EFTA00219089.pdf

Fedkz. Invoice Number: Invoice Date: Sep 02.2005 Account Number: Page: 1 of 3 FedEx Tax ID: 71-0427007 Billing Account Shipping Address: Invoice Questions? Contact FedEx Revenue Services INSMIluS Phone ti100[ 622.1147 ?.6F 7.6 (CST) Fax: (800) 548.3020 Internet: vnwe.tedex.com Invoice Summary Sep 02, 2005 FedEx Express Services FedEx News! Transportation Charges 14.51 Win a 50 Plasma TV from FedEx 1Gnko s! Now through Special Handing Charges 1.82 Sept. 30. 2005. enter to win a 50 Plasma TV from FedEx Kinko s online al fedexknkos.com,fp4k-fs. While there. you can learn about File. Print FedEx Kinko s . The FREE Total Charges USD.S. 16.33 File. Print FedEx Knko s software allows you to select printing and binding options, see a preview and even TOTAL THIS INVOICE.- _._USD $ 16.33 arrange FedEx shipping for your completed document. We re even giving away exciting monthly prizes to customers just for using File. Print FedEx Kinko s. Leam mare and enter al fedexknkos.com,fpfk-fs. No purchase necessary. See complete Official Rules al fedexkinkos.comlpik-fs. The FecEx Ground accounts referenced in this invoice have been **(erred and sinned lo. are owned by. and we payable to FedEx Express. To ensure pricer crech.owace 'shin Um POiliTI Vigh yOLV owner,* Fete. Plate do A0111400 a lob. PIPTILD rfAk0 your Nock payable to Ebb. 0 For Wing° or widow. Wick here rid co**, low on townies* Remittance Advice Your payment is due by Sep 17. 2005 Invoice Number Account Number Amount Due USD $ 16.33 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 11,11 11..1.11 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00219089 Invoice Number: Invoice Date: Sep 02.2005 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: Phone ( Autheriring Signature: Zp EFTA00219090 Invoice Number: Invade Date: Account Number: Page: FedEx Express Shipment Detail By Payor Type (Original) Sep 02.2005 3 of 3 Picked up: Aug 29, 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel surcharge ol 12.50% so INs sNpment Distance Based Pncing. Zone 5 Tracking ID Sender Recipient Service Type FedEx Pnonty Overright FREDERICK L WHITE Package Type FedEx Envelope NVSG LLC DEERFIELD TRIARE CAPITAL CORP Zone 5 Packages 1 US Weight NIA Delivered Aug 30. 20050900 Transportation Charge 743 Svc Area Al Fuel Sischarge 0.93 Signed by E.EISENBERG FedEx Use 201105900e0000192/ Total Charge USD S 8.36 Picked up: Aug 29. 2005 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a lust surcharge ol 12.50% to this shipment. Distance Based Pncing. Zone 0 Tracking ID Service Type FedEx Priority OverrigN Package Type FedEx Envelope Zone 4 Packages 1 Weight NIA Delivered Aug 30.200609:l8 Svc Area A2 Signed by CLOAKLY FedEx Use 201105900e0000192/ Sender NVSG LLC US Recipient PEG UGLAN0 NA PROPERTY INC Transportation Cling! 7 08 = Fuel St:charge 0.99 Total Charge USD S 7.97 Shipment Detail Subtotal USD 16.33 EFTA00219091