EFTA00219100.pdf
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Invoice Number:
Invoice Date:
Account Number:
Page:
FedEx Tax I0
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Sep 09. 2005
of 3
Billing Account Shipping Address:
Invoice Questions?
NYSG LLC
457 MADISON AVE
Contact FedEx Revenue Services
NEW YORK NY 10022-6843 US
Phone:
Fax:
Internet:
Invoice Summary Sep 09, 2005
FedEx Express Services
FedEx News!
Transportation Charges
19.80
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Special Handing Charges
4.49
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Total Charges
USD.S.
24.29
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printing and binding options, see a preview arid even
TOTAL THIS INVOICE
_USD $
24.29
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The FotEx Ground accounts referenced in this invoice have been transferred and asagned lo. are owned by. and we payable to FedEx Express.
To ensure prwer cm:110ns* rerun Urn Rorkevon, yew payment to FeeEr.
Moat° do notilaploor
Ptlaso mak° your Nod payable to Egan.
Ii fce (forgo or n'teit CPCCk hue cod condo, low on reverses*
Remittance Advice
Your payment is due by Sep 24. 2005
SP 01 000001 97702 A 1 ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
USD $ 24.29
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
FedEx
IIIIIIIIIIIIIIIIIIIIIIIIII
EFTA00219100
Invoice Number:
Invoice Date:
Sep 09.2005
Account Number:
Page:
2 of 3
Adjustment Re uest
FAX TO
Tracking No..Airbill No.
Reason Code
Explanation
UPC/RE YOU FAX
Please kiclude detailed explanation for each adjustment request.
Remember to include recipient's account 'limber 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 Thid 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 cal
visit our internet site at www.ledex.com or register for FIO.
Fedlsz
Federal Express
Please Indicate change in address tor the account a listed below
Account Number:
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apt: Surto.
City:
Phone; (
Authorizing &gamin:
zp
EFTA00219101
Invoice Number:
Invoice Dale:
Sep 09.2005
Account Number:
Page:
3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Aug 31. 2005
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge redEx has applied a luel surcharge ol 12.50% so this shipment
Distance Based Pricing. Zone 6
Release signature pulite.
Tracking ID
Service Type FedEx Privity Overright
Package Type FedEx Envelope
Zone
6
Packages
1
Weighl
NfA
Delivered
Sep 01. 200509:54
Svc Area
AA
Signed by
FedEx Use
Sender
a
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843 US
Transportation Charge
Fuel Sucharge
Residential Delvery
Recipient
LARRY VISOSKI
772
097
2 CO
Total Charge
USD
10.69
Picked up: Aug 31, 2005
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 12.50% so this shipment.
Distance Based Pricing. Zone 2
Tracking ID
Service Type FedEx Slandard Overnight
Package Type FedEx Envelope
Zone
2
Packages
1
Weighl
NfA
Delivered
Sep 01. 20050935
Svc Area
Al
Signed by
L.BLACKMAN
FedEx Use
Stride'
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843 US
Transportation Charge
Fuel Surcharge
Recipient
GENE RITTER
MERRILL LYNCH
5 CO
063
Total Charge
USD
5.63
Picked up: Sep 01, 2005
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 12.50% so this sNpmenl.
Distance Based Pncing. Zone 5
Tracking ID
Service Type FedEx Slandard Overnight
Package Type FedEx Envelope
Zone
5
Packages
1
Weighl
NIA
Delivered
Sep 02. 20050646
Svc Area
Al
Signed by
M.WARREN
FedEx Use
Semler
NYSG LLC
457 MADISON AVE
NEW YORK NY 100226843 US
Transportation Charge
Fuel Sucharge
Recipient
SANDRA THORSON
7.08
0.89
Total Charge
USD $
7.97
Shipment Detail Subtotal
_USD 5
24.29
EFTA00219102
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Document Details
| Filename | EFTA00219100.pdf |
| File Size | 125.1 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 4,839 characters |
| Indexed | 2026-02-11T11:21:37.663588 |