EFTA00219925.pdf

Fe&x® JEFFREY E EPSTEIN 358 EBRELLO WAY PALIA BEACH FL 33480 Invoice Summary Oct 09, 2003 FedEx Express Services DOGS Tax. Customs. Other Fees 116.11 Total Charges USD $ 116.11 TOTAL THIS INVOICE . USD $ 116.11 Invoice Number: 7-169-01311 Invoice Date: Oct 09. 2003 Account Number: 1144-2081-6 Page: 1 of 5 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: VANV.feckoccom 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 114420817169013112100001161116 1111101111 I I I III I I II 11 II Invoice Number Account Number Amount Due 7-169-01311 1144-2081-6 $116.11 I I tall IIII II ,IIIIIII.I.1IIIIIrtlIIIIIII.II.all JEFFREY E EPSTEIN 358 EBRELLO WAY FedEx PALIA BEACH FL 33480 P.O. Box 1140 MEMPHIS TN 38101.1140 001506 10x .•03i0). unc-taxi eo/aoosno .. ROXOTY0884.0240%40) MON* EFTA00219925 Invoice Number: 7-169-01311 Invace Date: Oct 09. 2003 Account Number: 1144-2081-6 Page: 2 of 5 FedRa. Please indicate change in address for the account I listed below: PPQ3ical Address BiHQ Address MailiQAddress Account Number: 1144-2081-6 Name: Address: Apt/Suite": City: State: Zip: Phone: ( ) Fax: Authorizing Signature: IIIII O11 III III III III III FOX 0189•7401 0473101/31 ROXOTY0884.0NCOSUA EFTA00219926 FedEx FedEx Express Shipment Summary by Payor Type Invoice Number: 7-169-01311 Invace Date: Oct 09. 2003 Account Number: 1144-2081-6 Page: 3 of 5 Original Shipper Number of Shipments Duties. Tax. Customs. Other Fees TOTAL Number of Shipments Total Charges USD $ 116.11 USD S 1 TOTAL SHIPMENTS TOTAL CHARGES USD $ 116.11 1 111111//1 U II IIII III III III rox.•wtio• OIM•NOI oun Gene ROXOTY0884.0NCOSUA MORO. EFTA00219927 FedEx FedEx Express Shipment Detail By Payor Type (Original) Invoice Number: 7-169-01311 Invote Date: Oct 09. 2003 Account Number: 1144-2081-6 Page: 4 of 5 Shipped: Oct 03. 2003 Payor: Shipper Reference: 277FX0006 Tracking ID 828821138280 Sender Service Type FedEx Ind Pilot* J E Package Type FedEx Pak JEFFREY E EPSTEIN CrigIDest FLUITNF 457 MADISON AVE Fl. 4 Packages 1 NEW YORK NY 100226843 US Weight 3.0 lbs. 1.4 kgs Defivered Ccl 08. 2003 10:35 Oct 03. 2003 - Ccovernon Rare EUR.USD 1.1934223950 Signed by .FERRANDI Transportation Charge FedEx Use 15251/J_ Total Transportation Charges Reopient JEAN MARIE BURTEL 0.00 Customs Entry Dale Entry No. Dec. Value Gastmis Duly EUR n.00 oo 04. 2003 Original VAT EUR 68.00 FRC0064943770275 Advancement Fee EUR 720 USD 300.00 111000 Charge EUR 0.09 Inll11111I111111Y1I111IYI USD $ 0.00 26.26 81.15 8.59 0.11 Total Duties, Tax. Customs. Other Fees Shipment Total —.—.— Shipment Detail Subtotal I-DX..0340P 01$11, 001 062330On FE0XDP1O184. MOWS» • IdA/N16 USD $ 116.11 USD 116.11 USD S 116.11 EFTA00219928 Fedbir DOCUMENT JUSTIFICATIF DE LA REALISATION DES DROITS DE DOUANE ET DE LA TVA DECLARANT/BEPRESENTANT OIS Invoice Number: Invoxe Date. Accounl Number: Air Waybill: Page: 7-169-01311 Oct 09, 2003 1144-2081-8 828821138284 5 of 5 N f AM ORGtOEST '''.iiittletONTREE nieeetilreje' 2770(0306 —tettreisiltitirtiese 649677 mare 04(102003 828821138281 nul \ r 04'10 29(Q EXPEDITEUR JE TTREY E EPSTEIN JE 457 MADISON AVE FL 4 NEW YORK 100226843 S IR E 7 REFERENCE FACTURE EXPEDITEUR MON`4A:E DE FACTURATION VAteUR FAcTUREAFFM VALEUR FRET( FM FRET 14 I TAU:K.020,1**ra t., :s 56 i 267 5' 071 l 1.121200 POIDS ARTICLES COLIS LIVRAISON 1.4 I I US ARTICLE N( DENI3NAM0KG0MMERCIALE NOMENCLATURE PREfERENCE 2.3. BABY CFF TARTICLE EN CERNMOUE 69'20" . VALEUR DECLAREE VALEUR FRET ORIGINE USUP I POIDS PIECES JO/NTES 264 02 56 Ce US - DESCRIPTION DES DM:10Sn TAXES TAUX MONTANT DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR 0000003D8 TAXES ADDITIONELLES SUR 000000348 TVA SUR 000000346 LIQUIDATION TOTALE 0.00 7.00 0.00 19.60 020 22.00 0.00 61.00 90.00 ARTICLE NT DESIGNATISCOMMERCIALE NOMENCIATUE ' "" PREEEENCE .ALEJg DECS.“, VALEUR FRET ORIGINE 05UP POIDS PIECES JOINTES DESCRIPTION. DESDPMETSET.TAXES TAUX. MONTANT DROITS ANTIDUMPING SUR DROITS DE DOUANE SUR TAXES ADDITIONELLES SUR TVA SUR LIQUIDATION TOTALE Please note: Clairns for refund of the Duties end Taxes from French customs, must be submitted by the importer. by mail. Due immediately: Charges on this invcice include Dulies and Taxes which Federal Express has paid Co French Customs on your behalf. &rots end omissions must be reporter' in writing immediately upon receipt S invoice. FIX.•0350”4011447001087840034 .. niXOTY0241. Ma el mse006 EFTA00219929