DOJ-OGR-00015323.jpg

489 KB

Extraction Summary

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Document Information

Type: Adjustment request form
File Size: 489 KB
Summary

This document is a blank FedEx Adjustment Request form associated with invoice number 4-427-88886, dated November 11, 2002. The form provides instructions and reason codes for a customer to dispute charges on their invoice by faxing the completed form to FedEx. It also includes a section for the customer to update their address on file.

Organizations (2)

Name Type Context
FedEx Company
The company providing the form and the shipping service, to whom the adjustment request is sent.
Federal Express Company
Listed under the FedEx logo in the address change section.

Timeline (1 events)

2002-11-11
Invoice number 4-427-88886 was issued by FedEx.
FedEx Holder of account 1814-9779-3

Full Extracted Text

Complete text extracted from the document (1,292 characters)

FedEx.
Invoice Number: 4-427-88886
Invoice Date: Nov 11, 2002
Account Number: 1814-9779-3
Page: 2 of 4
Adjustment Request
FAX TO (800) 548-3020
Tracking No./Airbill No.
Reason Code
Explanation
BEFORE 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
Date
Business Phone
Business Fax
REASON CODE KEY
Reason Code Description
DUP Duplicate Billing
PND Shipment Never Sent
RATE Incorrect Rates or Pieces
RRA Rebill Recipient - Include Recipient's 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 1-800-622-1147,
visit our internet site at www.fedex.com or register for AIO.
FedEx
Federal Express
Please indicate change in address for the account # listed below
Account Number 1814-9779-3
Physical Address
Billing Address
Mailing Address
Name:
Address:
Apt. / Suite:
City:
State:
Zip:
Phone: ( )
Fax: ( )
Authorizing Signature:
CONFIDENTIAL
SDNY_GM_00340600 14
DOJ-OGR-00015323

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