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Invoice Number: 5-378-21077

DOJ EFTA Data Set 10 document EFTA01314506

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DOJ EFTA Data Set 10 document EFTA01314506

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Invoice Number: 5-378-21077 Invoice Date: Feb 18. 2005 Account Number: Far: 1 o13 Fat:1Es Tax ID: 714427007 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: M.F 7-6 (CST) Fax: Internet: www.ledex.com FedEx Express Services Transportation Charges Special Handling Charges Total Charges USDA. TOTAL THIS INVOICE LSD 7.08 0.53 7.61 7.61 The FedEx Grauets accounts referenced in Ibis invoice have been transferred and assigned lo. are owned by. and are payabk to FedEx Excess To anon proparcrodt pease robin Ills ',mon will your payment to Fedex. Moan nor 05100 or 1CM. nresoinalia 'tut chock Payablo to rccet 17 co, swot el winos. awl, for e re amebasfen, on reverts ode Remittance Advice Your payment is due by Mar 05. 2005 229207505378210776100000076176 SP 01 000001 97702 A I ASNGLP NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 IIIIIIIIIIIIIIIIII Invoice Number Account Number Amount Due 5.378.21077 USD $ 7.61 IrrIIIIIIIrIIIIIddrIL,ILIILLJIII DM ILdlll FedEx P.O. Box 371461 Pinsburgh PA 15250-7461 CONFIDENTIAL SDNY_GM_00341794 EFTA_002 14489 EFTA01314506 Invoice Number: 5-378-21077 invote Date: Feb 18.2005 Account Number: Page: 2 of 3 Adjustillia FAX TO Tracking No/Airbill No. Reason Code Explanation RFFORE you FAx Please include detailed explanation for each adjustment request. Remember to include recipient's account number or third panye account number if applicable. From: Name Business Phone Date Business Fax REASON CODE KEY Reason Code Description DUP Duplicate &tang PND Shipment Never Sent RATE Incorrect Rates or Pieces RRA Rebill Recipient Include Recipenrs Account No. RSA Rebill Sender RTA Rebill Third Party Include Third Parry'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 visit our Internet she at www.ledex.com or register for FIO. Fed1K Federal Express Pleatse indicate change In address for the account x listed below: n Physical Address E Blling Address Crornno Address Account Number: Mune Address Apt., Sulk,: Car State: Dix ( Fax: I Authorizing Signahao: CONFIDENTIAL SDNY_GM_00341795 EFTA_00214490 EFTA01314507 Invoice Number: 5-378-21077 Invoice Date: Feb 18.2005 Account Number: Page: 3 of 3 FedEx Express Shipment Detail By Payer Type (Original) Picked up: Feb 10, 2005 Payer: Shipper Reference: NO REFERENCE INFORMATION Fuel Surcharge. Foe. has apploxl a lea Withal pa or 7.50% to !Ns shpmenl. Distance Based Priem% Zane a Tracking 10 833903146577 Sender Redden Sere= Type FedEx PrangOvernight LAUREEN KWINTNER NERY FORMAN Package Type Fedex Envelope NYS° LLC VOWS SATER SEYMOUR PEASE Zone 4 457 MADISON AVE 52 EAST GAY ST Packages I NEW YORK NY 10022.6843 US COLUMBUS OH 43215 US Wec011 NA DelvWei Feb 11.280509:42 Transportation charge 7.08 Svc Area Al Fuel Surcharge 0.53 50490 by D.WALKER FedEx Use 04115447013000192; Total Charge USO S 7.61 Shipment Detail Subtotal IDS 7.61 CONFIDENTIAL IIIIIIIIIMIIIII SDNY_GM_00341796 EFTA_00214491 EFTA01314508

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