Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 7-655-25577
Invace Date:
Oct 04. 2004
Account Number:
Page:
I of 5
FedEx Tax
457 MADISON AVE FL 4
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.feclex.com
Invoice Summary Oct 04, 2004
FedEx Express Services
Transponation Charges
Base Discount
Special Handing Charges
125.75
-3.78
10.37
Total Charges
132.34
$
132.34
You saved $3.78 in discounts this period!
The FotEx Ground accounts reteteneed in This invoice have been transferred and asagned lo. are owned by. and we payaWe to FedEx Express.
To ensure proper croft owes, mann On Rorke vigh liar winnow to Foot).
Moose do notilaploor
Ptlaso mak° your Nock payable to FodE.N.
Fc. (forgo o I b,teit CPCCk owe sod contailif low on row:es*
Remittance Advice
Your payment is due by Oct 19.2004
114 14208176552557715000013231400
SP 01 000001 97702 A 1 ASNGLP
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
Invoice
Number
Account
Number
Amount
Due
7-655-25577
USD S 132.34
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
EFTA00220168
Invoice Number: 7-655-25577
Invoice Date:
Oct 04.2004
Account Number:
Page:
2 of 5
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill 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
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 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 Malang Address
Address:
NA.: Suite:
City:
Phone: (
Authorizing Signature:
Zp
EFTA00220169
Invoice Number: 7-655-25577
Invoice Date:
Oct 04.2004
Account Number:
Page:
3 of 5
FedEx Express Shipment Summary by Payor Type
Shipper
Original
Number of Shipments
3
Transportation Charges
125.75
Base Discount
-3.78
Special Handling Charges
10.37
TOTAL
USDS
132.34
Number of Shipments
3
Total Charges
USDS
132.34
TOTAL SHIPMENTS
3
TOTAL CHARGES
USD S
132.34
EFTA00220170
Invoice Number: 7-655-25577
Invoice Date:
Oct O4.2OO4
Account Number:
Page:
4 of 5
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Sep 27. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge - FedEx has applied a fuel surcharge ol 8.50% to this shpmenl.
FedEx has audned this alibi" Ice correct paces. weighl. and service. Any changes made are reflected n the invoice anima°.
Tracking ID
791347755782
Sender
Recident
Service Type FedEx kill Priority
CECILMSTEEN
JEANNE
Package Type FedEx Pak
Zone
I
457 MADISON AVENUE
6100 RED HOCK OUARTER
Ord4Dest.
aleosrr
4TH FLOOR
SUITE B-3
Packages
1
NEW YORK NY 10002 US
ST. THOMAS 00802 VI
Weise°
1.8 Ds
Delivered
Sep 28. 2004 16:31
Transponalion Charge
40.25
Signed by
A.ROORGUZS
Fuel Swcharge
332
Oiscounl
-121
Customs
Enlry Oale
Sep 28.2004
FedEx Use
X780GUS01O'
Total Transportation Charges
USD $
42.36
Picked up: Sep 27, 2004
Payer: Shipper
Reference: G
Fuel Surcharge - FedEx has applied a luel surcharge ol 8.50% to Ihis slit:met
FedEx has gadded this 316911w correct pieces. weight. and service. Any changes made we renewed n the invoice arnotml.
Tracking ID
791347498501
Sender
Redolent
Service Type FedEx kill Pricrily
CECILIA STEEN
Package Type FedEx Envelope
IN
Zone
O
457 MADISON AVENUE
Orig4Dest.
JRBLON
4TH FLOOR
Packages
1
NEW YORK NY 10022 US
Weide°
1.0 Ds
Delivered
Sep 29. 2004 1160
Transponalion Charge
40.25
Signed by
E./AMY/ELL
Fuel Swcharge
3.32
Oiscounl
.121
Customs
Enlry Oale
Sep 28.2004
FedEx Use
X7799USO1O'
Total Transportation Charges
USD S
42.36
EFTA00220171
Invoice Number: 7-655-25577
Invace Date:
Oct 04. 2004
Account Number:
Page:
5 of
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Sep 28, 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge • FedEA has applied a luel surcharge ol 8.50% to this shipment.
Regulatory dearance delay.
Tracking ID
790775511358
Sender
Ra
t
Service Type FedEx MU Priority
CECILIA STEEN
Package Type FedEx Envelope
Zone
L
457 MADISON AVENUE
OrigJDest.
JIMLIM
4TH FLOOR
Packages
1
NEW YORK NY 10002 US
0.5 Ds
Delivered
Sep 30.200412:10
Transportation Charge
45 25
Signed by
G.GANOZA
Fuel St/charge
3 73
Discount
.•
Customs
Total Transportation Charges
USD S
47.62
Entry Dale
Sep 29.2004
FedEA Use
X190SUS01O55
Shipment Detail Subtotal
_USD S
132.34
EFTA00220172