Text extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 1-521-62031
Invoke Date:
Jan 12. 2004
Account Number:
Page:
1 of 8
Feday Tax ID
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
Billing Account Shipping Address:
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Invoice Summary Jan 12, 2004
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622.11471.1-F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
www.fectex.com
FedEx Express Services
Transportation Charges
Base Discount
Special Handing Charges
17720
-21.60
12.20
Total Charges
USD.$..
167.80
TOTAL THIS INVOICE._ ._..._.._.__._..._.._.__.__..USD $
167.80
You saved $21.60 in discounts this period!
The FecEx Ground accounts retetenced in This invoice have been transferred and asagned lo. are owned by. and we payaWe to FedEx Express.
To ensure prwer cm*. Woos* worn Um Rorke vigh yaV ownoni to Forks
Moose do notilaploor Uvl. Pleaso mak° your Nock payable to FodE.N.
Fc. (forgo o I b,teit r*cc t✓ra adcondo, low on rewrites*
Remittance Advice
Your payment is due by Jan 27. 2004
114420811521620318400001678099
SP 01 000001 97702 A 1 ASNGLP
457 MADISON AVE FL 4
NEW YORK NY 10022-6843
Invoice
Number
Account
Number
Amount
Due
1-521-62031
USD $167.80
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
FedEx
P.O. Box 371461
Pittsburgh PA 15250-7461
EFTA00216473
Invoice Number: 1-521.62031
Invoice Date:
Jan 12. 2004
Account Number:
Page:
Adjustment Request
FAX TO (800) 548-3020
Tracking No.:Airbill No.
Reason Code
Explanation
Flf FORE YOU FAX
Please kiclude 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 Eking
PRO
Shipment Never Sent
RATE
Incorrect Rates or Pieces
RRA
Rebill Recipient - Include
Recipient's Account No.
RSA
Rebill Sender
RTA
Rebill Thit Party - Include
Third Part'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 at www.ledex.com or register for FIO.
Fedtz
Federal Express
Please Indicate change in address for the account e listed below
Account Number: 1
Name;
E Physical Address K Billing Address
K Mailing Address
Address:
Ask Suitt
City:
Phone: (
Authorizing Signature:
EFTA00216474
Invoice Number: 1-521.62031
Invoice Date:
Jan 12. 2004
Account Number:
Page:
3 of 8
FedEx Express Shipment Summary by Payor Type
Shipper
Original
Number of Shipments
1
Transportation Charges
177.20
Base Discount
21.60
Special Handling Charges
12.20
TOTAL
USD S
167.80
Number of Shipments
11
Total Charges
USD
167.80
TOTAL SHIPMENTS
11
TOTAL CHARGES
USD $
167.80
EFTA00216475
Invoice Number: 1-521-62031
Invoice Date:
Jan 12. 2004
Account Number:
Page:
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Dec 29, 2003
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel surcharge ol 4.00% lo this shprneni.
Distance Based Pricing. Zone 6
Package senl from: 33480 zip code
Tracking ID
841798656992
Sender
Reekkent
Service Type FedEx 2Day
CATHERHE DERBY
Package Type Customer Packaging
Zone
6
457 MADISON AVE FL 4
457 MADISSON AVE 4TH FL
Packages
1
NEW YORK NY 100224843 US
NEW YORK NY 10022 US
3.0 be. 1 A kgs
Delivered
Dec 31. 2003 12:34
Transpottalion Charge
12.80
Svc Area
Al
Oiscounl
.1 28
Signed by
P.PATRICK P
Fuel Sinharge
046
FedEx Use
363119930436062C
Courier Pickup Charge
000
Total Charge
USD S
11.98
Picked up: Jan OS, 2004
Payor: Shipper
Reference: PLANS
Fuel Surcharge FedEx has applied a fuel
Distance Based Pncing. Zone 3
InlernetShp
Tracking ID
791746125950
Service Type FedEx Privity °mingle
Package Type FedEx Tube
Zone
3
Packages
1
2.0 De 0.9 kgs
Delivered
Jan 06.2004 09.40
Svc Area
Al
Signed by
MAICFADCEN
FedEx Use
532512340415021_
surcharge ol 4.50% lo Ihis shprnenl.
Lr
CECILIA STEEN
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transportalion Charge
Discounl
Fuel Swcharge
TOM PAVETTE
GO HASAN KHAN
20.50
205
0.09
Total Charge
USD S
19.28
EFTA00216476
Invoice Number: 1-521.62031
Invoice Dale:
Jan 12. 2004
Account Number:
Page:
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jan 05. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge. FedEx has applied a luel surcharge ol 4.50%10 This shprnenl.
The delivery COMMSTOM las FecEx 2day so homes or ptiv-ale residences (In:tiding home offices) is 7 P.M. to second business day for Al. A2. AA. A3. AM. PM. 01 and RAI service ✓eas.
Distance Based Pricing. Zone 8
Package seal from: 10021 rip code
Release signature cri Be.
Tracking ID
844811245593
Sender
Recipient
Service Type FedEx 2Day
CATHERINE
MAUR /ELLS
Package Type FedEx Pak
Zone
8
457 MADISON AVE FL 4
Packages
1
NEW YORK NY 100224843 US
Weigh)
2.0 lbs. 0.9 kgs
Delivered
Jan 07.2004 12:38
Transportation Charge
1280
Svc Area
2R
Courier Pidup Charge
002
Signed by
3785348
Residential Detvery
1.76
FedEx Use
00521319040M 12/02
Discounl
-128
Fuel St:charge
052
Total Charge
USD
13.79
Picked up: Jan 06, 2004
Payer: Shipper
Reference: PAY ROLL
Fuel Surcharge. FedEA has applied a fuel surcharge ol 4.50%10 This shprnenl
•
Distance Based Pricing. Zone 7
Release signature on lie.
InlernetShp
Sender
Recipient
Tracking ID
790011818423
CECILIASTEEN
KAREN GORDON
Service Type FedEx 2Day
ZORRO RANCH
=--
Package Type FedEx Envelope
457 MADISON AVE FL 4
49 ZORRO RANCH RD
Zone
7
NEW YORK NY 100224843 US
STANLEY NM 87058 US
Packages
=--
Weigh)
1.0 ea. 0.5 age
Transportation Charge
1060
Delivered
Jan 08. 2004 14:07
Cliscounl
.156 =
Svc Area
AM
Fuel Surcharge
044
Signed by
7279236
Oelvery Area Surcharge
FedEA Use
5328221504111342
Tote! Charge
USD
11.72
Picked up: Jan 06. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a fuel
Distance Based Pncing. Zone 4
surcharge ol 4.50% to This shpmenl.
Inlerne4Shp
Sender
Recipient
Tracking ID
790510413242
CECILIASTEEN
PEG UGUVID
Service Time FedEx Slander(' Overnight
NA. PROPERTY
Package Type FedEx Envelope
457 MADISON AVE FL 4
Zone
NEW YORK NY 100224843 US
Packages
1
Weighl
1.0 ea. 0.5 age
Transportation Charge
14.50
Delivered
Jan 07.2004 0947
Discount
-232
Svc Area
A2
Fuel Surcharge
0.55
Signed by
0.0AKLEY
FedEx Use
53263954040222C
Total Charge
USD $
12.73
EFTA00216477
Invoice Number: 1-521.62031
Invoice Date:
Jan 12. 2004
Account Number:
Page:
6 of 8
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jan 06. 2004
Payor: Shipper
Reference: PLANS
Fuel Surcharge FedEA has applied a Nei
Distance Based Pncing. Zone 3
Inleme4Shp
Tracking ID
791746974711
Service Type FedEx Pfionty Overnight
Package Type FedEx Tube
Zone
3
Packages
1
Weight
1.0 Cs. 0.5 kgs
Delivered
Jan 07.2004 09A8
Svc Area
Al
Signed by
B./AYERS
FedEx Use
5326958000150EV_
surcharge ol 4.50% to this shpmenl.
Sender
CECILIA STEEN
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transportalion Charge
Oiscounl
Fuel Skrcharge
Recipient
TOM PAYETTE
MIS
*CO
•1 90
0 77
Total Charge
USD S
17.87
Picked up: Jan 06. 2004
Payer: Shipper
Reference: RECEIPT
Fuel Surcharge FedEx has applied a Nei surcharge ol 4.50%l0 this shpmenl.
Distance Based Pncing. Zone 6
Release signarure on Ile.
InlemetShp
Sender
Recipient
Tracking ID
792402658750
Service Type FedEx Siandard Overnight
Package Type FedEx Envelope
Zone
6
Packages
Weigh)
1.0 ca. 0.6 kgs
CECILIA STEEN
457 MADISON AVE FL 4
NEW YORK NY 10022-6843 US
Transportalion Charge
358 EL BRILLO WAY
PAL/A BEACH FL 33480 US
1545
Delivered
Jan 07.2004 14:16
Discount
-247
Svc Area
AA
Fuel Stacharge
0.58
Signed by
E.PSTEIN
Residential Delver./
1.75
FedEA Use
532713960:0024402
Total Charge
USD
15.31
Picked up: Jan 07, 2004
Payor: Shipper
Reference: BALLET FL
Fuel Surcharge FedEx has applied a fuel
Distance Based Pricing. Zone 6
InlemetShp
Tracking ID
792544351653
Service Type FedEx 2Day
Package Type FedEx Envelope
Zone
6
Packages
Weigh)
Delivered
Svc Area
Signed by
FedEx Use
1.0 ea, 0.5 kgs
Jan 09.2004 1200
AA
°NICKS
53291346101112J_
s.ircharge 01 4.50% to this shone,'
al10091
CECILIA STEEN
457 MADISON AVE FL I
NEW YORK NY 100224843 US
Transportation Charge
Discount
Fuel Surcharge
ReCtiern
DAWN VICKS-110FRANO
10.00
-1.00
0.41
Total Charge
USDS
9.41
EFTA00216478
Invoice Number: 1-521.62031
Invoice Date:
Account Number:
Page:
FedEx Express Shipment Detail By Payor Type (Original)
Picked up: Jan 07. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEA has applied a fuel
Distance Based Pncing. Zone
Package seal from: 33480 zip code
surcharge of 4.50% to this shpnenl.
Tracking ID
841798656970
Sender
Recipient
Sent& Type FedEx Privity Owirright
SARAH KELLEN
Package Type FedEx Envelope
116TH EAST 65TH ST
Zone
8
457 MADISON AVE FL 4
NEW YORK NY 10021 US
Packages
I
NEW YORK NY 100226843 US
Weill
1.0 ma. 0.5 kgs
Delivered
Jan 08.2004 09:53
Transponalion Charge
17.40
Svc Area
Al
Oiscounl
.2 78
Signed by
AMETRON01
Fuel St/charge
066
FedEA Use
0070968130023t
Courier Picrup Charge
0.00
Total Charge
USD
15.28
Picked up: Jan 07. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge. FedEx has applied a fuel surcharge of 4.50% to This shpnenl.
Distance Based Pneing. Zone 6
Package son' from: 33480 zip code
FedEx has welded this shigment for correct packages. weight. and sery
Tracking ID
841798656981
Sender
Sewte Type FedEx Privity Overright
Package Type FedEx Pak
Zone
8
457 MADISON AVE FL 4
Packages
1
NEW YORK NY 100224843 US
Weigh'
Delivered
Svc Area
Signed by
FedEA Use
1.0 ter. 0.5 kgs
Jan 08.2004 09.53
Al
AMETRONDI
00709681041574r_
Transpodalion Charge
Oiseouni
Fuel Surcharge
Courier Pickup Charge
My changes made are fallaCled in the Mote amount.
Reatt
SARAH KELLEN
116 EAST 65TH ST
NEW YORK NY 10021 US
2675
.268
lea
eee
Total Charge
USD5
111111111111111111111
25.15 —
Dropped off: Jan 07. 2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel
Distance Based Pricing. Zone 6
Package seal from: 33461 zip code
surcharge of 4.50% to this shpnenl.
Tracking ID
844989976180
Semler
Ra
u
Sante Type FedEx Priority Overright
Package Type FedEx Envelope
Zone
8
Packages
1
Weivll
1.0 tn. 0.5 kgs
Delivered
Jan 08.2004 09.53
DAVE RODGERS
457 MADISON AVE FL 4
NEW YORK NY 100224843 US
Transponalion Charge
SARAH KELLEN
116 E 65TH STREET
NEW YORK NY10021 US
17.40
Svc Area
Al
Oiscouni
-2.78
Signed by
A.METRONCH
Fuel Simharge
0.66
FedEA Use
0070844304023t
Total Charge
USD
15.28
Shipment Detail Subtotal
USD S
167.80
EFTA00216479
Invoice Number: 1-521-62031
Invare Date:
Jan 12. 2004
Ai:CO[101 Nutuber:
Pege:
Et o18
FedEx Ground Reference Chan
SERVICE CODES
FedEx Ground
015
0..*PCO. Prepoid. Dammlic
016
000. Prmuld. Dmasilc
017
5000. Prepa11 Drosle
Oli
FedE4 GyOund. PRP. Pomad. DanmIc
019
Pro0411 Mamcine
020
ArePCO.Calkci Derneatic
021
O:40cl Damo-sic
131
Ona.md 3rd P ny. R i
liwr
136
Oroutl Propal. Not PØ
137
Orani Prepasd. %O/ns Menage.
OB
Gumnem] Funds 000. Propha. Damxit
409
Cara COD. Napad. Dunnarko
410
ALMPCO.CCO. PrOpod. Dmosic
412
AraPCO. ECOD. Napad. Domator
415
A403PCO.GuanwIcrod Funds COD. Pad. Dan
416
AraPCO. Gron CCO. Pre090. DOmeslie
417
B1 3d Torn. Dernogirt
418
Bil Ord Pasty. ~POD. Dom9sIc
419
0413d Party. COD. Drost<
420
0413d Pany. aurar~1 Ards COD. Dem.
421
Bil Ord Pasty. Cent 000. Dome1hc
422
Ed Raegcml. Dom:sile
423
BI Realpen. rtoloTCO. Drawsk
429
5030.B113rd Pany. Domosec
430
~CO. CM. en 40 Tarty. Dunste
431
AsesPOD. ECOD. Bp 3ed Pany. Dornaffir
432
hrtoPCO. Cara CCO. m1 Sid Pany. Damtelie
433
A4MPOD. Cluanwlood Funds C013. Oli 3rd Party. Ø.
434
ECOD. Bil ~kraso. Domeglic
435
As0JPOD. 000. Bli %cipom. Domowy
458
~CO. ECOD. Be Redgeml. Dmiselk
437
AsOoPCO.Cash COD. B11 Realpar[ Donosie
43/1
~CO. OuallPleed Funds COD. BH peckiem. Dom.
439
GØ
Propod Guarani/rod Fonds. ECOD
FedEx International Ground
aViSiii,ASUtE.UE
AMPCO. Proped
000. Props
%paki
ArloPCO.CalMal
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,
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OrrtoPCO. Gna CCO. Prodani
BI 3rd Pany
Ba Ord Pasty. AutePOD
B1 3d Pany. COD
81 34 Tarty, Csayarteed Finds C0-.
211 3rd Pany. cashCOD
Bil Reagan,
BI ~plant 41.14PCO
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BOJ
806
810
814
($119
820
824
826
630
834
836
842
850
851
852
853
854
856
856
857
858
859
860
1/69
870
871
872
en
874
875
876
878
$79
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Canada 14einonsof Sao Tu 1157
Canada Gutter Sake Ta+ • OST
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Cransolda/ad neW•na Pagage 2/244 244
cornowarta Rotuens Padu.. 4x4x5 4x1412
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sampan Drept‚hp irmemr.4 Charge
EFTA00216480