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Invoice Number: 7-872-17285
Invoice Date: Nov 26.2004
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 (CST1
Fax: (800) 548.3020
Internet: www.tedex.com
Invoice Summary Nov 26, 2004
FedEx Express Services
Transportation Charges 5.45
Special Handing Charges 060
Total Charges 6.05
TOTAL THIS INVOICE._ _._USD 6.05
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The FotEx Ground accounts retetenced in this invoice have been transferred and 1S9gried lo. are owned by. and we payade to FedEx Express.
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Please do not slant& or fob. %nano realm your Nock payable to FodE.N.
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Number Number Due
Remittance Advice
Your payment is due by Dec 11. 2004 7-872-17285 USD $ 6.05
229207507872172858500000060564
SP 01 000001 97702 A 1 ASNGLP
NYSG LLC 1...11.1.1.01.1.1.1.11...1...1.1..1.11 11111 11..1.11
457 MADISON AVE
NEW YORK NY 10022-6843 FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00220542
Invoice Number: 7-872-17285
Invoice Date: Nov 26.2004
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 FIO.
Fedtz
Federal Express
Please Indicate change in address for the account it listed below E Physical Address ❑ Billing Address ❑ Mailing Address
Account Number:
Name:
Address: NA.: Suite:
City: Zp
Phone: (
Authorizing Spawn:
EFTA00220543
Invoice Number: 7-872-17285
Invoice Date: Nov 26.2004
Account Number:
Page: 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Nov IL 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEsi has applied a fuel surcharge of 11.00% so this shipment.
Distance Based Pricing. Zone 2
Tracking ID 848277201834 Sender Rea.
Service Type FedEx Privity OretrigN LAUREN KWINTNER REENSTRA
Package Type FedEx Envelope NVSG LLC
Zone 2 457 MADISON AVE
Packages I NEW YORK NY 100224843 US
Weighl NIA
Delivered Nov 19.200409:33 Transponalion Charge 545
Svc Area A2 Fuel Swchafge 0.80
Signed by 13.WOFtSTER
FedEx Use 32319850043000192/ Total Charge USD S 6.05
Shipment Detail Subtotal _USD S 6.05
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EFTA00220544
ℹ️ Document Details
SHA-256
fbd26d3ec73f81e51ca9cd0dc9b1e7b45d3cba8519070cd06b0e3e732f0088ca
Bates Number
EFTA00220542
Dataset
DataSet-9
Type
document
Pages
3
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