EFTA00216496.pdf
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Invoice Number: 1-559-23435
Invoice Date:
Jan 30.2004
Account Number:
Page:
1 of 3
FedEx Tax ID:
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice Questions?
Contact FedEx Revenue Services
Phone.
:800: 622.1147 M.F 7.6 (G ST1
Fax:
1800) 548.3020
Internet:
www.fedex.com
Invoice Summary Jan 30, 2004
FedEx Express Services
Transponation Charges
30.00
Base Discount
-11.10
Special Handing Charges
0.85
Total Charges
19.75
TOTAL THIS INVOICE.-
_._USD S
19.75
You saved $11.10 in discounts this period!
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The FetEx Ground accounts reteteneed in Ihis invoice have been lianslerred and 1S9gried lo. are owned by. and we payade to FedEx Express.
To ensure proper croliwease /Nun Unt Rorkevon, yow ownenno FeeEt.
Please do not slant& or lob. %nano realm your add payable to nob.
O For chicle of Stew. check here led eon:aft low on !envie Bide
Remittance Advice
Your payment is due by Feb 14. 2004
229207501559234354600000197528
SP 01000001 97702 AI ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
1-559-23435
USD $ 19.75
1,,,11,1,10,1,1,1,1,11...1...1.1..1.11
ILO
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00216496
Invoice Number: 1-559-23435
Invoice Date:
Jan 30. 2004
Account Number:
Page:
2 of 3
Adjustment Request
FAX TO (800) 548-3020
Tracking No.:Airbill No.
Reason Code
Explanation
{¢ FORE YOU FAX
Please kiclude detailed explanation for each adjustment request.
Remember to include recipient's account number or third party's
account number if applicable.
From:
Name
Business Phone
Date
Business Fax
REASON CODE KEY
Reason
Code
Description
DUP
Duplicate Eking
PRO
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 Part'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: Sete:
City:
Phone (
Autheriring Signature:
Ze
EFTA00216497
Invoice Number: 1-559-23435
Invade Date:
Jan 30. 2004
Account Number:
Page:
3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jan 22, 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel surcharge of 4.50% to This shipment.
Tracking ID
825982197326
Sender
Recipient
Semite Type FedEx bill Priorily
Package Type FedEx Envelope
Zone
I
OsigiDest.
mesrr
Packages
1
Weighl
0.510¢
LAUREN KWINTNER
NVSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843 US
Transportation Charge
MILES ALEXANDER
LSJ LIG
30.00
Delivered
Jan 23. 2004 16:51
Fuel Sinn:ego
DJIS
Signed by
A.R00UGUZES
Discount
-11.10
Customs
Total Transportation Charges
USD $
19.75
Entry Oale
Jan 23. 2004
FedEx Use
G9378AIS010/
Shipment Detail Subtotal
_USD $
19.75
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EFTA00216498
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Document Details
| Filename | EFTA00216496.pdf |
| File Size | 97.9 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 3,382 characters |
| Indexed | 2026-02-11T11:21:34.752321 |