EFTA00216659.pdf
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Extracted Text (OCR)
Invoice Number: 1-703-01993
Invace Date:
Apr 09. 2004
Account Number:
Page:
1 of 4
FedEx Tax ID:
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Billing Account Shipping Address:
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843 US
Invoice Summary Apr 09, 2004
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622.11471.1-F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
www.fectex.com
FedEx Express Services
Transponation Charges
Special Handing Charges
6.45
10.42
Total Charges
USDA.
16.87
TOTAL THIS INVOICE
_USD $
16.87
The FecEx Ground accounts referenced in Ihis invoice have been transferred and 1S9gried 10. are owned by, and we payable to FedEx Express.
To ensure primer croft Meow fawn Pq Rorke vigh liar outmatch, Fete.
Moose do notilaploor104. Ptlaso mak° your Nock payable to FodE.N.
Ii Fce (forgo ol b,teit CPCCk hue wd crosser low on wows*
Remittance Advice
Your payment is due by Apr 24. 2004
229207501703019933900000168731
SP 01 000001 97702 A I ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
1.703.01993
USD $ 16.87
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
IIIIIIIIIIIIIIIIIIIIIIIIII
EFTA00216659
Invoice Number: 1-703-01993
Invoice Date:
Apr 09.2004
Account Number:
Page:
2 of 4
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 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
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 ler the account a listed below
Account Number:
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apt r Suite:
City:
Phone (
Authorizing Signatuie:
Zp
EFTA00216660
Invoice Number: 1-703-01993
Invade Date:
Apr 09. 2004
Account Number:
Page:
3 of4
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Apr 01, 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a leer surcharge ol 8.50%10 This shimmy.
Distance Based Pncing. Zone 4
1s1 altempl Am 02.2004 al 10:32 AM.
Incorrect recipent address.
Original address. 38 JEFFERSON AVENUECOUJMBUS.C44 43215
FedEx has welted mis shipment 101COrted packages. weigN. and service. My changes made are reflected in the Wrote amount.
Tracking ID
845613293577
Sender
RecicieN
Service Type FedEx Slandard OvernigN
CECILIA
TRACY PENWELL
Package Type FedEx Envelope
NYSG LLC
I4SURANCE OFFICE OF ONO
Zone
4
457 MADISON AVE
Packages
1
NEW YORK NV 100224843 US
NIA
Delivered
A,r 06. 20IM 14:51
Transportalion Charge
v 15
Svc Area
A2
Address Careakin
Signed by
S.GUFIL
Fuel Surcharge
C. 12
FedEA Use
09217489046163.1_
Total Charge
USDS
16.87
Shipment Detail Subtotal
_USD
16.87
IIIIIIIIIIIIIIIIIIIIIIIIII
EFTA00216661
Invoice Number: 1-703-01993
Invoice Date:
Apr 09. 2004
Account Number:
Page:
4 of 4
FedEx Ground Reference Chart
SERVICE CODES
FedEx Ground
015
0.0)PCO. Preps()
016
COO. Prepaid
017
EGO°. Prepad
019
Papaw
020
fiaesP00. Cake(
021
Ccdect
131
Ird Party. Rain klarager Alma Ur
138
Pepad. Rehm Mannar 0 -ire Latel
137
Prepaid. Rolum IA atwor Parts Lau(
140
erd Pady. Return I% raper Caine Labe,
408
Guaranteed Funds 000. Prepaid
409
Currency COD. Panned
410
aseePCO. COO. Ferman
412
Afton®. ECOD. Raped
415
haPCO.Guaramood Funds 03D. Prepaid
416
MAPCO. °wavy COD. Prepaid
417
3ed Party Barg
418
Pany
AuloPOD
419
34 Party ERIN. COO
420
3na Pany Bang Guaranteed Funds COD
421
3.0 Party
.
Ehers efficacy COO
422
BI Roopiam
423
&I Reopen. AutoP00
An
3m Party 91Irq. ECCO
430
3'd Party811m AulePOD. COD
431
31 Pany earg. AuiciF013. ECOD
432
3.0 PolyElam AuloP00. Cvie-cy COO
433
34 Party Barg. AuiciF013. &warmed Ards. COO
439
Prepecl. Coaranteect Ant. MOD
440
Roped. Currowy. ECOD
441
Prepaid. Cuarreed Funds. E030. AulaP00
442
Propaa. Currorgy. ECOD. AotoPOD
443
Shiftily Ehlks OuraMeed Funds. ECCO
444
3m Party way Canny. ECOD
445
Shiftily Elks GuamMeed Funds. ECCO. AuIoP0O
446
3rd Party Mfrs Canny. EOM AuloFOD
933
Consoldalod Returns. 3.0 Pry. tan
FedEx International Ground
022
023
026
027
028
135
141
478
479
480
485
406
437
488
429
493
491
492
493
AttOPCO. Prepaid
°CO.Prepaid
Prepaid
PasiPCO.Celkci
C.cdcra
34 nerdy. %Wm Manager Powled Labe,
Roped. Rolum lAanagot Ported Later
Guaranteed Funds. 000. Prepaid
Ountecy. COD. Propad
Prepaid. AvloPOD. COO
Roped. AutoPOD. Guaranteed Funds. CU()
AulePOD. Craw? COD
3m Party Bang
3.0 Paly&Ins AuluPOD
34 Pony 8Ilrq. COD
zod PateSam Guranlecd Funds COD
31 Party sang Cuvoncy COD
&I Accrue
BI RoopientriutaP00
FEDEX HOME DELIVERY SERVICE CODES
80)
804
8(6
810
814
818
820
824
828
839
831
816
842
847
818
850
851
852
853
854
855
856
857
858
859
808
869
870
871
872
873
874
875
876
877
878
879
....6aPOD. New
Propad
Spnalure. Nepal
Evening..auioPOD. Promo
Evening. Prepaid
Evening. Severe. Prepaid
Dais Cogan. PutoP00. Proper
Dale Certain. Prepaid
Dace Conan. Signature. Prepaid
Preniment Denary. AribPOD. Prepaid
Aspantmon: Dotnary. PrOpad
3rd NMI,. Resta Manger Panted Label
Prooact Return Manager Promo Ltd
3rd Pany. Revs Manna Onine Label
Repast Return Manager Doane Latel
SRI Party &leg
310 Party BON. PurciP00
3r0 Party &beg. Spvrve
310 Pony MIN. (wino
3m Party Burg. Evenno. MADOD
310 Party Biling. (vying. Sgnaiure
3rd Pony MIN. Deco Gran
3r0 Party &Irg. Oat* Cron. AulOPOD
3rd Pony Ming. Dace Oman. Somalia*
3m Pay Ditm3. 41Poorrment Delve,
3rd Pony Bldg. Apporonm Colvory..amoP00
BI Reopen
BO RixpontArzePOO
BO Reopen. &gash,.
BO Reciponi. Evonrg
BI Reopen. Evan,. AuloP00
BO nrcoron Evonrg. &graham
BO Reopen. Dale Cedar.
BO Rixponi. Dale Conalt.auloPCO
BP FkcOenl. Dale Cedar,. Soma..
DE Retrial. Airimmen Dolhory
BE Recpent.Pppondincmt Ddriery.AveaPCO
ZONE DEFINI I IONS
Bt
2.6
74
9
10
14
17
Siux, Son.< 45
fry
Crowd Spruce 48 44nIGAvs states
Servs:eta Nana.
Service to Puma Rico
&awe to Oaha
Santana Aliaka
&awe %ohm Mania
23
Scivico from Alaska
25
StateIran Alaska
SI It 54 Scivico to copula
92 8 96 Service i.e.,, Hawed IDeleurec0
OTHER CHARGE CODE DEFINITIONS
(I)
R)
(4)
(4)
(5)
(6)
(7)
(8
le)
(II)
(12)
(13)
(14)
(IS)
(16)
(20
(21)
)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
PS)
(36)
(37)
(38)
(39)
(40)
(4( )
(42)
1441
(45)
(48)
(47)
(48)
(49)
150)
(51)
(52)
(53)
(54)
(56)
COD reelect on Del..tryi
A0.0. lAcknOrifalacmoni ol Damn
Cal Tag
Overrun, at CombhodLaogib and GNI
Declared Yaks,
4va:rcas Corrosion
Hacardcas kbacl
Autonialic Pedal of Dolvony
Adaland Rending
Ovarlize Fain Saute Foo
Overatitt > 150M
Deanne C.O.D.. 24 hours
Actetiont COD.. 48 hours
Fed(. Ground Row/moat
Fed& Ground RosizIonlal Rural
ReturnsManager Transmiseco Fee
FodEr Shrulue*Horeo Da4Arry
Fer1E. Date Certain Kama Mamie
FodEs Apparilrand Ilona Dahery
Fed& EMS), We* Wheel
Fad& Home DoluaryResidatla
Fed& Nome Dekery Reeklec6 el • Pont
Cash C.O.D. Outgo
Cash eon. P1* Deosiy Crape
Cash C.O.D. Eon Delorormo auto..
prendoemg Adranlage Chrge
RAE* Kama Dolcay Forced Apporn- cet
Fuel Surcharge
Onmite >10r Contrive Lenge, erd Oitti
Ouapao> lOr INLength
Onmtise >130' Centred Lenge, erdeitti
Supplarnental Monica Package Charge
Canada Goods 6 Simian Tax • 05T
came) Harrnorno3 Sales Tax HST
Canals Ontec Saks Tee • 05T
Nix Scum
0eort Co d Deane Surcharge
Consaidatea Returns Pc4)ban
Consollah4 Rehrins Padage 2444 244
Ccasoldalod Rotwns Paige 4x4we 4x8412
Consollate0 nels•na Padage 64410 (WWI
Ccasoldalod Rotwns Paige exlCal2 - 10x12%16
COnsollak.0
Padage Al Chair
Ccasoldalod Rotwns Owsrsizo Paduigre Charge
Resins Manager
Cowan Dicpuhp Lonefar. Charge
Urouronzod Cyorsizo a Isir Cameron Leap a arm
EFTA00216662
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| Filename | EFTA00216659.pdf |
| File Size | 179.9 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 8,699 characters |
| Indexed | 2026-02-11T11:21:34.968912 |