EFTA00216397.pdf

Fedkz. Invoice Number: - Invoice Date: Sep 23.2005 Account Number: 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 Special Handing Charges 7.08 0.92 Total Charges LISD.S. 5.00 TOTAL THIS INVOICE.- _._USD $ 8.00 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 Remittance Advice Your payment Is due by Oct 08, 2005 Invoice Number Account Number Amount Due 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 IIIIIIIIIIIIIIIIIIIIIIIIII 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 Flf FORE YOU FAX Please kiclude detailed explanation for each adjustment request. Remember to include recipient's account 'limber or third party's account number if applicable. From: Name Business Phone Date Business Fax REASON CODE KEY Reason Code Description DUP Duplicate Eking PND Shipment Never Sent RATE Incorrect Rates or Pieces RRA Rebill Recipient - Include Recipient's Account No. RSA Rebill Sender RTA Rebill Thit Party - Include Third Party's Account No. SUR Incorrect Surcharge - Please Explain OTHR Other - Please Explain 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 Account Number: Name: E Physical Address K Billing Address K Mailing Address Address: Apt.: Suite: City: Phone ( Autheriring Signature: Zp 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 Sve Area A2 Fuel Sworn, Signed by 13.OAKLEY FedEx Use 262115380e0000192/ Total Charge 7.08 D.92 USD $ 8.00 Shipment Detail Subtotal _USD $ 8.00 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216399