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Invoice Number: 4-973-32517
Invace Date:
Dec 01. 2003
Account Number:
Page:
1 of 5
Ferias Tax a
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
Billing Account Shipping Address:
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Invoice Summary Dec 01, 2003
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622.11471.1-F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
www.fectex.com
FedEx Express Services
Transponation Charges
Base Discount
Special Handing Charges
20.75
-2.08
14.55
Total Charges
33.22
__USD $
33.22
You saved $2.08 in discounts this period!
The FedEx Ground accounts reteteneed in This invoice have been transferred and asagned lo. are owned by. and we payaWe to FedEx Express.
To ensure plater croft obese return On Rorkevon, yaw owners to rot..
Moose do notilaploor104. Ptlaso make your Nock payable to Ebb.
Foe (forgo o I b,teit r*cc l✓.re rod sonortne low on rewrites*
Remittance Advice
Your payment is due by Dec 16. 2003
114420814973325170200000332254
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
4-973-32517
MM.
USD $ 33.22
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00218890
Invoice Number: 4-973-32517
Invoice Date:
Dec 01.2003
Account Number:
its
Page:
2 of 5
Adjustment Request
FAX TO (800) 548-3020
Tracking No..dirbill 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
PRO
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 for the account a listed below
Account Number: 1
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apr.:Suitt
City:
Phone; (
Authorizing Signature:
Zp
EFTA00218891
Invoice Number: 4-973-32517
Invoice Date:
Dec 01, 2003
Account Number:
Page:
3 of
FedEx Express Shipment Summary by Payor Type
Third Party
Rebill
Number of Shipments
Transportation Charges
20.75
Base Discount
-2.08
Special Handling Charges
14.55
TOTAL
USD $
33.22
Number of Shipments
1
Total Charges
USD $
33.22
TOTAL SHIPMENTS
TOTAL CHARGES
USD S
33.22
EFTA00218892
Invoice Number: 4-973-32517
Invoice Date:
Dec 01. 2003
Account Number:
Page:
4 of 5
FedEx Express Shipment Detail By Payor Type (Rebill)
Picked up: Sep 26. 2003
Payor: Third Party
Reference: NO REFERENCE INFORMATION
This charge was initially bled to a 60erenl payee who has requested this charge be tilled to your aceown.
Fuel Surcharge FedEri has applied a luN surcharge of 3.50% to this shprnent.
Distance Based Pncing. Zone 2
Release signature an Ile.
REBILL
Tracking ID
819320153420
Service Type FedEx P6o6N OverrigN
Package Type FedEx Tube
Zone
2
Packages
1
Sender
RecipreN
TOM MASON
LARRY VISOSKI
Weight
5.0 lbs. 2.3 kgs
Transportation Charge
20.75
Delivered
Sep 27. 200310:02
Discoing
-2.08
Svc Area
AA
Saturday Delivery
12.50
Signed by
DAWN DONNER
Fuel Sin:huge
0.85
Feder Use
000000020X31488:02
Courier Pickup Charge
0.00
Residential DeWery
1.40
Total Charge
USD $
33.22
Shipment Detail Subtotal
USD S
33.22
EFTA00218893
Invoice Number: 4-973-32517
Invare Date:
Dec 01. 2003
Account Number:
Pege:
5 of 5
FedEx Ground Reference Chan
SERVICE CODES
FedEx Ground
015
AVaPCO. Prepaid. Damtak
016
000.Pragaid. Drnasit
017
5000. Prapatl. Partesie
018
FedE4 Ground. Pr.. Napad. Ciannic
019
Pgibald. Osmund
020
AvOoPC4).0r/kci. Derneatic
121
arloci. Dcmos1c
131
On:~ 3ed P ny. R i
414n4.rr
136
Clou* Pronatl. Na Ran"
137
Orani Propaid.1740..nallanage•
408
Guaranom] Funds 000. Prapaa. Damxit
409
Cali, COD. Napad. Domoczy
410
ALMPCO.CCO. Pø/palet Duromc
412
044aPCO. ECOD. Napad. Domoczę
415
/4443PCO.Guaianicrod Funds 000. Pø. Dorn-
418
Ave/PCO. CmM1 CCO. Nytid. Damask
417
81 30 Party. Dornene
418
BI 30 Party. ~POD. Dameeic
419
IM 340 Party. COD. Owca tc
420
IM 340 Party. adrara-94 Erds COD. Dem.
421
Bil 3rd Party. Cent 000. Domoczę
422
Ed ~punt Domodir
42.3
BI Floopienl. AulaPCO. 0074914
429
5030. Ell 340 Party. Odmowe
430
AvisoPCO. 000. 611 40 Party. Derneaf C
431
Ase4POID.ECOD. Bo 3e0 Party. Domoczę
432
AvisoPCO. Cia CCO. NI 3rd Party. Daintalie
433
AsesPOD. Guaranie.° Funds COD. BO 3rd Party. Dom.
454
ECOD. 134IP4<kiaal. Domeslic
435
ALMPOD. 000. Bli ~peni Mmmdc
4,6
kinPCO.ECOD. B6 Rernian1. Dantelic
437
ALMPCO.Cash COD. B11 R/Opiat Donosie
458
kinPCO.Ounmuleed Funds COD. 1311Fleckleal• DOm
439
GØ
Piapak:L Guarani/rod Funds. ECOD
FedEx International Ground
arnSii,ASUtEME
AuMPCO. Praca1c1
000. Napis
Papals
AilaPCO.Cclk<1
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inkmatooal Ø0. 00 Pady. Relums1Amar,
Guarartand Funds 000. Napad
Gasli ODD. Napad
044oPC0.030. Napad
A~CO.Cluanwlood Funds COD. Napad
044oPCO. CmM1 CCO. Prawni
B11 3rd Party
B1 3d Pafly. AutePOD
81 30 Party. CCO
B1 3d Pay. Crmarteed Finds CCri
8130 Party. Cash000
Red9ianl
Bil ~gam. esiaPCO
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804
803
810
814
818
820
824
828
830
834
831$
842
850
851
852
853
854
856
856
857
858
859
860
849
870
871
872
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874
875
876
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878
879
AAnPOD. Anna
Propod
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48painlment AuloPCO. %paki
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Homo 044mry. Pn:patl. ~sns Mango:
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3rd Party
BI 3rd Parly. Auto POD
B9 3d Pag. S941dam
Erwin,. Ba 341 Pay
Eveoing. 841 3.0 Pady. PolOPCO
Oranina. Eld 341 Pay. ~suro
Dała Canast Bil 3.d Pany
Dala Cenom. BI ard Pany. AutoPOD
Dato Code. 131 3n1 Pany. Samlo
Arpzintmrt ad 3.0 Pry
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Bli Reapent
BI ~Dont A..toP00
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Evaning. Ed nacinani
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Dala Codom. &I Badan« Sonatin
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Omr.:15,ms. inaa.Canada
2.6
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Sanice to Osy
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(13)
(14)
(15)
(16)
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121/
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(23)
(24)
(25)
(26)
127)
(28)
129)
(30)
(35)
(36)
(37)
1387
(39)
(40)
(41)
(42)
144)
(45)
(46)
(47)
(48)
(49)
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151)
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153)
154)
C0.0 (Colecl on Delvery)
wam imams/ni
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Ovonno ar Combhod Lapin and GM
Decimal Verte
Ataic6s ConocIon
klat~
lAtåtal
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Addkaal Kending
Cyma» Exim Savs, Fao
Ovanwurt 4. 150 Os
Ele.ene COD.. 24 houns
Elacriont COD.. 413 baum
FadE. Ground Repdtroal
RWE' GIOuild ROSISOMal - Rural
ROUM‚ Moraw Tranwrisskm Fed
RWE. Shratura Iłom. DaInary
FedE. Dala COfblin Homo De.7117
RWE. Aweninom Weno Octhery
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FodEx Home Dolny Rosidwayi
Fed& ~e Delady F449~841- Baml
Cash C0.13. Marea
Cash CAD. H9h Deos4y Charge
Gasli C0.13. Ldna COlorareca akne
Prpald/Delitely niminiage Charge
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Gaflami-Omans/0 Sem Tu -1157
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consaIdatad Rorums Pc4,0ag
Consolda,ad naiwna Padage 2/244 2448
Cortsoldatad Rotuens Partago 4x4a6 ~412
Consdanee fictitti ermage 8+8710 8.10.18
COMOIdati/dRotwns Paduno 8x1N12 111x12(16
Consolda1nd Flekrna Padwie M Charge
ConsoIdatad Rotuen» cxersizesacsaia Chama
Rdurn4 Maar/
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AMIIIMUMNI
EFTA00218894