DOJ-OGR-00015319.jpg
490 KB
Extraction Summary
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People
4
Organizations
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Locations
0
Events
0
Relationships
1
Quotes
Document Information
Type:
Fedex invoice adjustment request form
File Size:
490 KB
Summary
This document is Page 2 of 4 of a FedEx invoice dated November 8, 2002. It is a blank 'Adjustment Request' form intended for the account holder (Account Number: 2292-0750-4) to fax back to FedEx if there are billing errors. The document bears 'CONFIDENTIAL' stamps and Bates numbers indicating it was part of evidence in SDNY and DOJ proceedings.
Organizations (4)
| Name | Type | Context |
|---|---|---|
| FedEx |
Issuer of the invoice and form
|
|
| Federal Express |
Alternate name listed on form
|
|
| US Department of Justice (DOJ) |
Implied by Bates stamp DOJ-OGR-00015319
|
|
| SDNY |
Southern District of New York, implied by Bates stamp SDNY_GM_00340629
|
Key Quotes (1)
"CONFIDENTIAL"Source
DOJ-OGR-00015319.jpg
Quote #1
Full Extracted Text
Complete text extracted from the document (2,620 characters)
FedEx.
Invoice Number: 4-443-36929
Invoice Date: Nov 08, 2002
Account Number: 2292-0750-4
Page: 2 of 4
Invoice Number: 4-443-36929
Invoice Date: Nov 08, 2002
Account Number: 2292-0750-4
Page: 2 of 4
Adjustment Request
FAX TO (800) 548-3020
FAX TO (800) 548-3020
Tracking No./Airbill No. Reason Code Explanation
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
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________________________ ___________ __________________________________________________
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________________________ ___________ __________________________________________________
________________________ ___________ __________________________________________________
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
Federal Express
Please indicate change in address for the account # listed below
[ ] Physical Address [ ] Billing Address [ ] Mailing Address
Account Number 2292-0750-4
[ ] Physical Address [ ] Billing Address [ ] Mailing Address
Account Number 2292-0750-4
Name:
__________________________________________________________________________________
Address: Apt. / Suite:
__________________________________________________________________________________
City: State: Zip:
__________________________________________________________________________________
Phone: ( ) Fax: ( )
__________________________________________________________________________________
Authorizing Signature:
__________________________________________________________________________________
__________________________________________________________________________________
Address: Apt. / Suite:
__________________________________________________________________________________
City: State: Zip:
__________________________________________________________________________________
Phone: ( ) Fax: ( )
__________________________________________________________________________________
Authorizing Signature:
__________________________________________________________________________________
CONFIDENTIAL
SDNY_GM_00340629 10
DOJ-OGR-00015319
SDNY_GM_00340629 10
DOJ-OGR-00015319
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