EFTA00220531.pdf

Invoice Number: 7-859-33547 Invace Date: Nov 19.2004 Account Number: 2292-0750-4 Page: 1 of 3 FedEx Tax ID: 71-0427007 NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Billing Account Shipping Address: NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 US Invoice Summary Nov 19, 2004 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M-F 7.6 (CST) Fax: (800) 548-3020 Internet: www.fectex.com FedEx Express Services Transponation Charges Special Handing Charges 5.83 2.39 Total Charges USD-S.. 8.22 TOTAL THIS INVOICE _USD 8.22 The FecEx Ground accounts referenced in this invoice have been transferred and asagned lo. are owned by, and we payable to FedEx Express. To ensure proper creak cwatie tartan Ma Rorkevon, vow outmatch, Axe. Moose do notilaploor104. Ptlaso mak° your <nod payable to FacE.v. Ii Fce (forgo 0 I b,teit prima hue Td crosser ram on wen:es* Remittance Advice Your payment is due by Dec 04. 2004 229207507859335478000000082277 SP 01 000001 97702 A 1 ASNGLP NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Number Account Number Amount Due 7.859.33547 2292-0750-4 USD $ 822 1...11.1.1...1.1.1.1.11...1...1.1..1.11 11.11 11..1.11 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220531 Invoice Number: 7-859-33547 Invoice Date: Nov 19.2004 Account Number: 2292-0750-4 Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No..Airbill No. Reason Code Explanation {¢ FORE YOU FAX Please itiude 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: 2292-07504 Name: K Physical Address K Billing Address K Mailing Address Address: Ain.: Sole: City: Stale. Zp Phone: ( Fax: ( Authcriaing &gamine: EFTA00220532 Invoice Number: 7-859-33547 Invoice Date: Nov 19.2004 Account Number: 2292-0750-4 Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Nov 11.2004 Fuel Surcharge FedEx has applied a fuel surcharge ol 11.00%d Mis snipmenl. Distance Based Pricing. Zone 2 The delivery ammarneni br Express Saver Packages io homes or prhrale residences (Inducing name oil Release signature on lie. is 7PIA the Mild business day for all regions. Tracking ID 848277201823 Sender Recipient Service Type FedEx Express Saver Package Type FedEx Pak Zone 2 Packages 1 Weigle 5.0 Ds. 2.3 kgs Delivered Nov 12. 20041525 LAUREN KWIN1NER NYSGC 457 M LL ADISON AVE NEW YORK NY 100224843 US Transportalion Charge JEFF SCHANTZ MEM 5.83 Svc Area 3R Reseientol Oelvery 1.75 Signed by K.WINTNER Fuel Surcharge 0.84 FedEa Use 318128060400048742 Total Charge USDS 822 Shipment Detail Subtotal _USD S 822 Payor: Shipper Reference: NO REFERENCE INFORMATION IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220533