EFTA00220497.pdf

Fedkz. Invoice Number: - Invoice Date: Oct 25.2004 Account Number: Page: 1 of 3 FedEx Tax 71-0427007 Billing Account Shipping Address: Invoice Questions? Contact FedEx Revenue Services US Phone. El00[ 622.1147 /.6F 7.6 (CST) Fax: (800) 548.3020 Internet: www.fectex.com Invoice Summary Oct 25, 2004 FedEx Express Services Transportation Charges Special Handing Charges 18.80 1.78 Total Charges 20.58 TOTAL THIS INVOICE.- _._USD $ 20.58 The FecEx Ground accounts retetenced in This invoice have been transferred and asagned lo. are owned by. and we payaWe to FedEx Express. To ensure prwer neck none noun Oin p041onwd yaw winnow to Forks Please do A0111400 a lob. Please rfAk0 your Nock payable to Ebb. 0 For chorine of widow. Pocktwo trd contain low en row wide Remittance Advice Your payment is due by Nov 09. 2004 Invoice Number Account Number Amount Due USD 520.58 10(11(1.10(1.1.1.1.11(01(01(1..I.11 ILO 11..1.11 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220497 Invoice Number: Invoice Date: Oct 25.2004 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 EFTA00220498 Invoice Number: Invade Date: Account Number: Page: FedEx Express Shipment Detail By Payor Type (Original) Oct 25. 2004 3 of 3 Picked up: Oct 19.2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surdlarge FedEx has **bed a leer surcharge ol 9.50% to this shipment. Distance Based Pncing. Zone 8 Tracking ID Service Type FedEx Pnomy Overnight Package Type FedEx Pak Zone 8 Packages 1 US Weigel 2.0 Ds. 0.9 kgs Delivered Ocl 20.2000 09:37 Svc Area A2 Signed by JA1AHAFFEY FedEx Use 293109910:0000724/ Total Charge Sender LAUREN KWINTNER NYSG LLC TranAportalion Charge Fuel Si:charge Recipient ELLIOT SILVERMAN MCDERMOTT WILL & EMERY 11 72 USD 12.83 Picked up: Oct 19.2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a fuel Distance Based Pncing. Zone 0 Tracking ID Service Type FedEx Priority CneingN Package Type FedEx Envelope Zone 4 Packages 1 Weighl NIA Delivered Ocl 20.2000 10:18 Svc Area A2 Signed by K.GRAVES FedEx Use 293109910:0000192/ surcharge ol 9.50% lo Ohs shpmenl Sender LAUREN KININTNER NYSG LLC US Transportation Charge Fuel &Doerr Rec,pent PEG UGLANO NA PROPERTY INC 7.C8 0.67 Total Charge USD S Shipment Detail Subtotal USD 7.75 20.58 EFTA00220499