EFTA00217830.pdf

Fedkz. Invoice Number: 4-395-08301 Invace Date: Sep 27. 2002 Account Number: Page: 1 of 3 Teas Tax ID: Invoice Questions? FedEx Account Services Phone: (800) 622.1147 M.F 7.6 (CST) Fax: (800) 548.3020 Internet: www.feclex.com Invoice Summary Sep 27, 2002 FedEx Express Services Transponation Charges 28.00 Base Discount -10.00 Special Handing Charges 0.45 Total Charges 090.4. 18.45 TOTAL THIS INVOICE.- _...111SD 18.45 You saved $10.00 in discounts this period! The FedEx Ground accounts referenced in this invoice have been transferee and smutted lo. are owned by. and we payade to FedEx Express. To ensure proper yea please return this portion with Yaw Paylnent to Itax. Please do not slat* at fold. Please make your chock payable to Peas. Fcr (forge 01 ali.e.!.3 it•mk NT,* rdCOnVele imn on nYO'✓• ode Remittance Advice Your payment is due by Oct 12.2002 229207504395083019700000184574 SP 01 000001 97702 A I ASNGLP inriiiiwriiwuridnit' riltrininittlintillinlinti Invoice Number Account Number Amount Due 4.395.08301 USD $ 18.4,5 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 11111111 I 11111111111 II I EFTA00217830 Invoice Number: 4-395-08301 Invoice Date: Sep 27.2002 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 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 for the account a listed below Account Number: Name: E Physical Address K Billing Address K Malang Address Address: Apt.: Cott City: Phone: ( Authorizing Signature: Zp EFTA00217831 Invoice Number: 4-395-08301 Invoice Date: .17.62 Account Number: Page: 3 of 3 FedEx Express Payment Type Detail (Original) Picked up: Sep 20. 2002 Payor: Shipper Reference: NO REFERENCE INFORMATION Fedex intornalUso:438461031&50 Fuel Surcharge FedEsi has applied a fuel surcharge ol 2.50% to this shpmcdt. Insbcperirrisbng regulatory papery:sock Tracking ID 825305368020 Service Type FedEx bill Priority Package Type FedEx Envelope Sender Ra t BARBARA CLIFTON-TIMMS CLIFTON-TIHMS TECHNICAL SERVICES L OARREN NDYKE NYSG LLC Zone Otig.iDest. Pieces Weight Delivered 0 JRBOCNV 1 0.5104 Sep 23.200210A7 Transportation Charge 2800 Signed by C.LIFTON TIMMS Discount -10.00 Fuel Srecherge 0.45 Customs Total Transportation Charges USD $ 18.45 Entry Dale Sep 21.2002 Payment Type Detail Subtotal . _USD $ 18.45 11111111 I 11111111111 II I EFTA00217832