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FedEx.
358 EBRELLO WAY
PALM BEACH FL 13480
Invoice Summary May 23, 2003
Invoice Number: 7-162-66809
invoice Date:
May 23. 2003
Account Number:
1144-2081.6
Page:
1 of 5
FedEx Tax ID: 71-0427007
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622-1147 M-F 7.6 (CST)
Fax:
(800)548.3020
Internet:
www.fedex.ccrn
FedEx Express Services
Duties. Tax. Customs. Other Fees
50.30
Total Charges
USD S
50.30
USD S
50.30
The FedEx Ground accounts referenced in this Invoice have been transferred and assigned to. are owned by. and are payable to FedEx Express.
To onset* prow credit pieces mon see poroon with worn Nyasa( le TedEn
Please N not stapler et NIA. Please maim yaw chock peroble to TedF.
[i For charge of address. click hors endcompel* form wagons side.
Remittance Advice
Payment due upon receipt
114 420817162668094000000503020
I II
Invoke
Number
Account
Number
Amount
Due
7-162.66809
1144.2081-6
$50.30
IllIIlIllIlltlIIIiaalltlIIlllIIlllIilIllIiIlIlIIllliI
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JF_FFREYE EPSTEN
358 EBRELLO WAY
FectEr
PALM BEACH FL 33460
P.O. Box 1140
pews.
tasirohis TN 38101.1140
III1111111111
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rtorrovo _on
1144
51
CONFIDENTIAL
SONY_GM_00348952
EFTA_00221644
EFTA01319475
Invoice Number: 7-162-66809
Invoice Date:
May 23, 2003
Account Number:
1144-2081-6
Page:
2 of 5
Fecest
Please indicate change In address for the account o listed below:
PhRical Address
SI(IQ Address
MalliiijAddress
Account Number: 1144-20814
Name:
Address:
Apt./Sultet:
City:
State:
Zip:
Phone: (
)
Fax: (
Authorizing Signature:
111111/11
,ox..,.....,43434:0310$1311
0121
SIOXIMY....0C00:0231.1110)SIC
CONFIDENTIAL
SDNY_GM_00348953
EFTA 0022I645
EFTA01319476
Invoice Number: 7-162-66809
invoice Daie:
May 23, 2003
Account Number:
1144.2081.6
Page:
3 of 5
FedEx Express Shipment Summary by Payment Type
Original
Shipper
Number of Shipments
1
Dunes. Tax. Customs. Other Fees
50.30
TOTAL
USD s
50.30
Number of Shipments
Total Charges
1
USD$
50.30
TOTAL SHIPMENTS
TOTAL CHARGES
..191! III
CONFIDENTIAL
1
USD S
50.30
SDNY_GM_00348954
EFTA_00221646
EFTA01319477
FedEx Express Shipment Detail By Payment Type
(Original)
Invoice Number: 7-162-66809
Invoice Dale:
May 23, 2003
Account Number:
1144.2081.6
Page:
4 of 5
Shipped: May02, 2003
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Tracking ID
Service Type
Package Type
830273205303
FecEx IM Economy
Customer Packaging
Semler
Recipient
J EPSTEIN
%HEALS* POCHAPID
OrigiDost
RUNX1.1
457 MADISON AVE FL 0
Packages
I
NEW YORK NY 10022.6843 US
Weight
2.0Ibs. 0.9 kgs
Delivered
May 135. 2003 1321
May 02. 2003 • Conversion Rate
CAD-USD 0.7100984010
Synod by
.RODMAD
Trarepenalion Ctarge
000
FectEx Use
23144L/_
Total Transpcdation Charges
USD 3
0.00
Customs
Customs Duty
0.00
Entry Dale
May 03. 2003
Advancement Fee
CAD
7.00
4.97
Entry No.
175000462624843
Canada GST
CAD
29.79
21.15
Dec. Value
USD 300.00
Omuta PST
CAD
34.05
24.18
Total Duties. Tax. CtoltOmil, Other FM
USD 3
5030
Shipment Total
USD I
50.30
Shipment Detail Subtotal
USD 3
50.30
11Milli
III IIII
10%.340).Z4304r.031.0%121“123
/11:00TY...ACCCO2211.1141.20911
CONFIDENTIAL
SDNY_GM_00348955
EFTA_00221647
EFTA01319478
Fed
63 HEADER & COMMERCIAL INVOICE INFORMATION
Invoice Number: 7-162-66809
Invoice Date:
May 23. 2003
Account Number:
11442081.6
Page:
5 of 5
Metal tamespaid OunISAMOM end BST m Cenada Coxes AM Revenue Aracy WWI on your behalf. Enos aM OmMOOne mum be reported In writing remedial', upon receipt Any
iNkleXall Coat**, OuMISAMM. Mtg. Doukas. interest
04.4. Uses imposed try CCM or Ow Goverment Departments %%0 respect to the goods armored are Ole inponobittr of
mponer.
Importer Name and AMItess
CP MADISON AVE FL'
NEWYORK. NY1402246U
Butmess No.
Type
F
MC* NO
Mode
Pon of Urdading
Tool 5fF0
417
1
II
426
C,tsms Duties
SIMA Assess
OM
OM
Erse In
OP
Total
AM
ate
6214
S.: MDR No.
01
Weida Name.
ColenCy Code
rime time
USD
0
Fiel0ht
Release Dale
Referent' NO.
M Waptill No
Trans
62/26/03
115034620N111]
092112/918
ITSISM1061(61
Comfy of Oriain
Mace of Upon
MY
MY
Tariff Treatment
U.S. Pon of Ent
Exchange Rate
Direct Ship Data
2
2016
1.4118
65RQ
Line
Description
1
1,311AVOI
W00/11 In Kilos
Nev.Emit No.
INV.tint
Sp vial AM
°ossification No.
Tariff Code
85119210.40
Chian*
UIM
WD Code
120
OMB
19
SIMA Code
Rate of Customs Doty
Excise Tax Ram
6.53. Rafe
Wilke Cur
/MI
WO
Value lot DIP
C,tsms Dube*
4.1664
MOD
SIMAAstestmem
Excise Ifet
Veto tot lim
6St
42164
an
Line
Description
S
Neuman SALES TAX
Waif/Min Kilos
1
Prey. Trans. No.
Prey. Line
Special Au,
°ossification No.
Tariff Code
0406911219
Quantity
WM
WD Code
19
SIMA Cede
Rate of Customs Day
Exose Tax Ram
G.53. Ram
Yalke Cur
MO
41
Value lot (NW
CkateMt Duties
0.01
SIAM Assestmem
Excise lint
MW for lax
651
In
an
IOX.•XSOCe.:001%01.001240S124.
tOXOTY
DX 0030211144Xate
CONFIDENTIAL
SDNY_GM_00348956
Cow
Caw
EFTA_00221648
EFTA01319479