Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 4-963-12823
Invooce Date:
N v 21 2
Account Number:
Page:
1 of 3
FedEx Tax ID:
NYSG Lit
457 MADISON AVE
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.fectex.com
Invoice Summary Nov 21, 2003
FedEx Express Services
Transponation Charges
28.75
Base Discount
-10.75
Special Handing Charges
0.54
Total Charges
18.54
_._IUSD $
18.54
You saved $10.75 in discounts this period!
The FotEx Ground accounts reteteneed in Ihis invoice have been transferred and asagned to. are owned by. and we payaNe to FedEx Express.
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Remittance Advice
Your payment is due by Dec 06. 2003
2292O750149631282384OOOOO1851495
SP 01 000001 97702 A I ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
4.963.12823
USD 518.54
11.11
IIIIIIII
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00218830
Invoice Number: 4-963-12823
Tracking No.:Airbill No.
Adjustment Request
FAX TO (800) 548-3020
Reason Code
Explanation
Invoice Dale:
Account Number:
Page:
Nov 21. 2003
Flf FORE YOU FAX
Please kiclude detailed explanation for each adjustment request.
Remember to include recipient's account weber or third party's
account number if applicable.
From:
Name
Business Phone
Date
Business Fax
REASON CODE KEY
Reason
Code
Description
DUP
Duplicate Giffin°
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 Part'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 ler the account a listed below
Account Number:
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apl.: Suite:
City:
Phone: (
Authorizing Signature:
Zp
EFTA00218831
Invoice Number: 4-963-12823
Invoice Date:
Nov 21.2003
Account Number:
Page:
3 or 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Nov 17. 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge - FedEx has applied a luel surcharge of 3.00% lo this shpmeal.
FecEx has audaed this alibi" la correct pieces. weight. and service. Any changes made are leaved in the invoice arnoint.
Tracking ID
825982197680
Service Type FedEx Intl Priority
Package Type FedEx Envelope
Seder
Recipient
S. INC
LAUREN KWIN1HER
WILLIAM KARR
NYSG ISO
Zone
OrigrDest.
Packages
Weight
I
JRBSTT
1
0.6 Cs
457 MADISON AVE
NEW YORK NY 100224843 US
Transponagon Charge
28.75
Delivered
Nov 18. 2003 17:09
Fuel Swcharge
0.54
Signed by
C.GUMBS
Discount
-10.75
Customs
Total Transportation Charges
USD S
18.54
Entry 0ale
Nov 18. 2003
FedEx Use
G83I1M501O?
Shipment Detail Subtotal
USD S
18.54
EFTA00218832