DOJ-OGR-00015360.jpg
489 KB
Extraction Summary
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Document Information
Type:
Fedex adjustment request form / invoice attachment
File Size:
489 KB
Summary
This document is Page 2 of 5 of a FedEx invoice dated November 18, 2002 (Invoice #4-447-92160). It is a blank 'Adjustment Request' form intended to be faxed to FedEx to dispute charges or update account information. The specific account number listed is 1144-2081-6. The document bears 'CONFIDENTIAL' markings and Bates stamps from the SDNY and DOJ, indicating it is part of a legal production.
Organizations (3)
| Name | Type | Context |
|---|---|---|
| FedEx (Federal Express) |
Issuer of the invoice and form
|
|
| DOJ (Department of Justice) |
Indicated by Bates stamp DOJ-OGR
|
|
| SDNY (Southern District of New York) |
Indicated by Bates stamp SDNY_GM
|
Full Extracted Text
Complete text extracted from the document (2,100 characters)
FedEx.
Invoice Number: 4-447-92160
Invoice Date: Nov 18, 2002
Account Number: 1144-2081-6
Page: 2 of 5
Invoice Number: 4-447-92160
Invoice Date: Nov 18, 2002
Account Number: 1144-2081-6
Page: 2 of 5
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
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:
CONFIDENTIAL
SDNY_GM_00340713 51
DOJ-OGR-00015360
SDNY_GM_00340713 51
DOJ-OGR-00015360
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