EFTA Document EFTA01318612

Invoice Number: 4-963-12823 Invoice Date: Nov 21. 20O3 Account Number: 2292.0750.4 Page: 1 o13 Fe0Ex Tax ID: 714427007 NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M-F 7.6 (CST) Fax: (800) 548.3020 Internet: www.ledex.corn Invoice Summary Nov 21, 2003 FedEx Express Services Transportation Charges 28.75 Base Discount -10.75 Special Handling Charges 0.54 Total Charges JJSD.3.. 18.54 TOTAL THIS INVOICE LSD S MSS You saved $10.75 in discounts this period! IMIIIIMMII The FedEx Ground accounts referenced in Ibis iwoice have been transferred and assigned to. are owned by. and are payable to FedEx Express To onw.ro propos <roe a. pause mum th poison win your payment to FodEx. Moslem n:c mato or tot Memo Mae your crock twat.. to Fo£x 11 ro, ewe, cr atm,. Chtnk l'0,0 re amebas form on revene nee Remittance Advice Your payment Is due by Dec 06.2003 229207504963128238400000185 1495 SP 01 000001 97702 At ASNGLP NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Number Account Number Amount Due 4.963.12823 229207504 USD S 18.54 FedEx P.O. Box 371461 Pittsburgh PA 15250.7461 CONFIDENTIAL SDNY_GM_00347733 EFTA_00220425 EFTA01318612 Invoice Number: 4-963-12823 Invoice Date: Nov 21. 2003 Account Number. 2292-07S0-4 Page: 2 of 3 Adjustment Request FAX TO (800) 548-3020 Tracking No./Airbill No. Reason Code Explanation FiFFORE YOU FAX Please include 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 Etdling PND Shipment Never Sent RATE Incorrect Rates or Pieces RRA Rebill Recipient Include Recipenrs Account No. RSA Rebill Sender RTA Rebid Third 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 for Service Failures or lack of a POD. please call 1.800-622-1147, visit our Internet site al wvnv.ledex.com or register for FIO. Fedlz Federal Express Please Indicate change In address for the account x listed below: r- Physical Address E Billing Address I— Moiling Address Account Number: 2292-07504 NEAP Address Apt., Sub: CM: State: Bp: Pliant): ( Fax: I Authorizing Signabn: CONFIDENTIAL SDNY_GM_00347734 EFTA_00220426 EFTA01318613 Invoice Number: 4-963-12823 Inyo:ce Dale: Nov 21.2003 Rogan' Nut. 2292-0750-4 Page: 3 or 3 FedEx Express Shipment Detail By Payer Type (Original) Picked up: Nov 17.2003 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surthalpit - FedEs has epple0 a luel Withal. o13.00% to this shpmenl. FedEx has audsed this artill let coned pieces, ',might arid service. Any charges made are reflected in the mice amount. Tracking 10 825982197680 Recipem Semler Scoots Type FedEx Ira Prienly LAUREN '<PANTHER WILLIAM KARR Package Type Fedex Envelope NYS3 LLC WILLIAM M. KARR a ASSOCIATES. INC Zone I 457 MADISON AVE 18 HAVENSIOHT WAY OrivDesl. JFISSTT NEW YORK NY 100224843 US St THOMA800801 VI Packages I Weicrit 0.608 Transportation Charge 28.75 Deivered NOV M 20031749 I Fuel Surcharge USD S 0.54 Signed by C.OULISS °lateen' 4075 Customs Total Transportation Charges USD $ 18.54 Entry Cate Nov 18.2003 744Ex Use 08311/US010., Shipment Detail Subtotal 18.54 CONFIDENTIAL MINIMUM SDNY_GM_00347735 EFTA_00220427 EFTA01318614