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Feds<. Adjustment Request FAX TO (800) 548-3020 Tracking No./Airbill No. Reason Code BEFORE YOU FAX Please include detailed explanation for each adjustment request. Remember to include recipient's account number or third party's account number if applicable. Explanation Invoice Number: 4-486-92384 Invoice Date: Dec 06, 2002 Account Number: 2292-0750-4 Page: 2 of 4 REASON CODE KEY Description Duplicate Billing Shipment Never Sent Incorrect Rates or Pieces Rebill Recipient - Include Recipient's Account No. From: Rebill Sender Rebill Third Party - Include Third Party's Account No. Name Date ( ) ( ) Incorrect Surcharge - Please Explain 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.fedex.com or register for FIO. Federal Express Please indicate change in address for the account # listed below im Physical Address im Billing Address im Mailing Address Account Number 2292-0750-4 Name: Address: Apt. / Suite: City: State: Zip: Phone: ( ) Fax: ( ) Authorizing Signature: CONFIDENTIAL SDNY_GM_00340726 96 DOJ-OGR-00015405