Case File
efta-01317123DOJ Data Set 10OtherEFTA01317123
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01317123
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 3-907-96196
Invoice Date:
Jul 01. 2005
Account Number:
1 013
FadEx Tax 10: 714127007
NYSO LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Billing Account Shipping Address:
NYSO LLC
457 MADISON AVE
NEW YORK NY 10022-6843 11$
Invoice Summary Jul 01,2005
Invoice Questions?
Contact FedEx Revenue Services
Phone:
M.F 7-6 (CST)
Fax:
Internet:
wmtledex.ccrn
FedEx Express Services
Transportation Charges
Spinal Handling Charges
Total Charges
TOTAL THIS INVOICE
LSD
12.03
1.39
13.42
13.42
The FedEx Ground accounts referenced in this swoice have been transtened and weaned to. are armed by. and are payable to FedEx Excess
To /mare accurate._ obese mum ass Dorton an your payeria0I
Fedex.
Masada n swab of 10:1. moue maw 'our duck nayaelo to FccEs-
n rp. FNnpe <I Sem. chenk keT ire amen, kan
!even* ado
Remittance Advice
Vow payment Is due by Jul 16. 2005
229207503907961969800000134259
SP 01000001 97102 A 1 ASNGLP
NYSO ISO
457 MADISON AVE
NEW YORK NY 10022-6943
IIIIIIIIMIIIIIII
Invoice
Number
Account
Number
Amount
Due
3.907.96196
USD $ 13.42
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
CONFIDENTIAL
SDNY_GM_00345616
EFTA_0021 8308
EFTA01317123
Invoice Number: 3-907-96196
Invoice Date:
Jul 01.2005
Account Number:
2 of 3
Adjust
FAX TO
Tracking NoJAirbill No.
Reason Code
Explanation
eFFNIE you FAx
Please include 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 ildling
PND
Shipment Never Sent
RATE
Incorrect Rates or Pieces
RRA
Rebill Recipient Include
Recip:enrs Account No.
RSA
Rabin Sender
RTA
Rabin Third 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 I
visit our Internet site al www.ledex.com or register for FIO.
Fed1K
Federal Expres>
Please Indicate change In address for the account x listed below:
r- Physical Address E Billing Address
I
Mailing Address
Account Number:
Name':
MOMS:
Apt./ Sub.:
Stale:
Bp:
Myna: I
Fax: I
Authorizing Signature:
CONFIDENTIAL
SDNY_GM_00345617
EFTA_00218309
EFTA01317124
Invoice Number: 3.907.96196
Invoice Date:
Jul 01. 2005
Accouni Number:
3 of 3
FedEx Express Shipment Detail By Payer Type (Original)
Picked up: Jun 27, 2005
Payer: Shipper
Reference: NO REFERENCE INFORMATION
nal SUIChalf. • FOOEX has
pled a fuelsurcharge 011150%10 the 016,018a.
Distance Based Pilaw. Zone 4
FeeEx has sucked Ms slipmeni socconeci Packaf/OS. weir. and service. My Mangos made are rcnecied In Vie ',wore mount
Traddng ID
852106412943
Sender
Recipient
Servce Type Fee& Standard OV0/100011
LAUREN
PEO UOLANO
Package Type Fe0Ex Envelope
NYSO LLC
N A PROPERTY NC
Zone
4
457 MADISON AVE
8300 WALTON PKWY STE 103
Packages
1
NEW YORK NY 10022.6843 US
NEW ALBANY OH 43054 uS
Well t
2.0 be. 0.9 KOS
Oelvered
Jun 21.2035 I2$33
Svc Area
A2
Sons by
D.OAKLEY
FedEx Use
1780927580000156i
Total Charge
Transporlaton Charge
Fuel Surcharge
8.58
0.76
uSD $
7.34
Picked up: Jun 28, 2005
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge Fedex has *Pled a tool
Distance Based Prlcng. Zone 2
Tracking ID
852106412954
Service Type Fedex Prong OvernigN
Package Type Fedex Envelope
Zone
2
Packages
1
NEW YORK NY 10022.8803 US
W8011
N/A
°elven:4
Jun 29.2035 09:50
Svc Ana
Al
Signed by
D.CRUZ
Fedex Use
1791May/3000192i
Total Charge
surcharge of 11 50% lo Nis shipment.
§2/25121
LAUREN
NYSO LLC
457 MADISON AVE
Transportation Charge
Fuel St/Charge
tELIZI16°I
JAMES IA BLELER
MILER INSURANCE AGENCY
615N 20TH ST
ALLENTOWN PA 18101 US
—
5.45 10
063
uSD $
Shipment Detail Subtotal
USD S
CONFIDENTIAL
6.08
13.42
SD NY_GM_00345618
EFTA_002 1 8310
EFTA01317125
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