DOJ-OGR-00015405.jpg
490 KB
Extraction Summary
0
People
2
Organizations
0
Locations
1
Events
0
Relationships
1
Quotes
Document Information
Type:
Financial record
File Size:
490 KB
Summary
This document is a blank FedEx Adjustment Request form related to invoice number 4-486-92384, dated December 6, 2002. The form provides instructions and reason codes for a customer with account number 2292-0750-4 to dispute charges by faxing the completed form to a specified number.
Organizations (2)
| Name | Type | Context |
|---|---|---|
| FedEx | Company |
The document is a form from FedEx for requesting invoice adjustments.
|
| Federal Express | Company |
Mentioned under the FedEx logo in the address change section.
|
Timeline (1 events)
Key Quotes (1)
"This form cannot be used to request Invoice Adjustments due to Service Failures or lack of a POD."Source
— FedEx
(An instruction on the form clarifying its limitations.)
DOJ-OGR-00015405.jpg
Quote #1
Full Extracted Text
Complete text extracted from the document (1,301 characters)
FedEx.
Invoice Number: 4-486-92384
Invoice Date: Dec 06, 2002
Account Number: 2292-0750-4
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 FIO.
FedEx
Federal Express
Please indicate change in address for the account # listed below
Account Number 2292-0750-4
[ ] Physical Address [ ] Billing Address [ ] Mailing Address
Name:
Address:
Apt. / Suite:
City:
State:
Zip:
Phone: ( )
Fax: ( )
Authorizing Signature:
CONFIDENTIAL
SDNY_GM_00340726 96
DOJ-OGR-00015405
Invoice Number: 4-486-92384
Invoice Date: Dec 06, 2002
Account Number: 2292-0750-4
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 FIO.
FedEx
Federal Express
Please indicate change in address for the account # listed below
Account Number 2292-0750-4
[ ] Physical Address [ ] Billing Address [ ] Mailing Address
Name:
Address:
Apt. / Suite:
City:
State:
Zip:
Phone: ( )
Fax: ( )
Authorizing Signature:
CONFIDENTIAL
SDNY_GM_00340726 96
DOJ-OGR-00015405
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