Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: -
Invoice Date:
Jul 01.2005
Account Number:
Page:
1 of 3
FedEx Tax ID
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 Jul 01, 2005
Invoice Questions?
Contact FedEx Revenue Services
Phone.
El00[ 622.1147 M.F 7.6 (USTI
Fax:
(800) 548.3020
Internet:
www.fectex.com
FedEx Express Services
Transportation Charges
Special Handing Charges
Total Charges
USD-6..
_._USD $
12.03
1.39
13.42
13.42
The FotEx Ground accounts reteteneed in This invoice have been iransferred and asagned lo. are owned by. and we payable to FedEx Express.
To ensure wwer croft obese morn Um Rorke vigh yaw payment to Forks.
Please do not slant& or lob. %nano realm your Nock payable to FodE.N.
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Remittance Advice
Your payment Is due by Jul 16, 2005
SP 01 000001 97702 A 1 ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
USD 513.42
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
Il..I.II
EFTA00217091
Invoice Number:
Invoice Date:
Jul 01.2005
Account Number:
Page:
2 of 3
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill No.
Reason Code
Explanation
Flf 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 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:
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apt.: Suite:
City:
Phone (
Autheriring Signature:
Zp
EFTA00217092
Invoice Number: -
Invoice Date:
Jul 01.2005
Account Number:
Page:
3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jun 27. 2005
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a heel surcharge ol 11.50%e this shipmenl.
Distance Based Pncing. Zone 0
Feats has audded this shipment for canal pacNages. weight. and service. My changes made are reflected in the invoice amount.
Tracking ID
Sender
Service Type FedEx Slandard OvernigN
Package Type FedEx Envelope
NYSG LLC
Zone
4
457 MADISON AVE
Packages
1
NEW YORK NY 100224843 US
Weigle
Delivered
Svc Area
Signed by
FedEx Use
2.0 lbs. 0.9 kgs
Jun 28. 21:05 12Z3
A2
0.0AKLEY
178092750810001SW
Transportalion Charge
Fuel St:charge
Recipient
PEG UGLAteD
6.58
0.76
Total Charge
USD S
7.34
Picked up: Jun 28, 2005
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel surcharge ol 11.50% to INs sNpmeni.
Distance Based Pricing. Zone 2
Tracking ID
Service Type FedEx Privity Cnerright
Package Type FedEx Envelope
Zone
2
Packages
1
Weigh)
NIA
Delivered
Jun 29.2005 09.54
Svc Area
Al
Signed by
O.CRUZ
FedEx Use
179111560:000019V
Sender
NYSG LLC
457 MADISON AVE
NEW YORK NY 100224843 US
Transportation Charge
Fuel Surcharge
Reed:lent
JAMES M BLEILER
545
0.63
Total Charge
USD S
6.08
Shipment Detail Subtotal
IISD S
13.42
EFTA00217093