EFTA00219914.pdf

Fe&x® JEFFREY E EPSTEIN 358 EBRELLO WAY PALM BEACH FL 33480 Invoice Summary Jun 27, 2003 Invoice Number: 7-164-29815 Invoice Date: Jun 27. 2003 Account Number: 1144-2081-6 Page: 1 of 6 FedEx Tax ID: 71.0427007 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1107 1.1-F 7.6 (CST) Fax: (800) 548-3020 Internet: WIAV.feckoccom FedEx Express Services DOGS Tax. Customs. Other Fees 228.79 Total Charges USD $ 228.79 TOTAL THIS INVOICE . USD 8 228.79 The FedEx Ground accounts referenced in this invoice have been transferred and assigned to. are owned by, and are payable to FedEx Express. To ensure proper credit. please return this portico with your payment to Fed& Please do not staple or fold. Please make your check payable to FedEx. K For chap at address. check here and complete form on renrse side. Remittance Advice Payment due upon receipt 114420817164298759300002287919 1111101111 I I I III I, x1,11 II Invoice Number Account Number Amount Due 7-164-29875 1144-2081-6 S228.79 I I I I tall IIII I IIIIII III IIIII III 'fillet II JEFFREY E EPSTEIN 358 EBRELLO WAY FedEx PALM BEACH FL 33480 P.O. Box 1140 002357 Memphis TN 38101.1140 1111111111111111111111111 rox.•62I0)•56.436.00 0027.H4/ ROXOTV tagraitilis20.4 II EFTA00219914 Invoice Number: 7-164-29815 Invoice Date: Jun 27. 2003 Account Number: 1144-2081-6 Page: 2 of 6 FedRa. Please indicate change in address for the account I listed below: PPQ3ical Address Bill Address Mailida Address Account Number: 1144-2081-6 Name: Address: AptiSulfa: City: State: Zip: Phone: ( ) Fax: Authorizing Signature: FOX ..672CO•S60316001.1.028.. Ifte ROXCTV WX4:62.0.111401“ EFTA00219915 FedEx FedEx Express Shipment Summary by Payment Type Invoice Number: 7-164-29815 Invace Date: Jun 27. 2003 Account Number: 1144-2081-6 Page: 3 of 6 Original Shipper Number of Shipments 2 Duties. Tax. Customs. Other Fees 228.79 TOTAL USD S 228.79 Number of Shipments 2 Total Charges USD s 228.79 TOTAL SHIPMENTS 2 TOTAL CHARGES I III IIII IIII "MUM FOX.'6730'.56.446.001 INS I$99 FEDXOTV WX4:62.0.11140.4 USD s 228.79 EFTA00219916 FedEx FedEx Express Shipment Detail By Payment Type (Original) Invoice Number: 7-164-29815 Invoice Date: Jun 27. 2003 Account Number: 1144-2081-6 Page: 4 of 6 Shipped: Jun 23.2003 Payor: Shipper Reference: 175-FX0006 TAX EXEMPTION(ART291.111Tax Code) Traciung ID 40092317492 Service Type FedEA Ind Priority Package Type Customer Packaging OrigrDest FLU/TLS Packages 1 Weight 30.0 las. 13.6 kgs Delivered Jun 25.2003 1530 Signed by . DIFFERS FedEx Use 17278a Customs Entry Dale Entry No. Dee. Value Jun 24. 2003 FRC0064957 50072 USD 300.00 Sender JEFFREY E EPSTEIN 457 MADISON AVE FL 4 NEW YORK NY 100226843 US Jun 23.2003 Conversion Rale Transportation Charge Total Transportatlan Cheeped Customs Duly Original VAT Advancement Fee 111000 Charge EUR EUR EUR EUR Re<ipienl EUR-USD 1.1819301180 0.00 41.00 90.00 7.20 0.13 USD 0.00 48.46 106.37 8.51 0.15 Total Duties. Tax. Customs. Other Fees Sbipmenl Total -- USD $ 163.49 USD 5 163.49 Shipped: Jun 23.2003 Payor: Shipper Reference: 175-FX0006 Regulatory clearance delay. TAX DIMPTION(ART 2911117ex Code) Tradring ID 830273245350 Service Type FedEA Ind Priofity Package Type Customer Packaging Crig:Dest FLWPAR Packages 1 Weight 0.5 lbs. 0.2 kgs Delivered Jun 26.2003 1123 Signed by PATRICIA FedEx Use 17187/.65 Customs Enlry Dale Enlry No. Dee. Value Jun 24.2003 FRC006495750163 USD 200.00 Sender G MAXWELL JEFFREY E EPSTEIN 457 MADISON AVE FL 4 NEW YORK NY 100226843 US Jun 23.2003 - Conversion Rale EUR-USD 1.1819301150 Transportation Charge Total Transportation Charges Customs Duly EUR Original VAT EUR Advancement Fee EUR 111000 Charge EUR RecipicolSIM 0.00 6.00 42.00 7.20 0.05 USD $ 0.00 7.09 4964 8.51 0.06 Total Duties. Tax. Customs. Other Fees Shipment Total — - - Shipment Detail Subtotal <03«62.0.11UNIM USD $ 65.30 USD 5 65.30 USD 8 228.79 EFTA00219917 Fedbir DOCUMENT JUSTIFICATIF DE LA REALISATION DES DROITS DE DOUANE ET DE LA TVA testateeneEturniel FEDERAL EXPRESS 12S, AVENUE LOUIS ROCHE 92238 GENNEVILUERS CEDEX TEL 01 40 86 39 00 Invoice Number: Inyo,ce Date. Account Number: Air Waybill: Page: 7-164-29875 Jun 27, 2003 1144-2081.6 40092317492 5 of 6 -StAtern .0KEDEST DATE CeEPITPEE. Doestiiitiet"- orteetobt <6OterigiffeltéMtn. 4C097317492 FLUTLS '4 C6 'COI 175 FXC0^6 649575 24052003 EXPEDITEUR IMPORTATEUR JEFFREY E EPSTEIN 457 MADISON AVE FL 4 NEW YORK 100226843 _ _ _ _ . . _ _ SIREi. REFERENCE FACTURE EXPEDITEUB MONNA:E OE FACTURATION VALEURFACTUREIFFFI) VALEUR FRETIFFIO FRET U. I TA Uneetteterrea 1. SD 159 2'.6,65 071 l 1.168900 POWS ARTICLES COUS LIVRAISON PRMiritea 13.6 1 US ARTICLE Ni DESIGNATION. COMMERCIALE NOMENCLATURE PREFERENCE COI GLASSES 7'109' _VALE (--; --., - ' ORIGINE USUP POIDS PIECES JOINTES 257.00 159.00 .. S' - - DESCRIPTIONDES caorrse TAXES TAU% MONTANT DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR 600003370 TAXES ADDITIONELLES SUR 000000457 NA SUR 000000457 LIQUIDATION TOTALE 0.00 11.00 0.00 19.60 C! -0 41.0' 0 CO 90.09 131 00 ARTICLE I'« DESIGNATISCOMMERCIALE NOMENCLATURE PREFERENCE VALEUR DECLAREE VALEUR FRET ORIGINE USUP POIDS PIECES JOINTES DESCR/PTICIALDESDPMETSET.TAXES TAUX _MONTANT DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR TAXES ADDITIONELLES SUR WA SUR LIQUIDATION TOTALE Please note: Claims for refund of the Duties and Taxes from French customs, must be submitted by the importer, by mail. Due immediately: Charges on this invoice include Dudes and Taxes which Federal Express has paid to French Customs on your behalf. Errors and omissions must he reported in wrking immediately upon receipt o4 invoice. le I wine W EFTA00219918 Fedbir DOCUMENT JUSTIFICATIF DE LA REALISATION DES DROITS DE DOUANE ET DE LA TVA :DECLAFANT/REPRESENTANT1 FEDERAL EXPRESS 12S, AVENUE LOUIS ROCHE 92238 GENNEVILUERS CEDEX TEL 01 40 86 39 00 Invoice Number: InvŒce Date. Account Number: Air Waybill: Page: 7-164-29875 Jun 27, 2003 1144-2081-6 830273245350 6 of 6 NI AWG ''fitEribeST - DATF D'ENTREE DOSSIteErfigneti' OftletiTION : edgifeigiaidifefiff 420273245350 21 3333» 175-FX0006 649575 2406.2003 [ EXPEDITEUR IMPORTATEUR JEFFREY E EPSTEIN G MAXWELL 457 MAINSON AVE FL 4 NEW YORK 100226843 SIRET. REFERENCE FACTURE aPEDITEUfl MONNA:E DE FACTURATION VA1,EUR FACTURDIFFM VALEUR FRETIFFR1 FRET 14 TA lineettearra 1..S3 39 171 1G 071 I 1168900 POIDS ARTICLES COUS LIVRAISON PRekirdlea 02 I US ARTICLE N( OE,SIGNATION COMMERCIALE NOMENCLATURE PREf EREN-CE COI :7, SHWARE 732394 :VAINLOII4eREE VALEUR FRET ORIGINE USUP I POIDS PIECES JOINTES 171.00 39.63 US 3 - DESCRIPTION DES DROITSEi TAXES TAUX MONTAM DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR 000000199 TAXES ADDITIONELLES SUR 000000216 NA SUR 000000210 LIQUIDATION TOTALE 0.00 3.20 0.00 19.60 000 6.00 0.00 42.00 48.00 ARTICLE I« DESIGNATISCOMMERCIALE NOMENCLATURE ' nermucE VALEUR DECLAREE VALEUR FRET ORIGINE USUP POIDS PIECES JOINTES DESCRIPTIONDESDIWITSET.TAXES TAUX MONTANT DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR TAXES ADDITIONELLES SUR TVA SUR LIQUIDATION TOTALE Please note: Claims for refund of the Duties and Taxes from French customs, must be submitted by the importer. by mail. Due immediately: Charges on titis invoice include Dulies and Taxes which Federal Express has paid to French Customs on your behalf. &TINS and omissions must be repoeted in wrking immediately upon receipt S invoice. jim11111mLiglii.Lonr.. NIALNInf EFTA00219919