EFTA00218738.pdf

Invoice Number: Invace Date: Account Number: Page: restart Tax ID: NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 OcI 10. 2003 1 of 3 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 62211471.1-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.feclex.com Invoice Summary Oct 10, 2003 FedEx Express Services Transponation Charges 70.25 Base Discount 30.25 Special Handing Charges 1.40 Total Charges 1JSD.S.. 41.40 TOTAL THIS INVOICE.- $ 41.40 You saved $3025 in discounts this period! The FecEx Ground accounts retetenced in This invoice have been transferred and assailed lo. are owned by. and we payaWe to FedEx Express. To ensure prwer wed I. oleos, return Um Rorkevon, yaw payment to Fete. Moose do notilaploor104. Ptlaso mak° your Nock payable to Ebb. Ii Fr (forgo o I b,teit r*cc t✓re wd condo, low on wows* Remittance Advice Your payment is due by Oct 25. 2003 22920750149114575651900000 14114005 SP 01 000001 97702 A I ASNGLP NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Number Account Number Amount Due USD $ 41.40 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 11,.1,11 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218738 Invoice Number: Invoice Date: Oct 10, 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 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 Mailing Address Address: Apt.: Suite: City: Plume: ( Autheriring Signature: Zp EFTA00218739 Invoice Number: Invade Date: Account Number: Page: FedEx Express Shipment Detail By Payor Type (Original) Ocl 10. 2003 3 of 3 Picked up: Oct 01.2003 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge - FedEx has applied a fuel surcharge of 3.50% to This shipment. Revisory clearance delay. Tracking ID Service Type FedEx MU Priorily Package Type FedEx Envelope Sender Re s KLAVDIA G FUTINOVA J. EPSTEIN NYSG I1C Zone M £57 MADISON AVE OrigJDest. JRBSOF NEW YORK NY 100224843 US Packages I Weigel 0.5 Ds Transpectalion Charge 70 25 Delivered Ocl 06 .2003 11:15 Fuel Swcharge 1 40 Signed by GEORGIEVA Oiscounl 3025 Customs Total Transportation Charges USD $ 41.40 Enlry Oale Oel 02. 2003 FedEx Use G249441JS01O55 Shipment Detail Subtotal USD S 41.40 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00218740