EFTA00220579.pdf

Invoice Number: 7-943-27562 Invace Date: Jan 07. 2005 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 Jan 07, 2005 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 7.08 0.92 Total Charges 8.00 TOTAL THIS INVOICE _USD 8.00 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 wwer credl. wease rerun Um Rorkevon, yow payment pro Axe. Moose do notilaploor Uvl. Posse mak° your Nod payable to FridE.v. Ii Fre (forgo 0 I b,teit CPCCk twe ad crosser low on row-nes* Remittance Advice Your payment is due by Jan 22. 2005 229207507943275623400000080038 SP 01 000001 97702 A 1 ASNGLP NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Number Account Nut Amount Due 7-943-27562 2292-0750-4 USD $ 8.00 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 EFTA00220579 Invoice Number: 7-943-27562 Invoice Date: Jan 07. 2005 Account Number: 2292-0750-4 Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No..dirbill 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 Part'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 I or 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 accounts listed below: Account Number: 2292-0750-4 Name: K Physical Address K Billing Address K Mailing Address Address: Apt r Sate City: Stale. Zp Phone ( Fax: ( Autheriding Signature: EFTA00220580 Invoice Number: 7-943-27562 Invoice Date: Jan 07. 2005 Account Number: 2292-0750-4 Page: 3 of 3 FedEx Express Shipment Detail By Payor Type (Original) Picked up: Dec 16. 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge FedEx has applied a luel surcharge of 13.00%10 this shipment. Distance Based Pncing. Zone 0 Fixity has audded this shipment lot coned packages. weight. and service. My changes made are reflected m the mote amount. Tracking ID 808277201770 Sender Recipient Service Type FedEx Mosey Owenght LAUREN KWINTNER LORENA SCHNEIDER Package Type FedEx Envelope NVSG LLC FLIGHT OPTIONS LW Zone 4 457 MADISON AVE Packages 1 NEW YORK NY 100224843 US Weigle 1.0 Ds. 0.5 kgs Delivered Dec 17. 201341020 Transpottalion Charge 708 Svc Area A2 Fuel Sistharge 092 Signed by 0.PROVITT FedEx Use 3511979700M00192/ Total Charge USD 5 8.00 Shipment Detail Subtotal _USD 8.00 IIIIIIIIIIIIIIIIIIIIIIIIII EFTA00220581