DOJ-OGR-00016050.jpg
419 KB
Extraction Summary
0
People
2
Organizations
0
Locations
0
Events
0
Relationships
2
Quotes
Document Information
Type:
Business form
File Size:
419 KB
Summary
This document is a blank FedEx Adjustment Request form related to an invoice dated December 16, 2002 (Invoice #4-495-33932) for account #1144 2081 6. The form provides instructions and reason codes for a customer to dispute billing issues by faxing the completed form to FedEx, and specifies alternative contact methods for service failure claims.
Organizations (2)
| Name | Type | Context |
|---|---|---|
| FedEx | Company |
Appears as the company logo and name throughout the document, which is a form for their services.
|
| Federal Express | Company |
Mentioned below the FedEx logo in the lower section of the form.
|
Key Quotes (2)
"This form cannot be used to request Invoice Adjustments due to Service Failures or lack of a POD."Source
— FedEx
(An instruction printed on the form specifying its limitations.)
DOJ-OGR-00016050.jpg
Quote #1
"Please include detailed explanation for each adjustment request."Source
— FedEx
(An instruction in the 'BEFORE YOU FAX' section.)
DOJ-OGR-00016050.jpg
Quote #2
Full Extracted Text
Complete text extracted from the document (1,267 characters)
FedEx.
Invoice Number: 4-495-33932
Invoice Date: Dec 16, 2002
Account Number: 1144 2081 6
Page: 2 of 15
Invoice Date: Dec 16, 2002
Account Number: 1144 2081 6
Page: 2 of 15
Adjustment Request
FAX TO (800) 548-3020
FAX TO (800) 548-3020
Tracking No./Airbill No.
Reason Code
Explanation
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.
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
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
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.
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: ☐ Physical Address ☐ Billing Address ☐ Mailing Address
Account Number: 1144-2081-6
Federal Express
Please indicate change in address for the account # listed below: ☐ Physical Address ☐ Billing Address ☐ Mailing Address
Account Number: 1144-2081-6
Name:
Address:
Apt. / Suite:
City:
State:
Zip:
Phone: ( )
Fax: ( )
Authorizing Signature:
Address:
Apt. / Suite:
City:
State:
Zip:
Phone: ( )
Fax: ( )
Authorizing Signature:
DOJ-OGR-00016050
Discussion 0
No comments yet
Be the first to share your thoughts on this epstein document