Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 5-378-21077
Invace Date:
Feb 18.2005
Account Number:
Page:
1 of 3
Ferias Tax ID: 71-0427037
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 Feb 18, 2005
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622-1147 M-F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
www.fectex.com
FedEx Express Services
Transponation Charges
Special Handing Charges
7.08
0.53
Total Charges
USD.S.
7.61
TOTAL THIS INVOICE ........._.._.__._..._.._.__.__.-USD $
7.61
The FecEx Ground accounts referenced in this invoice have been transferred and warped lo. are owned by. and we payable to FedEx Express.
To ensure prwer w edl. oleos* return We Rorkevon, yaw owners to Forks
Moose do not slag* or 104. Ptlaso mak° your Nock payable to Ebb.
Ii Fce (tong< ol b,teit CPCCk two irdcontase low on !owns,*
Remittance Advice
Your payment is due by Mar 05.2005
229207505378210776100000076176
SP 01 000001 97702 A 1 ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
5-378-21077
USD $ 7.61
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
EFTA00218925
Invoice Number: 5-378-21077
Invoice Date:
Feb 18.2005
Account Number:
Page:
2 of 3
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 Biffing
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 for the account a listed below
Account Number:
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apt: Sete:
City:
Phone (
Autheriring Signature:
Ze
EFTA00218926
Invoice Number: 5-378-21077
Invoice Dale:
Feb 18.2005
Account Number:
Page:
3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Feb 10. 2005
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surtharge FedEti has applied a luel surcharge of 7.50% to This shpmenl.
Distance Based Pricing. Zone 0
Tracking ID
838903148577
Sender
Recipien!
Service Type FedEx Priority OyerrigN
VERY FORIMN
Package Type FedEx Envelope
NYSG LLD
Zone
4
457 MADISON AYE
Packages
1
NEVI YORK NY 100224843 US
MEM
Weivll
NIA
Delivered
Feb 11. 2005 09A2
Transponalion Charge
Svc Area
Al
Fuel Swchaige
Signed by
0.WALKER
FedEx Use
00115407000000192/
Total Charge
7.08
D.53
USD $
7.61
Shipment Detail Subtotal
_USD $
7.61
EFTA00218927