EFTA00216826.pdf

Invoice Number: 1-846-39927 Invoice Date: Jun 11.2004 Account Number: 2292-0750-4 Page: 1 of 3 reclEx Tax ID: 71-0427007 NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone. 622.1147 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fedex.com Invoice Summary Jun 11, 2004 FedEx Express Services Transponation Charges 30.00 Base Discounl -11.10 Special Handing Charges 1.13 Total Charges 20.09 TOTAL THIS INVOICE.- _...111SD $ 20.03 You saved $11.10 in discounts this period! IIIIIIIIIIIIIIIIIIIIIIIIII The FecEx Ground accounts referenced in Ihis invoice have been transferred and &carped lo. are owned by. and we payable to FedEx Express. To ensure prwer crwli. woos* worn Ws POiliTI Vigh yow Komori to For.. Please do A0111400 a lob. Please rfAk0 your Nock payable to Ebb. O For dingo of Stow. chock Wee trd carobs, loon on !env:es* Remittance Advice Your payment is due by Jun 26. 2004 229207501846399275800000200325 SP 01000001 97702 A 1 ASNGLP NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Number Account Number Amount Due 1.846.39927 2292-0750-4 USD 520.03 l,,,11,1,1,,,I,1,1,1,11,,,I,,,I,I..I.II II. II 11.1.11 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00216826 Invoice Number: 1-846-39927 Invoice Date: Jun 11.2004 Account Number: 2292-0750-4 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 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 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 I or 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: 2292-07SO-4 Name: K Physical Address K Billing Address K Mailing Address Address: Apt. t Suite: City: State. Zp Phone ( Fax: ( Autheliding &gamin: EFTA00216827 Invoice Number: 1-846-39927 Invoice Date: Jun 11.2004 Account Number: 2292-0750-4 Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Jun 03. 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surdwrge FedEx has applied a fuel surcharge of 6.00% to this shipment. Tracking ID 825962197370 Sender Recipient Service Type FedEx Intl Priority Package Type FedEx Envelope Zone 0 Orig./Desk main Packages 1 Weight 0.1 Ds LAUREN KWINTNER NVSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 US Transportation Charge ALLY Dili MARTARIANES 30.00 Delivered Jun 07. 2034 08:54 Fue4 &recharge 1.13 Signed by D.RYAN Discount -11.10 Customs Total Transportation Charges USD S 20.03 Entry Dale Jun04. 2034 FedEx Use G0993.MS010/ Shipment Detail Subtotal _USD 3 20.03 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00216828