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sd-10-EFTA01312906Dept. of JusticeOtherEFTA Document EFTA01312906
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Dept. of Justice
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sd-10-EFTA01312906
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Summary
Invoice Number: 1-846-39927 Invoice Date: Jun 11. 2004 Account Number: Pa90: 1 ol 3 FedEx Tax ID: 71.0427007 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 Jun 11, 2004 FedEx Express Services Transportation Charges 30.00 Base Discount -11.10 Special Handling Charges 1.13 Total Charges 1JSD.S.. 20.03 TOTAL THIS INVOICE LS
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Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 1-846-39927
Invoice Date:
Jun 11. 2004
Account Number:
Pa90:
1 ol 3
FedEx Tax ID: 71.0427007
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 Jun 11, 2004
FedEx Express Services
Transportation Charges
30.00
Base Discount
-11.10
Special Handling Charges
1.13
Total Charges
1JSD.S..
20.03
TOTAL THIS INVOICE
LSD $
20.03
You saved 511.10 in discounts this period!
IIIIIIIIMIIIIIII
The FedEx Ground accounts referenced in Ibis invoice have been transferred and assigned to. are owned by. and are payable to FedEx Express.
To *ma* proporaotit obese iolum Ills potion win your paymonno FodEx.
Steam ea n 0100 01104. Ploaso malt. yawl snook twat.. to FoSEx-
I I re, swot sr etym. checkIwo ire ampere lean on reverts nen
Remittance Advice
Vow payment Is due by Jun 26. 2004
SP 01 000001 97702 At ASNGLP
NYSO LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
1.846.39927
USD $ 2603
I
11,11
ILdlll
FedEx
P.O. Box 371461
Pitlsburgh PA 15250.7461
CONFIDENTIAL
SDNY_GM_00339277
EFTA 00211972
EFTA01312906
Invoice Number: 1-846-39927
Invoice Date:
Jun I 1. 2004
Account Numtec
2 of 3
Adjustment Request
FAX TO (800) 548-3020
Tracking No.+Airbill No.
Reason Code
Explanation
$FFORE YOU FAX
Please include detailed explanation for each adjustment request.
Remember to include recipient's account number or third panys
acccarn number if applicable.
From:
Name
Business Phone
Date
Business Fax
REASON CODE KEY
Reason
Code
Description
DUP
Duplicate Billing
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 Accoimi 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 at www.fedex.com or register for FIO.
Fedh
Federal Express
Please indicate change In address for the account x listed below:
n
Physical Address E Blling Address
I
Mailing Address
Account Number: 2292.07604
Name:
Address'
Apt./ Sure:
City:
Stale:
D0:
Fax: I
Authorizing Signature:
CONFIDENTIAL
SDNY_GM_00339278
EFTA_00211973
EFTA01312907
Invoice Number: 1.846.39927
Invoice Date:
Jun 11. 2004
Accouni Number:
3 of 3
FedEx Express Shipment Detail By Payer Type (Original)
Picked up: Jun 03 2004
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Suruhatpe • Fedex has appled a 'WI SurCaUPO CO6 03%10 INS /1hplileel
Trading 10
1325932197370
Service Type FedEx Ina None
Package Type FedEx Envelope
Sordid
Reciaeni
LAUREN KYANTNER
NYSG LLC
ALLY BIS1
MARTARIANES
Zone
0
Ole/Dist
JR13LIC
Packages
I
Weight
0.1 las
457 MADISON AVE
NEW YORK NY 10022.6.543 US
Transponaton Charge
30.00
Deemed
Jun07. 2C04 0834
Fuel Surcharge
1.13
Signed by
D.RYAN
Discount
-11.10
Customs
Total Transportation Charges
uSOS
20.03
Entry Date
Jun04.2004
FedEx Ulm
GOB939S01Q'_
Shipment Detail Subtotal
IL4DS
20.03
CONFIDENTIAL
IIIIIIIIIMIIIII
SDNY_GM_00339279
EFTA_00211974
EFTA01312908
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