EPSTEIN
page 2 / 5147 . OCR, unverified
USD $ 153.22
1...11.1.1...1.1.1.1.11...1...1.1..1.11
11.11
11..1.11
EFTA00220255
--- PAGE 2 ---
Invoice Number: 7-700-30473
Invoice Date:
Oct 25.2004
Account Number:
Page:
of 5
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill No.
Reason Code
Explanation
{ยข 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
PND
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 HO.
Fedtz
Federal Express
Please Indicate change In address ler the account a listed below
Account Number:
Name:
E Physical Address K Billing Address
K Mailing Address
Address:
Apl.: Suite:
City:
Phone (
Authorizing Signatuie:
Zp
EFTA00220256
--- PAGE 3 ---
Invoice Number: 7-700-30473
Invoice Date:
Oct 25.2004
Account Number:
Page:
of 5
FedEx Express Shipment Summary by Payor Type
Shipper
Original
Number of Shipments
Transportation Charges
104.01
Base Discount
-3.12
Special Handling Charges
9.58
TOTAL
USD S
110.47
Number of Shipments
Total Charges
USDS
110.47
Third Party
Number of Shipments
Transportation Charges
40.25
Base Discount
-1.21
Special Handling Charges
3.71
TOTAL
USD S
42.75
Number of Shipments
Total Charges
USDS
42.75
TOTAL SHIPMENTS
TOTAL CHARGES
USD S
153.22
111111 1111111111111111111
EFTA00220257
--- PAGE 4 ---
Invoice Number: 7-700-30473
Invoice Date:
Oct 25.2004
Account Number:
Page:
of 5
FedEx Express Shipment Detail By Payor Type (Original)
Dropped off: Oct 18.2004
Payor: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge . FedEx has applied a luel surcharge ol 9.50% lo this shOnewl.
Discown applied is the grealer of volume discounl or &opor dscount. No addhonai discounl applies.
Revisory clearance delay.
Tracking ID
806881410188
Sender
Recipient
Service Type FedEx bill Priwily
MANUELA STUFFER
TSA PECK
Package Type FedEx Envelope
JEFFREY E EPSTEIN
OBM LIMI1ES
Zone
457 MADISON AVE FL 4
SEA MEADOW HOUSE
064/Crest.
ABE'S
NEW YORK NY 100224843 US
Packages
Weigle
0.5 to
Delivered
Ocl 19. 2004 18:10
Transpoitalion Charge
30.00
Signed by
S.ANTHONY
Fuel Surcharge
2.78
Discounl
4.90
Customs
Entry Date
Oel 14 2004
FedEx Use
G30D3MS01055
Total Transportation Charges
USDS
31.86
Picked up: Oct 21.2004
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a luel surcharge ol 9.50% lo this shpmenl.
FedEx has weed this airbill la correct penes. weighl. and service. Any changes made are recected n the invoice arnoure.
Tracking ID
792118547288
Sender
Recipient
Service Type FedEx bill Priorily
Package Type FedEx Pak
Zone
I
otigtoest.
masrr
Packages
I
Weigle
4.8 Ss
Delivered
Ocl 22. 2004 15:18
CECILIA STEEN
JEFFREY E. EPSTEIN
457 MADISON AVENUE
4TH FLOOR
NEV! YORK NY 10022 US
Transpoitalion Charge
JEAN NE
FNANDIAL TRUST COMPANY
74.01
Signed by
A.RCORIGUEZ
Fuel Swtharge
8.82
Discounl
-222
Customs
Entry Dale
Oel 22. 2004
Total Transportation Charges
USD S
78.61
FedEx us*
krutzusowx_
Shipment Detail Subtotal
_USD S
110.47
EFTA00220258
--- PAGE 5 ---
Invoice Number: 7-700-30473
Invace Date:
Ocl 25. 2004
Account Number:
Page:
of 5
FedEx Express Shipment Detail By Payor Type (Original)
Dropped off: Oct 14.2004
Payor: Third Party
Reference: NO REFERENCE INFORMATION
Fuel Surcharge FedEx has applied a fuel surcharge of 950% lo Ihis shpmenl.
FedEx has audded Mis alibi" la correct paces. weighl. and service. Any changes made are reflected in the invoice arnoLnl.
Discern% applied is the greater of volume discounl or doper dscount. No addle:nal discounl applies.
Tracking ID
837474576798
Service Type FedEx bill Priority
Package Type FedEx Pak
Zone
Orig./Dest.
ABOrSTT
Packages
Weigle
0.6 lbs
Delivered
Ocl 15.2004 16:35
Signed by
A.R0ORIGUEZ
Customs
Entry Dare
Oct 15.2004
Peer, Use
G54771.IS01O,_
Sender
Recipient
KAREN GORDON
DALE
ZORO RANCH
11111
ZORO RANCH ROAD
STANLEY NM 87056 US
Transportalion Charge
40.25
Fuel Swcharge
3.71
Discounl
-1.21
Total Transportation Charges
USD S
42.75
Shipment Detail Subtotal
_USD
42.75
IIIIIIIIIIIIIIIIIIIIIIIIII
EFTA00220259
--- SOURCE: VOL00009__IMAGES__0022__EFTA00220260.txt ---
METADATA_SOURCE: VOL00009IMAGES0022
METADATA_FILENAME: EFTA00220260.pdf
----------------------------------------