Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 1-957-24509
Invace Date:
Aug 16.2004
Account Number:
1144.2081.6
Page:
1 of 4
Ferias Tax ID: 71-0427007
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622.11471.1-F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
www.fedex.com
Invoice Summary Aug 16, 2004
FedEx Express Services
Transponation Charges
Base oiscounl
Special Handing Charges
190.97
-5.73
12.97
Total Charges
198.21
TOTAL THIS INVOICE._._..._.._.__._..._.._.__.__.-t1SDS
198.21
You saved $5.73 in discounts this period!
The FecEx Ground accounts refetenced in this invoice have been iranslerred and asagned lo. are owned by, and we payaWe to FedEx Express.
To ensure prwer croft. wease return We Rorkevon, yaw Kronen! to Forks
Moose do notilaploor Uvl. Ptlaso nuke your Nock payable to Ebb.
Fce (forgo o I b,teit r*cc hue wd cononse low on rewrote sde
Remittance Advice
Your payment is due by Aug 31. 2004
114420811957245093200001982181
SP 01 000001 97702 A 1 ASNGLP
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
Invoice
Number
Account
Number
Amount
Due
1-957-24509
1144-2081.6
USD S 198.21
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
EFTA00216981
Invoice Number: 1-957-24509
Invoice Date:
Aug 16.2004
Account Number:
1144-2081.6
Page:
2 of4
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill No.
Reason Code
Explanation
Flf 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 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 account s listed below:
Account Number: 114440814
Name:
K Physical Address K Billing Address
K Malang Address
Address:
Apl.: Suite:
City:
Stste
Zp
Phone:
rex:
Authaiiiing Soon:
EFTA00216982
Invoice Number: 1-957-24509
Invoice Date:
Aug 16.2004
Account Number:
1144-2081.6
Page:
3 of4
FedEx Express Shipment Summary by Payor Type
Shipper
Original
Number of Shipments
3
Transportation Charges
190.97
Base Discount
-5.73
Special Handling Charges
12.97
TOTAL
USD $
198.21
Number of Shipments
3
Total Charges
USD $
198.21
TOTAL SHIPMENTS
3
TOTAL CHARGES
USD $
198.21
EFTA00216983
Invoice Number: 1-957-24509
Invade Date:
Aug 16. 2004
Account Number:
11442081.6
Page:
4 of 4
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Aug 05, 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge. FedEA has applied a luel surcharge ol 7.00% to this shprnent.
Tracking ID
828221138891
Service Two FedEx MI Priority
Package Type FedEx Box
Zone
0
OrigrDest.
Packages
Weight
Delivered
Signed by
Customs
Entry Oale
FedEA Use
maaco
1
0.5 Ds
Aug 09.200411:12
L.EJEUNE
Aug 08.2004
G3362US0104_
Sender
MANUELA STONER
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Transportation Charge
Fuel Swcharge
Discount
Recipient
RE DX I BTE 2
CONNEUX 5690 BE
45.96
3.12
.1.38
Total Transportation Charges
DSOS
47.70
Picked up: Aug 10. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel
Revisory clearance delay.
Tracking ID
828221138906
Service Two FedEx kill Priority
Package Type FedEx Envelope
Zone
OrigrDest.
Packages
Weigel
Delivered
Signed by
M
JR&MOW
1
0.5 Ds
Aug 13. 2004 12.17
.ERCHISA
Customs
Entry Oale
Aug 11.2004
FedEx Use
G0581MS01055
surcharge ol 7.00% to this shpmenl.
Sender
LAUREN KWINTNER
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Transportation Charge
Fuel Surcharge
Oiscounl
isRec. en
lt
71.00
4.82
.2.13
Total Transportation Charges
USD $
73.69
Picked up: Aug 11. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 7.00% to this shprnent.
FedEx has audaed this airbill or correct paces. weight and service. Any changes made are reflected in the invoice anent.
Tracking ID
791908682223
Service Two FedEx kill Priority
Package Type FedEx Pak
Zone
OrigrDest.
mesrr
Packages
1
Weight
4.4 Ds
Delivered
Aug 12 2004 1523
Signed by
U.PASCAL
Customs
Entry Dale
Aug 12 2004
FedEx Use
X790OUSOICX_
Sender
EIN
457 MADISON AVENUE
4TH FLOOR
NEW YORK NY 10022 US
Transpooalion Charge
Fuel St:charge
Oiscounl
Recipient
DAPHNE
6100 RED HOCK OUARTER
SUITE 0-3
ST. THOMAS 00802 VI
74.01
5.03
-2.22
Total Transportation Charges
USD $
76.82
Shipment Detail Subtotal
USD S
198.21
EFTA00216984