EFTA00218673.pdf

Fedkz. Invoice Summary Sep 19, 2003 Invoice Number: Invoice Date: Sep 19.2003 Account Number: Page: 1 of 3 FedEx Tax ID: 71-0427007 Invoice Questions? Contact FedEx Revenue Services Phone. :800: 622.1147 M.F 7.6 (CST1 Fax: (800) 548.3020 Internet: www.fedex.com FedEx Express Services Transponation Charges 28.75 Base Discount -10.75 Special Handing Charges 0.63 Total Charges JAMS. 18.63 TOTAL THIS INVOICE.- _._USD $ 18.83 You saved $10.75 in discounts this period! The FetEx Ground accounts reteteneed in this invoice have been transferred and livened lo. are owned by. and we payable to FedEx Express. To ensure primer cm*. Ono, ;alum din portion vigh yaV per/m.0110 Fixer. Please do not Manton/ lob. Roane realm your Nock payable to Ebb. O For thing° of Stott check here led cartage low on rowwesile Remittance Advice Your payment Is due by Oct 04, 2003 Invoice Number Account Nut Amount Due USD $18.63 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 ILO II I II IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218673 Invoice Number: Invoice Date: Sep 19.2003 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 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: Name: E Physical Address K Billing Address K Mailing Address Address: Apt: Sete: City: Phone ( Autheriring Signature: Ze EFTA00218674 Invoice Number: Invoice Dale: Sep 19.2003 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Sep 15, 2003 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge. FedEx has applied a fuel surcharge of 3.50% to this shOment Tracking ID Sender Recipient Service Type FedEx kill Priority Package Type FedEx Envelope Zone I Orig./Desk JR&S1T Packages 1 Weighl 0.5 los LAUREN KWININER NYSG LLD US Transportation Charge PAUL HOFFMAN PAUL HOFFMAN PC 28.75 Delivered Sep 18. 2003 14:01 Fuel Strcharge 0.83 Signed by B.WEATHERLY Discount -10.75 Customs Total Transportation Charges USDS 18.63 Entry Dale Sep It 2003 FedEx Use G1155iUS01O/ Shipment Detail Subtotal _USD 18.63 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218675