Text extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 4-923-68060
Invace Date:
Nov 03. 2003
Account Number:
Page:
1 of 9
FedEx Tax ID:
358 EBRELLO WAY
PALM BEACH FL 33480
Billing Account Shipping Address:
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Invoice Summary Nov 03, 2003
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 62211471.1-F 7.6 (CST)
Fax:
(800) 548-3020
Internet:
www.fectex.com
FedEx Express Services
Transponation Charges
26480
Base Discount
-29.95
Special Handing Charges
32.01
Total Charges
USD.5..
270.86
_._USD $
270.86
You saved $29.95 in discounts this period!
The FedEx Ground accounts referenced in This invoice have been transferred and 1S9gried lo. are owned by, and we payaNe to FedEx Express.
To ensure plater cm:Wows, rerun Um Rorke vigh yaw winnow to Fork..
Moose do notilaploor104. Posse mak° your Nock payable to FodE.N.
Ii fce (forgo 01 b,teit CPCCk owe a-d cornrow low on wows*
Remittance Advice
Your payment is due by Nov 18.2003
114420814923680609400002708683
SP 01000001 97702 A 1 ASNGLP
358 EBRELLO WAY
PALM BEACH FL 33480
Invoice
Number
Account
Number
Amount
Due
4.923.68060
USD $ 270.86
FedEx
P.O. Box 1140
Memphis TN 38101.1140
EFTA00218805
Invoice Number: 4923-68060
Invoice Date:
Nov 03.2003
Account Number:
Page:
2 of 9
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 e listed below
Account Number
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apt r Saito
City:
Phone: (
Authorizing Signature:
Zp
EFTA00218806
Invoice Number: 4923-68060
Invoice Date:
Nov 03.2003
Account Number:
Page:
3 of 9
FedEx Express Shipment Summary by Payor Type
Shipper
Original
Number of Shipments
I
Transportation Charges
Base Discount
-24.34
Special Handling Charges
29.73
TOTAL
USD S
218.09
Number of Shipments
11
Total Charges
USD
218.09
Recipient
Number of Shipments
2
Transportation Charges
56.10
Base Discount
-5.61
Special Handling Charges
2.28
TOTAL
USD S
52.77
Number of Shipments
2
Total Charges
USD$
52.77
TOTAL SHIPMENTS
13
TOTAL CHARGES
USD
270.86
111111 1111111111111111111
EFTA00218807
Invoice Number: 4923-68060
Invoice Date:
Nov 03.2003
Account Number:
Page:
4 of 9
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Oct 22.2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a fuel
Distance Based Pncing. Zone 5
Package seal from: 32220 zip cods
Trading ID
838295058059
Sedbe Type FedEx Egress Saver
Package Type FedEx Envelope
Zone
5
Packages
1
Weiser
Delivered
Svc Area
Signed by
FedEA Use
1.0 bs. 0.5 kgs
Ocl 23. 2003 0922
Al
S.FUENTES
29508178300832C
surcharge ol 450% lo This shpmenl.
Sender
L MORRISON
457 MADISON AVE FL 4
NEW YORK NY 100226843 US
Transportalion Charge
Oiscounl
Fuel Sinharge
Recipient
ERIC GANY
457 MADISON AVE 4TH FLOOR
NEW YORK NY 10022 US
8.05
-0.81
0.33
Total Charge
USD $
7S7
Picked up: Oct 23. 2003
Payor: Shipper
Reference: HARRY
Fuel Surcharge FedEx has applied a fuel surcharge ol 4.50% lo Ihis shpmenl.
Distance Based Pncing. Zone 4
FedEx has audded this shipment for tarred packages. weight. and service. My thanges bode ale rellecied in the invoice amount.
InlernetShp
Tracking ID
791040820376
Sedbe Type FedEx 2Day
Package Type FedEx Pak
Zone
4
Packages
1
Weiser
3.0 bs. 1.4 kgs
Delivered
Ocl 27.2003 12:38
Svc Area
A2
Signed by
0.0AKLEY
FedEA Use
523219200:0602P_
Total Charge
Sender
CECILIA STEEN
457 MADISON AVE FL 4
NEW YORK NY 10022.6843 US
Transponalion Charge
Oiscounl
Fuel Strtharge
Recipient
PEG UGLAM3
NA. PROPERTY
9.30
-0.93
0.38
USD $
8.75
Picked up: Oct 23, 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a fuel surcharge ol 4.50% lo Ihis shpmenl.
Distance Based Pricing. Zone 8
Trading ID
837169384532
Sentee Type FedEx Pnonty Overnight
Package Type FedEx Envelope
Zone
8
Packages
1
Weiser
1.0 bs. 0.5 kgs
Delivered
Ocl 24.2003 09:52
attar
CATHERINE
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transpodalion Charge
lEttaigfil
CIABERLY FOLEY
18.00
Svc Area
A2
Oiscounl
-2.88
Signed by
C.FOLEY
Fuel Sircharge
0.68
FedEA Use
29622911600252J_
Residential Oelvery
1.40
Total Charge
USD $
17.20
EFTA00218808
Invoice Number: 4923-68060
Invoice Date:
Nov 03.2003
Account Number:
Page:
5 of 9
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Oct 24. 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 4.50% lo this shpment.
Distance Based Pricing. Zone 6
FedEx has welded Mis shipment for eared packages. weight. and service. My changes made are reflected in the invoice amount.
Release signature on lie.
Tracking ID
838295056780
Service Type FedEx Monty Oeerright
Package Type FedEx Pak
Zone
6
Packages
1
Weight
2.0 Os. 0.9 kgs
Delivered
Oct 25. 2003 1224
Svc Area
M
Signed by
LAUREN KWITNER
FedEx Use
29720186040157442
Sender
OARREN MOYNE
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transportation Charge
Discount
Saturday Delhery
Fuel Strcharge
Residential Oetvery
Recipient
28.75
-2.88
12.50
1.16
1.40
Total Charge
USD S
40.93
Dropped off: Oct 25.2003
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel
Distance Based Wicing. Zone 6
Package sent from: 33461 rip code
Tracking ID
829333851699
Service Type FedEx Pdo6ty Overright
Package Type FedEx Box
8
1
2.0 Ds. 0.9 kgs
Oct 27.2003 09A0
A2
OADAISSBAUM
29802389001574C
Zone
Packages
Weight
Delivered
Svc Area
Signed by
FedEx Use
surcharge ol 4.50% to this shpmenl.
Sender
GAVE RODGERS
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transportation Charge
Discount
Fuel Sucharge
Recipient
DEL
SAFARI TELECOM
28 75
2 88
1.16
Total Charge
USD S
r.
r.
27.03 —
Picked up: Oct 27, 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel
Distance Based Pircing. Zone 5
Package sent from: 32220 rip code
Tracking ID
838295056037
Service Type FedEx Monty Overright
Package Type FedEx Envelope
Zone
5
Packages
1
Weight
Delivered
Svc Area
Signed by
FedEx Use
1.0 Ds. 0.5 kgs
Oct 28.2003 09:18
Al
S.FUENTES
30005651040021t
surcharge ol 4.50% to this shanent.
Sender
LARRY VISOSKI
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transportation Charge
Discount
Fuel &wne
Recipient
KATGRHINE IERIC
J EPSTEIN & CO
457 MADISON AVE 41H FLOOR
NEW YORK NY 10022 US
16.15
-2.58
0.61
Total Charge
USD $
14.18
EFTA00218809
Invoice Number: 4923-68060
Invoice Date:
Nov 03 2003
Account Number:
Page:
6 of 9
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Oct 28. 2003
Payor: Shipper
Reference: PAY STUBS
Fuel Surcharge. FedEA has applied a luel surcharge ol 4.50% lo this shpmenl.
The delivery commitment bar FedEx 2day 10 homes or private residences (Including home offices) is 7 P.M. the second business day for Al. A2. AA. A3. AM. PM. 01 and Rd service areas.
Distance Based Pricing. Zone 7
Release signature on lie.
InlerneiShp
Tracking ID
791044615675
SeniCe Type FedEx 2Day
Package Type FedEx Envelope
Zone
7
Packages
1
Wei it
1.0 las 0.5 kg.
Delivered
Ocl 30.2003 12:55
Svc Area
2R
Signed by
7279236
FedEA Use
523776950431113,02
Sender
Recipient
10.10
.1.01
0.41
1.40
1.75
CECILIA STEEN
457 MADISON AVE FL 4
NEW YORK NY 10022.6843 US
Transportation Charge
Discount
Fuel St/charge
Residential Oelvery
Oelvery Area Surcharge
KAREN GORDON
ZORRO RANCH
49 ZORRO RANCH RD
STANLEY NM 87056 US
Total Charge
USD $
12.65
Dropped off: Oct 28.2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge. FedEA has applied a lue4
Distance Based Pncing. Zone 7
Package sent from: 87056 zip code
Tracking ID
827467046210
Sentee Type FedEx Ptiotity OverrigN
Package Type FedEx Pak
Zone
7
Packages
1
Weight
1.0 las 0.5 kg.
Delivered
Ocl 29.2003 1323
Svc Area
Al
Signed by
S.JIVIN
FedEA Use
301221500:01594C
surcharge ol 4.50%!0 this shprnenl.
Sender
RICHARD BARNETT
27.00
2.70
1.09
BRICE IA GORDON
457 MADISON AVE FL 4
NEW YORK NY 10022.6843 US
Transportation Charge
Discount
Fuel Surcharge
Total Charge
USD
25.39
Picked up: Oct 28. 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge. FedEA has applied a luel
Distance Based Pncing. Zone 6
Release signature on lie.
Tracking ID
838295066770
Sentee Type FedEx Privity OvernigN
Package Type FedEx Envelope
Zone
6
Packages
1
V/eighl
1.0 Es. 0.5 kgs
Delivered
Ocl 29. 2003 1620
Svc Area
AA
Signed by
0. INDYKE
FedEA Use
3011668180023002
surcharge ol 4.50%!0 This shprnenl.
Sender
Recbied
16.60
2.66
0.63
1.40
DARREN bNDYKE
457 MADISON AVE FL 4
NEW YORK NY 10022.6843 US
Transportation Charge
Discount
Fuel Surcharge
Residential Oelvery
Total Charge
USD $
15.97
EFTA00218810
Invoice Number: 4923-68060
Invoice Date:
Nov 03.2003
Account Number:
Page:
7 of 9
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Oct 29. 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has reeked a lust surcharge ol 4.50% to this sheeted.
Distance Based Pncing. Zone 3
Package sent kom: 10021 top code
FedEx has sodaed Otis shitimeni for awed packages. weight. and service. My changes made are reflected in the evoice amount.
Tracking ID
837133954053
Service Type FedEx Standard Overnight
Package Type FedEx Pak
Zone
3
Packages
1
Weight
4.0 Ds. 1.8 kgs
Delivered
Oct 30. 2003 09:40
Svc Area
Al
Signed by
B.MYRES
FedEx Use
302207540,01305r_
Sender
Recipient
19.25
-1.93
0.78
0.00
J EPSTEIN
457 MADISON AVE FL 4
NEW YORK NY 100226843 US
Transportation Charge
Discount
Fuel Surcharge
Courier Pickup Charge
TOM PAYETTE
Total Charge
USD S
18.10
Picked up: Oct 30.2003
Payor: Shipper
Reference: MED KIT
Fuel Surcharge • FedEx has applied slue:
Distance Based Pricing. Zone 6
Release signature on Re.
IntemetShp
Tracking ID
791047912695
Service Type FedEx Standard Overnight
Package Type Customer Packaging
Zone
6
Packages
1
Weight
4.0 &kilt kgs
Delivered
Oct 31.2003 10:57
Svc Area
AA
Signed by
2579934
FedEx Use
524181560:01371102
unrchorge or 4.55% to Ms storied.
Sender
Recipient
30.75
-3.08
1.25
1.40
CECILIA STEEN
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Transponalion Charge
Discount
Fuel Swcharge
Residential Detvery
DAVID RODGERS
Total Charge
Shipment Detail Subtotal
USD $
$
30.32
218.09
Picked up: Oct 27. 2003
Payor: Recipient
Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEx has applied a fuel =charge ol 4.50% to this shortie«
Distance Based Pricing. Zone 6
Tracking ID
837574507893
Sender
Recicrent
Service Type FedEx Express Saver
CATHERWE DERBY
Package Type Customer Packagmg
358 EL BRILLO WAY
Zone
6
PALM BEACH FL 33480 US
457 MADISSON AVE 4TH FL
Packages
1
NEW YORK NY 10022 US
Weigel
10.0 lbs. 4.5 kgs
Delivered
Oct 30. 2003 10:59
Transportation Charge
2260
Svc Area
Al
Discount
-226
Signed by
S.FUENTES
Fuel Savcharge
0.92
FedEx Use
300139820.07175r_
Courier Pidup Charge
0.00
Total Charge
USD $
21.26
EFTA00218811
Invoice Number: 4-923-68060
Invace Date:
Nov 03. 2003
Account Number:
NIMININIM.
Page:
8 of 9
FedEx Express Shipment Detail By Payor Type (Original)
Dropped off: Oct 30.2003
Payor: Recipient
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has **bed a lust surcharge of 4.50% lo Ihis shpmenl.
Distance Based Pricing. Zone 8
Tracking ID
841848750859
Sender
Recktient
Service Type FedEx Prio6ty CnorrigN
Package Type FedEx Pak
Zone
8
Packages
1
Weigh)
3.0 Ite, 1.4 kgs
STEFANI BURNS
Transportation Charge
457 MADISON AVE
NEW YORK NV 10022 US
31.50
Delivered
O4131. 2003 09:19
Discounl
-3.35
Svc Area
Al
Fuel Stxtharge
1.38
Signed by
J.DIXON
Total Charge
USD S
31.51
FedEx Use
303210910401818/
Shipment Detail Subtotal
_USD 5
52.77
EFTA00218812
Invoice Number: 4-923-68060
Invare Date:
Nov 03. 2003
Account Number
Page:
9 of 9
FedEx Ground Reference Chan
SERVICE CODES
FedEx Ground
015
046/PCO. Prepaid. Dameac
DIE
CCO.Progaid. Dolomit
017
ECOO. Propod. cerrosta
Ol!,
FedEs Gmund. PPP. Prepad. Cionnic
019
Probate. Dumane
020
AueoPCO. CdIRI. Donica;
021
C8loct. Demo-ale
131
On:~ 3rd P rty. R i
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136
Orou'ad ProCard NOC PØ
137
Oroomi Napad. Return‚ Menage.
408
Guaranami Funds 000. Propaa. Domxit
409
Cad, COD. Prepeml. Demensc
410
baPCO.CCO. Propolet Durom<
412
AraPCO. ECOD. Read. Domator
415
/4.03PCO.Guaranlood FundsGOD. Ppd. Darre-
418
AvMPCO.Cash CCO. Amid. Damask
417
1313,0 Party. Dommix
418
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421
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422
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823
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429
E000. B113rd Party. OomasOc
430
~CO. CM. 8114d Pant. Danale
431
AseaPOD.ECOD. Bp 3rd Party. Dumane
432
AursoPCO. Osa CCO. B13rd Pady. %malk
433
AstoPOD.Cluanwirmd Funds COD. B113.0 Party. Ø.
434
ECOD. Bil Rabani. Domator
435
/4.03P00. 000. en noupeni. Dommile
438
~CO. ECOD. Be %Dømt Dalalk
437
AstraPCO.C.ash COD. Bil Rociplort. Damosic
43/1
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439
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FedEx International Ground
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801
803
BIO
814
Ols
820
824
826
830
831
838
842
850
851
852
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854
856
856
857
858
859
880
849
870
871
872
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874
875
876
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878
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12698 Sanice iran Saxen IDeleeme0
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Ovaratąt
150 Os.
Ebeaone COD.. 24 hans
Elowora COD.. 48 kouro
FedE• Gmond Rephroal
RWE' Ground Roidorbal - Rund
Rolom Manager Treinemisacm Fee
RWE. Skrab/a14mm Dołowy
FedEr Dolo Cortain Rane Delery
RWE. amonitem warno Ercibuy
reaE. Evenii.g141e1a0161117
RWE,' Roma Dolary Rosidanasi
Fed& Ibme Dolary Readeibal Rural
cash CO.D. Cumo
Cad, CAD. Ii* Densay Charge
Cash CO.D. Erdna 011lorarecoakno
Nopal */ ~tery Aclornlago Charge
RWE' Ham. Dekory Foioxl Adportmani
Fut' &ochota*
Ona4a> 108 COmboorl lenØ tyd Gia
Ovorsizo lOr m Longin
Cwite >130' COmboorl lenØ mi Gi!.
Surpkowetal Orms« naciup Omg.
Canada %cdl 6 Sanica Tax • OST
Canada sbernorszalSala Tax le3T
Canada Gutter Saks Ta • OST
Ho: %Lon
Cmoo Owe/ Decim Stachem.
Consolamd Rorums PcI)ao
ConsoleaMd naiwna Padmge 2Ø4.2418
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ConwidaMd Fietu•na Padmge 6a3/10 641%18
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0:mm10MS Fievna Padmge Fil Chanie
Consold9lad Ponym. ~suto Puma@ Chama
%kims Manager
Canadan Drept‚hp lintr, a4 Charge
AMIIIMUMNI
EFTA00218813