EFTA Document EFTA01315479

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 Oct 04, 2004 Invoice Number: Invoice Date: Account Number. Page: 1 o13 Oct 04.2034 Fedex Tax 10: 71.0427007 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M.F 7-6 (CST) Fax: (800) 548.3020 Internet: wrnviedex.corn FedEx Express Services Transportation Charges Special Handling Charges Total Charges USD.S. TOTAL THIS INVOICE LSD 5 14.35 1.22 15.57 15.57 The FedEx Ground accounts referenced in Ibis invoice have been transferred and assigned lo. are owned by. and are payable to FedEx Express. To *ma* peoporatot pause (Okra Hr peariOn will yaw paymonno FodEx. %Nana an sucio oilcM. nossomoria 'Out chock Payablo to RCEL ro, corr.:ref:rem check ram tro ampere kan onreverse ode Remittance Advice Vow payment is due by Oct 19. 2004 SP 01000001 97702 A I AShIGI, NYSG LLC 457 MADISON AVE NEW YORK NY 10022.6843 IMIIIIIMMI Invoice Number Account Number Amount Due USD $ 15.57 11.11 IIIIIIII FedEx P.O. Box 371461 PitiSbufgh PA 15250.7461 CONFIDENTIAL SDNY_GM_00343184 EFTA_002 15879 EFTA01315479 Tracking No..Airbill No. Adjustment Request FAX TO (800) 548-3020 Reason Code Explanation Invoice Number: Invoice Date: Account Number: Page: Oct 04 2004 2 of 3 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 Billing PND Shipment Never Sent RATE Incorrect Rates or Pieces RRA Rebill Recipient Include Recip:enrs Account No. RSA Rebill Sender RTA Rabin 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 she at www.fedex.com or register for FIO. FeJeral Express Please Indicate change in address for the accouni x listed below: r- Physical Address 1-1 Billing Address E Nadine Address Account Number: 2292.07504 Name AdOten Apt./ Subs: City: Stale: Dp: Phone' I Fax: I Authorizing Signature: CONFIDENTIAL SDNY_GM_00343185 EFTA_002 1 5880 EFTA01315480 Weight Oetvere0 Svc Area Signed ey FedEx Use Invoice Numbe Income Date: Accouni Number: Page: FedEx Express Shipment Detail By Payer Type (Original) Oct 04. 2004 3 of 3 Dropped off: Sep 27. 2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Fuel Surchene • Pea, has VOW a tuba Suiting. Or 8.50% IOINB /augment Distance Based Prism. Zone 2 Tradang lO - Senate Type FedEx Prong °venial" Package Type Fedex Pak Zone 2 Packages I Wads 1.0 lbs. 0.5 kgs Delvered Sep 28. 200409:15 Svc Area At Signed by S.HOEY Facts Use Sender LAUREN AMMER NYSO LLC 45T MADISON AYE NEW YORK NY 10022.6843 US Transportation Charge Fuca Surcharge Accident DENNIS BLOCK CODWALCER WICKERSHAM TAKT t00 MAIDEN LANE NEW YORK CITY NY 10036 US 7.27 0.62 Total Charge uSOS 7.89 Picked up: Sep 27.2004 Payor: Shipper Reference: NO REFERENCE INFORMATION Foe suntnarge • Road has sealed a fuel surd/WOO Or 8.50%tOINs stipment Cistance Based Nang. Zone a Tracking ID Sender Service Type Face Priority Overnight LAUREN KWINTNER Package Type FedEx Envelope NYSG LLC Zone 4 457 MADISON AVE Packages I NEW YORK NY 10022.6843 US t4A Sep 28. 20440939 A2 D.OAKLEY Transponaton Charge Fool Surcharge Redden! PEG UOLANO N A PROPERTY NC 6525 WEST CAMPUS OVAL STE IDS NEW ALBANY OH 43054 US 7.08 0.60 as Total Charge use$ Shipment Detail Subtotal I1SD $ CONFIDENTIAL 7.68 15.57 SONY_GM_00343186 EFTA_002 15881 EFTA01315481