EFTA00292253.pdf

Fed_ I Page Invoice Number \ Invoice Date \ Account Number \ Billing Address: 6-659-24375 Sep 27, 2016 1144-2081-6 1 of 4 CST CST Shipping Address: FedEx Tax ID: 71-0427007 Invoice Questions? Contact FedEx Revenue Services Phone: (8001622-1147 M-F 7 AMto 8 PM Sa 7 AM to 6 PM Fax: (8001548-3020 Internet: www.fedex.com JEFFREY E EPSTEIN 9 E 71ST ST NEW YORK NY 10021-4102 Invoice Summary Sep 27, 2016 KLEIN, BELLA JEFFREY E EPSTEIN 301 E 66TH ST APT 10F NEW YORK NY 10065-6216 FedEx_ExpressSeryices Transportation Charges Special Handling Charges Total Charges USD TOTAL THIS INVOICE USD Other discounts may apply. 324.83 6.50 $331.33 $331.33 Detailed descriptions of surcharges can be located at fedex.com To ensure raper credit, please return this ppm cn wittot‘r pyinx,nt to FedEx. Please do not smile or fold Please make check paiable to FedEx K For change of address, check here and complete form on reverse side Remittance Advice Your payment is due by Oct 12, 2016 Invoice Number \ Account Number \ Amount Due \ USD $331.33 6-659-24375 1144-2081-6 114420816659243759800003313300 JEFFREY E EPSTEIN 9E 71ST ST NEW YORK NY 10021.4102 FedEx P.O. Box 371461 Pittsburgh PA 15250-7461 EFTA00292253 Fed Invoice Number \ Invoice Date Account Number \ Page 6-659-24375 Sep 27, 2016 1144-2081-6 2 of 4 Adjustment Request Fax to (800) 548-3020 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments due to other reasons, including service failures, should be submitted by going to www.fedex.com or calling 800.622.1147. Please use multiple forms for additional requests. c Please complete all fields in black ink. n Requestor Namel 1 1 1 1 1 1 1 1 1 1 1 1 1 ' 1 1 1 1 1 1 1 1 1 1 1 1 1 DateL_Lli L_LJ L_LJ a Phone L111 -L11_1 - FaxiLi1J- -I I I I I E-mail Address DYes, I want to update account contact with the above information. Tracking Number Bi I to Account $ Amount I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 I I I I I L_LJ I I I I I l I 1 1 I 1 1 I 1 1 I I I 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 I I I I I I L±J I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 I I I I I I L±J ADR - Address Correction o DVC - Declared Value d IAN - Invalid Acct # INW -Incorrect Weight INS - Incorrect Service OCF - Grd Pick-up Fee OCS - Exp Pick-up Fee OVS - Oversize Surcharge RSU - Residential Delivery PND - Pwrshp Not Delivered SDR - Saturday Delivery For all Service failures or other surcharges please use our web site www.fedex.com or call (800) 622-1197 Tracking Number Code $ Amount 1 1 1 1 I I I I I I I I ' I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l l l l l l l l l l l l l l l l I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 L_L_I 1 1 1 1 1 1 1 1 1 1 1 I I I I I LJJJ1 1 1 1 1 1 Check all that apply ❑Shipping Address (Physical Address) iterate information only (round to nearest inch) LBS Li1JL11J X L_L_LJ X L_L_LJ L_L_LJLLLJ x L_L_LJ x L_L_LJ I I 1L±±J x L_LU X Li_LJ Li_LJLLLJ X L_LLJ X L_LLJ LiLJLLiJx! I I IxL_L_LJ Effective Date I I I I ❑Billing Address Only ❑Billing Same As Shipping Address Company Address Address Dept. Floor City State Phone Fax I I 1 1 1 1 1 1 1 1 1 1 1 1 I I Company Address Address Dept Floor coy State Phone Fax. 1 1 1 1 1 1 1 1 I I I 1 1 1 1 1 I I I l l 1 1 1 1 1 1 1 I l l 1 1 1 1 1 1 1 1 1 1 1 1 I l l 1 1 1 1 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 I l I I I I I I I I I I I I I I I I Apt/Suite* I I I I 1 1 1 1 1 Apt/Suite 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I LiJ Zip Code 1 1 I I I I l l L1J ziocodo 1 1 1 1 1 1 -1 1 1 1 - L_L_LJ L_1_LJ -1__L_LJ - L_LLJ -L111 -I I l l 1_1__I_J -1__L_LJ -1 I I 1 1 EFTA00292254 Invoice Number \ Invoice Date \ Account Number \ Page Sep 27, 2016 6-659-24375 1144-2081-6 3 of 4 FedEx Express Shipment Summary By Payor Type FedEx Ex ress Shi ments (Original) Rated Special Weight Transportation Handling Ret Chg/Tax Shipments lbs Charges Charges Credits/Other Discounts Total Charges Shipper I .i. 0 324.83 0. 50 23' 32 1 17.0 $40a_ 56.50 5331.33 Total This Invoice USD S331.33 EFTA00292255 FedEx Invoice Number \ Invoice Date \ Account Number \ Page 6-659-24375 Sep 27, 2016 1144-2081-6 40t4 FedEx Express Shipment Detail By Payor Type (Original) Fuel Surcharge Fed Ex has applied a fuel surcharge of 2.00% to this shipment. We calculated your charges based one dimensional weight of 11.0 lbs, Irx IT x 8', using a dimensional factor of 139. Automation Tracking ID Service Type Package Type Orig./Dest. Zone Packages Actual Weight Rated Weight Declared Value Delivered Signed by FedEx Use INET 777270424732 FedEx International First Customer Packaging FLU/HYC D 4.5 lbs 17.0 lbs USD 100.00 Sep 22, 2016 09B3 D.SUMNER JUS0010/_ Sender BELLA KLEIN JEFFREY E. EPSTEIN 575 LEXINGTON AVE 4TH FLOOR NEW YORK NY 10022 US Recipient EDWARD ROED•LARSEN STOWE SCHOOL•CHATHAM HOUSE STOWE, BUCKINGHAM UNITED KINGDOM WINSLOW MK185•EH GB Transportation Charge Fuel Surcharge Total Transportation Charges USD Shipper Subtotal USD 324.83 6.50 $331.33 S331.33 Total FedEx Express USD S331.33 EFTA00292256