Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 4-923-41394
Invace Date:
Oct 27. 2003
Account Number:
1144.2081.6
Page:
1 of 7
FedEx Tax ID: 71-0427007
358 EBRELLO WAY
PALM BEACH FL 33480
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622.11471.1-F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
www.fetlex.com
Invoice Summary Oct 27, 2003
FedEx Express Services
Transponation Charges
407.46
Base Discount
-12.21
Special Handing Charges
17.79
Total Charges
413.04
_._11SD $
413S4
You saved $12.21 in discounts this period!
The FecEx Ground accounts retetenced in this invoice have been transferred and asagned lo. are owned by. and we payable to FedEx Express.
To ensure prwer cm:Wows, town Um Rorkevon, yew winnow to Axe.
Moose do not slag* or 104. Ptlaso mak° your Nock payable to Ebb.
Fc. (forgo o I b,teit CPCCk two Td condo, low on wows*
Remittance Advice
Your payment is due by Nov 11.2003
114420814923413944500004130477
SP 01000001 97702 A 1 ASNGLP
358 EBRELLO WAY
PAW BEACH FL 33480
Invoice
Number
Account
Number
Amount
Due
4-923.41394
1144-2081.6
USD $41304
1..11.1..i....1111
II...II...II.I..III....I..III...I...II
FedEx
P.O. Box 1140
Memphis TN 38101.1140
EFTA00218798
Invoice Number: 4-923-41394
Invoice Date:
Oct 27.2003
Account Number:
1144-2081.6
Page:
2 of 7
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill 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 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 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:
EFTA00218799
Invoice Number: 4-923-41394
Invoice Date:
Oct 27.2003
Account Number:
1144-2081.6
Page:
3 of 7
FedEx Express Shipment Summary by Payor Type
Shipper
Original
Number of Shipments
9
Transportation Charges
407.46
Base Discount
2.21
Special Handling Charges
17.79
TOTAL
USD $
413.04
Number of Shipments
9
Total Charges
USD S
413.04
TOTAL SHIPMENTS
9
TOTAL CHARGES
USD S
413.04
EFTA00218800
Invoice Number: 4-923-41394
Invoice Date:
Oct 27.2003
Account Number:
1144-2081.6
Page:
4 of 7
FedEx Express Shipment Detail By Payor Type (Original)
Dropped off: Oct 18.2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEA has applied a fuel surcharge of 4.50% to This shprnedl.
Discern% applied is the greater of volume discount or deport dscount No edam& discount applies.
Tracking ID
812238863448
Sender
Reck:tent
Service Type FedEx MO Priority
JAME /JEAME
Package Type FedEx Envelope
Zone
1
457 MADISON AVE FL 4
8100 REOHOOK QUARTER B3
O6NDest.
SANSTT
NEW YORK NY 100026843 US
ST THOMAS 008021348 VI
Packages
1
0.5 Cs
Transportation Charge
28.75
Delivered
Oct 20.2003 15:30
Fuel Steams
1.28
Signed by
A.ROORIGUEZ
Discount
-0.88
Customs
Entry Oale
Oct 19. 2003
FedEx Use
G2428iUSO1O4_
Total Transportation Charges
USD $
29.15
Picked up: Oct 20.2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge o14.50% to This shpmenl.
Tracking ID
828821138295
Sender
Recipient
Sends Type FedEx loll Priority
G MAXWELL
JEAN HUGUEN
Package Type Customer Packaong
ALBERTO PINTO
Zone
O
457 MADISON AVE FL 4
OriNDest.
FLUPAR
NEW YORK NY 100224843 US
Packages
1
Weigh)
2.0 Ds
Delivered
Oct 22. 2003 11 :1 3
Transportation Charge
53.45
Signed by
.PATRICIA
Fuel Surcharge
2.33
Discount
-1.80
Customs
Entry pale
Oct 21. 2003
Total Transportation Charges
USD $
54.18
FedEx Use
G9O133JSO1O1
Picked up: Oct 20.2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luet surcharge o14.50% to this shCmenl.
Tracking ID
828221138300
Sender
Recipient
Sonde Type FedEx MO Priority
G MAXWELL
JEAN HUGUEN
Package Type Customer Packaong
ALBERTO PINTO
Zone
O
457 MADISON AVE FL 4
Orig.:Dem.
FUIPAR
NEW YORK NY 1002243843 US
Packages
1
2.0 is
Delivered
Oct 22. 200311:13
Transportation Charge
53 45
Signed by
.PATRICIA
Fuel Statharge
2.33
Discount
.160
Customs
Entry Oale
Ocl 21. 2003
FedEx Use
G9O3ZUSO1O._
Total Transportation Charges
USD S
54.18
EFTA00218801
Invoice Number: 4-923-41394
Invoice Date:
Oct 27.2003
Account Number:
11442081.6
Page:
5 of 7
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Oct 20. 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 4.50% lo this shpmenl.
FedEx has audeed mis &Minim cared peces. weight. and service. Any changes made are reflected in the invoice anent.
Tracking ID
806881488450
Sender
Recipient
Service Type FedEx kill Priority
J EPSTEIN
MLES ALEXANDER
Package Type FedEx Pak
FTC
Zone
I
457 MADISON AVE FL 4
6100 RED HOOK
Orig*Dest.
FLUSTT
NEW YORK NY 100224843 US
OUARTERS B 3
Packages
1
ST THOMAS 00802 VI
Weigle
0.5 Ds
Delivered
041 21. 2003 1843
Transpcnalion Charge
39.50
Signed by
L.CASEY
Fuel Sr:charge
1.72
Oiscounl
.1.19
Customs
Entry Dare
Oct 21. 2003
FedEx Use
G89ISUS010:_
Total Transportation Charges
USD $
40.03
Picked up: Oct 21.2003
Payor: Shipper
Reference: ACCOUNTING
Fuel Surcharge - FedEx has applied a luel surcharge ol 4.50% lo this shpmenl.
FedEx has auSed mis aithill lot cooed peces. weight. and service. Any changes made are reelected in the invoice arnoLnl.
Tracking ID
791698143553
Sender
Recicient
Service Type FedEx kill Priority
1.11.18181.1•
JEANNE BRENNAN
Package Type FedEx Pak
Zone
I
457 MADISON AVENUE
6100 RED HOOK OUARTER
069A:test.
amerr
4TH FLOOR
SUITE 0-3
.Z .
Packages
1
NEW YORK NY 10022 US
ST. THOMAS 00802 VI
Weigle
3.9 dds
2
Delivered
Oct 22. 2003 1844
Transportation Charge
Signed by
J.CORNELIUS
Fuel Sr:charge
Discount
USD $
6.51 9774
Customs
Entry Date
Ocl 22. 2003
Total Transportation Charges
2 87
66.64
FedEx Use
Xd388US01O'
Picked up: Oct 21.2003
Payor: Shipper
Reference: ERIC
Fuel Surcharge • FedEx has applied a luel surcharge ol 4.50% to Ibis shpmenl.
Tracking ID
791698145177
Sender
Recipient
Service Type FedEx kill Priority
Package Type FedEx Envelope
BERLIOTZ 8 CO
Zone
0
457 MADISON AVENUE
Orig*Dest.
JR69UJ0
4TH FLOOR
Packages
1
NEW YORK NY 10022 US
Weigle
0.5 to
Delivered
Oct 21 200310:40
Transportation Charge
29.25
Signed by
M.EXPERTAN
Fuel Swcharge
1.28
Oiscounl
.0.88
Customs
Entry Oale
Oct 22. 2003
FedEx Use
X438ZUSOICW_
Total Transportation Charges
USD $
29.65
EFTA00218802
Invoice Number: 4-923-41394
Invoice Date:
Oct 27.2003
Account Number:
1144-2081.6
Page:
6 of 7
FedEx Express Shipment Detail By Payor Type (Original)
Dropped off: Oct 22. 2003
Payor: Shipper
Reference: INTL DOCUMENTS
Fuel Surcharge • FedEA has applied a luel surcharge ol 4.50%10 this shdneel.
Discoult applied is the greater of volume discount or &opal! &count No additional discount applies.
Tracking ID
842062524372
Recident
Service Type FedEx
Privily
ALBERTO PINTO
Package Type FedEx Pak
IONSTEIN
Zone
0
457 MADISON AVE FL 4
OrigrDest.
FOKBPAR
NEW YORK NY I00224843 US
Packages
I
5.0 lbs
Transportation Charge
79.82
Delivered
Oct 23.2003 15A0
Fuel Swcharge
348
Signed by
.CONCIERGE
Discount
.2 39
Customs
Entry Oale
041 23. 2003
FedEx Use
G9382D501O'
Total Transportation Charges
USD S
80.91
Dropped off: Oct 22.2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEx has applied a luel surcharge ol 4.50% lo this shpment.
Discotait applied is the greater of volume discount or dropall &count No additional discount applies.
Trading ID
812238883413
Sender
Redolent
Service Type FedEx bill Priority
MR. J. EPSTEN
Package Type FedEx Envelope
LITRE ST. JAMES
Zone
I
457 MADISON AVE FL 4
6100 RED NOOK QUARTER 83
ABOSTT
NEW YORK NY 100226843 US
ST. THOMAS00802 VI
Packages
I
0.5 Ds
Transportation Charge
28.75
Delivered
Oct 23.2003 1627
Fuel Swcharge
1.28
Signed by
K.HILTON
Discount
-0.88
Customs
Entry Oale
Oct 23. 2003
FedEx Use
G1409US01O'_
Total Transportation Charges
USD S
29.15
EFTA00218803
Invoice Number: 4-923-41394
Invace Date:
Oct 27. 2003
Account Number:
1144-2081-6
Page:
7 of 7
FedEx Express Shipment Detail By Payor Type (Original)
Dropped off: Oct 23. 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEA has applied a luel surcharge of 4.50% to This shtxnepl.
Div:cult applied is the grealer of volume discounl or &opal! dscount. No addoonai discount applies.
Tracking ID
812234863424
Sender
Service Type FedEx NI Priority
Package Type FedEx Envelope
Zone
457 MADISON AVE FL 4
Ambient
JAME/DALEUECSIE
6100 RED HOCK. OUATER B3
Packages
V/ei it
4B41STT
1
0.5 is
NEW YORK NY 100224843 US
Transportalion Charge
ST MC6145°0602.13413 VI
28.75
Delivered
Oct 24.2003 103:43
Fuel St/charge
126
Signed by
J.RUAN
Discounl
4.86
Total Transportation Charges
USD $
29.15
Customs
Entry Oale
FedEx Use
Oct 24.2003
G3788US010/
Shipment Detail Subtotal
MD 5
413.04
IIIIIIIMIIIIM
EFTA00218804