EFTA00219959.pdf

FIENCEs3t8 JEFFREY E EPSTEIN 457 MADISON AVE FL 4 NEW YORK NY 100226843 Invoice Summary Jan 11, 2005 Invoice Number: 7-191-14196 Irtroce Date: Jan 11, 2005 Account Number: Page: 10 7 real A Tat ID Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 1.1-F 7.6 (CST) Fax: (800) 548-3020 Internet: VANstfedex.com FedEx Express Services DIMS. Tax. Customs. Other Fees 95.56 Total Charges USC S 95.56 TOTAL THIS INVOICE .... USD s 95.56 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 FedEx_ Please do not staple or fold. Please make your check payable to FedEx. K fa charge ol address. check here and complece form on reTeme side. Remittance Advice Payment due upon receipt 114420817191141964600000955624 ..... IIIIIIIIIIIIIIIIIII1111181.1111.1111IIIIIIIIIIIII JEFFREY E EPSTEIN 457 MADISON AVE FL 4 NEW YORK NY 100226843 001757 P. DX .11100..614141M04.14041.1408/...../LOMDIVIT301.00000:03.114.10814 Invoice Number Account Number Amount Due 7-191-14196 $95.56 Fed L. P.O. Box 371461 PITTSBURGH PA IS250-7461 EFTA00219959 Fed Invoice Number: 7-191-14196 ce Date: Account Number: Page: 20 7 Fedla. Please indicate change in address for the account a listed below: PhYSical Address Address Mailii5Address Account Number: Name: Address: Apt/Saila: City: State: Zip: Phone: ( Fax: ( Authorizing Signature: PDX. '31.200. .02410.14:04.140).140)P ......01:0XOTY41,303MOMPOIS.1144.70810 EFTA00219960 FedEx FedEx Express Shipment Summary by Payor Type Invoice Number: 7-191-14196 invoice Date: Jan 11.2005 Account Number: Page: 3 of 7 Original Shipper Number of Shipments Duties. Tax. Customs. Other Fees TOTAL Number of Shipments Total Charges USD $ 1 95.56 95.56 1 USD 5 95.56 TOTAL SHIPMENTS TOTAL CHARGES MIS .0)L.nrar.C611011101.14071.11.171 smxarv4naAcoNaesrurara 1 USD $ 95.56 EFTA00219961 Fed FedEx Express Shipment Detail By Payor Type (Original) Invoice Number: 7-191-14196 ce Date: Jan 11 2005 Account Number: Page: 4 of 7 Shipped: Nov 18, 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Regulatory clearance delay. Trading ID 848045937997 Service Type FedEx Intl Priority Package Type Feder Pak Sender Redpienl JEFFREY EPSTEIN JEFFREY E EPSTEIN KAROLINA WYSATOVA Orig:Dest FLUPRG 457 MADISON AVE FL 4 CZ Packages 1 NEW YORK NY 100224843 US Weigh 3.0 lbs. 1.4 kgs Delivered Nov 28. 2004 14:04 Nov 18.2004 - Conversion Rale C12-USO 0.0420924110 Signed by .VYSATOVA Transportation Charge 0.00 FedEx Use o0404L45 Total Transportation Chairs USD f 0.00 Customs Customs Duly aa 600.00 25.26 Enky Dale Nov 25.2004 Original VAT aa 1,435.10 60.41 Enky No. CZCO000204 14240 Advancement Fee aa 235.00 9.89 Dee. Value USD 150.00 Total Duties. Tax. Customs. Other Fees USD $ 95.58 Shipment Tolal —..— USD 3 95.58 Shipment Detail Subtotal USD S 95.56 a FOX.,17004MOSIIMIZOI.14071.11071. JOOYDTY4T361.1:01COM.1.1421:416 EFTA00219962 PAGES 5 THROUGH 7 OF THIS INVOICE CONTAIN CUSTOMS IMAGES AND ARE NOT ARCHIVED WITH THE ORIGINAL INVOICE. CUSTOMS IMAGES CAN BE RETRIEVED FROM THE CUSTOM DOCUMENT MANAGEMENT IMAGE RETRIEVAL APPLICATION. EFTA00219963