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Invoice Number: 7-943-27562

DOJ EFTA Data Set 10 document EFTA01320039

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DOJ EFTA Data Set 10 document EFTA01320039

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EFTA Disclosure
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Invoice Number: 7-943-27562 Invoice Date: Jan 07. 2005 Account Number. Page: 1 o13 FedEx Tax 10: 714427007 NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Billing Account Shipping Address: NYSO LLC 457 MADISON AVE NEW YORK NY 10022-6843 11$ Invoice Summary Jan 07, 2005 Invoice Questions? Contact FedEx Revenue Services Phone. M.F 7-6 (CST) Fax: Internet: vnwtledex.ccrn FedEx Express Services Transportation Charges Spada' Handling Charges Total Charges TOTAL THIS INVOICE LSD 7.08 0.92 8.00 8.00 The redEx Ground accounts referenced in It envice have been translened and asvoned lo. are owned by. and are payable to FedEx Express. To ware propionate- pboso morn eas paten wed your bayintotioNati. %USD 00 Oa MOO sr rms. %WS Maki ,tue chock Payablo la FeEs- c‘vve el Sens. cheek rare ire ccmpbte ka, ca mt.:* tilt Remittance Advice Vow payment Is due by Jan 22. 2005 229207507943275623400000080038 SP 01000001 97102 A 1 ASNGLP NYSO LLC 457 MADISON AVE NEW YORK NY 10022-6843 IIIIIIIIIIIIIIIIII Invoice Number Account Number Amount Due 7.943.27562 USD $ 8.00 ittii ILdlll FedEx Pia Box 371461 Pittsburgh PA 15250-7461 CONFIDENTIAL SDNY_GM_00349768 EFTA_00222460 EFTA01320039 Invoice Number: 74143-27562 Invoice Date: Jan 07.200S Account Number: Page: 2 of 3 Adjust FAX TO Tracking NoJAIrbill No. Reason Code Explanation RFFORE 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 ildling PND Shipment Never Sent RATE Incorrect Rates or Pieces RRA Rebill Recipient Include Recexenrs Account No. RSA Rebill Sender RTA Rebill 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 visit our Internet site at www.fedex.com or register for FIO. Fed1K Federal Express Please Indicate change In address for the account x listed below: Physical Address E Billing Address I Melling Address Account Number: Name: Address: Apt., Suite: Cily: Stare: Bp: Peered 1 Fax: I Authorizing Signature: CONFIDENTIAL SDNY_GM_00349769 EFTA_0022246 1 EFTA01320040 Invoice Number: 7.943.27562 Invoice Date: Jan 07. 2005 Accoin Number Page: Sof FedEx Express Shipment Detail By Payer Type (Original) Picked up: Dec 16, 2004 Payer: Shipper Reference: NO REFERENCE INFORMATION Fuel surcharge • FedEx has appled a fuel surcharge of 13.00% to the ennmerg Distance Based Prkno Zone 4 FedEx nas audited !Ns shpment sor conoci packages. weight. and service. My changes mane are retlecled in Me Involoa amount Tradting ID 848277201770 Semler Reci$enl Service Type Feckx PrioniyovemigN LAUREN KWNTNER LORENA SCHNEIDER PaCkago Type Fedex Envekee NYSO 110 FLIGHT OPTIONS LLC Zone a 457MADISON AVE 28180 CUR1S•WRIGHT PKWY CONIR Packages 1 NEW YORK NY 10022.6841 LIS CLEVELAND OH 44143 US War ID tn. 0.5 Ices Delvered Dec 17. 2004 loao Transpanaton Charge 7.08 Svc Area A2 Fuel Strahare0 092 Signed by D.PROVITT Fedex Use 35119797013000192C Total Charge USDS 8.00 Shipment Detail Subtotal I1SDS 8.00 CONFIDENTIAL MINIMUM SD NY_GM_003497 70 EFTA_00222462 EFTA01320041

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Domainwww.fedex.com
Phone14427007
Phone250-7461
Phone8277201770
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