIIIIIIIIIIIIIIIIII The FotEx Ground accounts refetenced in this invoice have been transferred and asagned lo. are owned by. and we payade to FedEx Express. To ensure proxy cm:awns, moo On POiliTI Vigh yaw womeni to Fooft. Please do A0111400 a bb. Please nuke your Nock payable to Ebb. O rot things el widow. dockhoe ir4cootafte low on owns she Invoice Account Amount Number Number Due Remittance Advice Your payment Is due by Oct 08, 2005 USD $ 8.00 Imil(1.1.01(1.1.1(lholml(1.,I,11 ILO 11..1.11 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00216397  Invoice Number: Invoice Date: Sep 23.2005 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 'limber 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 a listed below E Physical Address ❑ Billing Address ❑ Mailing Address Account Number: Name: Address: Apt.: Suite: City: Zp Phone ( Autheriring Signature: EFTA00216398  Invoice Number: - Invoice Date: Sep 23.2005 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Sep 19. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a lust surcharge of 13.00% so this shipment. Distance Based Pncing. Zone 4 Tracking ID Sender Recipien! Service Type FedEx Pnonv OverrigM LAUREN KWINTNER PAUL BUCKIIARDT Package Type FedEx Envelope NVSG LI.0 N A PROPERTY INC Zone Packages 1 US Weigle NIA Delivered Sep 20. 2005 10:02 Transpoetalion Charge 7.08 Sve Area A2 Fuel Sworn, D.92 Signed by 13.OAKLEY FedEx Use 262115380e0000192/ Total Charge USD $ 8.00 Shipment Detail Subtotal _USD $ 8.00 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216399