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Delivery Service Invoice

Shipped from:
R & B WIRE PROD INC-12345 3100 S FAIRVIEW SANTA ANA, CA 92704-6507

Invoice date Invoice number Shipper number Control ID Page 1 of 12

May 14, 2011 0000971443201 971443 19K3

0392A00009714431

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For questions about your invoice, call: (800) 811-1648 Monday - Friday 8:00 a.m. - 9:00 p.m. E.T. or write: UPS P.O. Box 650580 Dallas, TX 75265-0580

R & B WIRE PROD INC-12345 2902 W GARRY SANTA ANA, CA 92704-6510

Thank you for using UPS.

Incentive Savings
Total incentive savings this period Your amount due this period includes these savings. See incentive summary section for details. $ 3.43

Summary of Charges
Page 3 12 Outbound Vendor Manifest Chargeback Charge $ 0.00 $ 20.76

Account Status Summary Weekly Payment Plan


Amount Due This Period $ 20.76 Amount Outstanding (prior invoices) $ 132.80 Total Amount Outstanding $ 153.56 Please include the Return Portion of each outstanding invoice with your payment. See Account Status for details.

Amount due this period

$ 20.76

UPS payment terms require payment of this invoice by May 23, 2011. Payments not received by June 6, 2011 are subject to a late fee of 6% of the Amount Due This Period. (Details in UPS Tariff, available at ups.com) Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 8.5% for UPS Ground Services and 15.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com.

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Please tear off and send with your payment in the enclosed envelope. Do not use staples or paper clips.

Return Portion R & B WIRE PROD INC-12345 2902 W GARRY SANTA ANA, CA 92704-6510

Invoice Date May 14, 2011 Invoice Number 0000971443201 Shipper Number 971443 Amount due this period Amount enclosed

$ 20.76

If this billing address is incorrect, mark an "X" in this box and make the appropriate changes above.

UPS PO BOX 894820 LOS ANGELES, CA 90189-4820

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 2 of 12

May 14, 2011 0000971443201 971443

Incentives
Outbound

Account Status Weekly Payment Plan Date


Count 05/14/2011 -0.27

Service
Incentive Level Fuel Surcharge

Incentive Plan
Published Charges Incentive Credit

Payments Applied
Invoice Number 0000971443171 Invoice Date 04/23/2011 Amount Paid $ 22.00

Ground Commercial Package 05/14/2011 Custom 1

12.16

LAH0388 -3.16

Account Status Weekly Payment Plan Amount Outstanding (prior invoices):


Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 0000971443181 0000971443191 04/30/2011 05/07/2011 $ 50.34 $ 82.46

Ground Commercial Package 05/14/2011 LAH0394 Tier 1 12.16 0.00 Revenue commitment level not met. Average weekly revenue of $69.09 for W/E: 05/15/2010 - W/E :05/07/2011. Incentives do not apply. Total Outbound Total Incentives -3.43 -3.43

Total $ 132.80 Outstanding balances reflect any payments received as of 05/13/2011. Please ignore this message if a recent payment has been made for any outstanding invoices.

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 3 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest
Pickup Date 05/09 Pickup Record 4530029195 Entry Tracking Number Service Ground Commercial Third Party Customer entered weight ZIP Code 48104 Zone 8 Weight 46 Published Charge 0.00 Incentive Credit Billed Charge 0.00

1 1Z9714430330508275

1st ref: 4213041

Sender :

32 2nd ref : 00307838 Receiver: KEVIN JACOBI MUEHLIG FUNERAL HOME 403 S 4TH AVE ANN ARBOR MI 48104 48104 8 7 0.00 0.00

2 1Z9714430330508284

Ground Commercial Third Party Customer entered weight

1st ref: 4213041

Sender :

6.8 2nd ref : 00307838-00002 Receiver: KEVIN JACOBI MUEHLIG FUNERAL HOME 403 S 4TH AVE ANN ARBOR MI 48104 91360 2 28 0.00 0.00

3 1Z9714430330508239 1st ref: 6259

Ground Commercial Third Party

2nd ref : 00307844

Sender :

Receiver: RICH RIDER


CALIFORNIA LUTHERAN UN IVERSITY 60 WEST OLSEN RD 3400 THOUSAND OAKS CA 91360

4 1Z9714430330508248 1st ref: 6259

Ground Commercial Third Party

91360

28

0.00

0.00

2nd ref : 00307844-00002

Sender :

Receiver: RICH RIDER


CALIFORNIA LUTHERAN UN IVERSITY 60 WEST OLSEN RD 3400 THOUSAND OAKS CA 91360

5 1Z9714430330508257 1st ref: 6259

Ground Commercial Third Party

91360

28

0.00

0.00

2nd ref : 00307844-00003

Sender :

Receiver: RICH RIDER


CALIFORNIA LUTHERAN UN IVERSITY 60 WEST OLSEN RD 3400 THOUSAND OAKS CA 91360

6 1Z9714430330508211

Ground Commercial Third Party Customer entered weight

50525

12

0.00

0.00

1st ref: 1122003

Sender :

11.7 2nd ref : 00307847 Receiver: LORITTA LARUE WRIGHT MEDICAL CENTER 1316 S. MAIN STREET CLARION IA 50525 50525 6 82 0.00 0.00

7 1Z9714430330508220

Ground Commercial Third Party Customer entered weight

1st ref: 1122003

Sender :

21 2nd ref : 00307847-00002 Receiver: LORITTA LARUE WRIGHT MEDICAL CENTER 1316 S. MAIN STREET CLARION IA 50525 23459 8 8 0.00 0.00

8 1Z9714430330508266 1st ref: 5100182987

Ground Commercial Third Party

2nd ref : 00307874

Sender : Total for Pickup Number: 4530029195

Receiver: NAVY GATEWAY INNS/SUIT ES


1350 GATOR BLVD VIRGINIA BEACH VA 23459 8 Package(s) 0.00

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 4 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/10 Pickup Record 4530029206 Entry Tracking Number Service Ground Commercial Third Party Customer entered weight ZIP Code 08016 Zone 8 Weight 40 24.9 Published Charge 0.00 Incentive Credit Billed Charge 0.00

1 1Z9714430330508346

1st ref: 00307446-00002

Sender :
2 1Z9714430330508355 Ground Commercial Third Party Customer entered weight

Receiver: HD SUPPLY 0022


1100 JOHN GALT WAY, ST E 1 BURLINGTON NJ 08016 08016 8 40 24.9 0.00 0.00

1st ref: 00307446-00003

Sender :
3 1Z9714430330508364 Ground Commercial Third Party Customer entered weight

Receiver: HD SUPPLY 0022


1100 JOHN GALT WAY, ST E 1 BURLINGTON NJ 08016 08016 8 40 24.9 0.00 0.00

1st ref: 00307446-00004

Sender :
4 1Z9714430330508373 Ground Commercial Third Party Customer entered weight

Receiver: HD SUPPLY 0022


1100 JOHN GALT WAY, ST E 1 BURLINGTON NJ 08016 08016 8 40 24.9 0.00 0.00

1st ref: 00307446-00005

Sender :
5 1Z9714430330508337 Ground Residential Third Party Customer entered weight

Receiver: HD SUPPLY 0022


1100 JOHN GALT WAY, ST E 1 BURLINGTON NJ 08016 33410 8 68 0.00 0.00

1st ref: 119182950794

Sender :
6 1Z9714430330508293 Ground Commercial Third Party Customer entered weight

32 2nd ref : 00307511 Receiver: EILEEN HIRSCH 12220 HILLMAN DR PALM BEACH GARDENS FL 33410 64138 6 2 0.00 0.00

1st ref: 151188250794

Sender :

1.5 2nd ref : 00307900 Receiver: MATTHEW JOHNSON HILLCREST COUNTRY CLUB 8200 HILLCREST RD. KANSAS CITY MO 64138 02035 8 9 0.00 0.00

7 1Z9714430330508382 1st ref: P12174

Ground Commercial Third Party

2nd ref : 00307928

Sender :

Receiver: STEVE PASCALE


NORMANDY FARMS CAMPGRO UND 72 WEST ST FOXBORO MA 02035

8 1Z9714430330508328

Ground Commercial Third Party Customer entered weight

10028

90

0.00

0.00

1st ref: 109659

Sender :

54 2nd ref : 00307933 Receiver: CINDIE KASTENBAUM 25 EAST END AVE NEW YORK NY 10028

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 5 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/10 Pickup Record 4530029206 Entry Tracking Number Service Ground Residential Third Party Customer entered weight ZIP Code 07039 Zone 8 Weight 75 Published Charge 0.00 Incentive Credit Billed Charge 0.00

9 1Z9714430330508319

1st ref: 109657

Sender :
10 1Z9714430330508300 Ground Commercial Third Party Customer entered weight

28.2 2nd ref : 00307935 Receiver: SANDRA MARKMAN 71 ROCKLEDGE DR LIVINGSTON NJ 07039 48309 8 46 0.00 0.00

1st ref: 4214693

Sender :

32 2nd ref : 00307939 Receiver: MARK JUREK RED ROOF INN # 10191 2580 CROOKS RD ROCHESTER HILLS MI 48309 60611 7 90 0.00 0.00

11 1Z9714430330508391

Ground Commercial Third Party Customer entered weight

1st ref: 4214865

Sender :

61.7 2nd ref : 00307954 Receiver: JOE OMNIBUS REAL ESTATE 209 E LAKE SHORE DR CHICAGO IL 60611 11 Package(s) 0.00 27 0.00 0.00 60134 7

Total for Pickup Number: 4530029206


05/11 4530029210 1 1Z9714430330508435 Ground Commercial Third Party Customer entered weight

1st ref: 4187512

Sender :

19 2nd ref : 00306279 Receiver: CHRISTINE REINSDORFF DELNOR COMMUNITY HOSPI TAL 300 RANDALL RD GENEVA IL 60134 60134 7 27 0.00 0.00

2 1Z9714430330508444

Ground Commercial Third Party Customer entered weight

1st ref: 4187512

Sender :

19 2nd ref : 00306279-00002 Receiver: CHRISTINE REINSDORFF DELNOR COMMUNITY HOSPI TAL 300 RANDALL RD GENEVA IL 60134 60134 7 27 0.00 0.00

3 1Z9714430330508453

Ground Commercial Third Party Customer entered weight

1st ref: 4187512

Sender :

19 2nd ref : 00306279-00003 Receiver: CHRISTINE REINSDORFF DELNOR COMMUNITY HOSPI TAL 300 RANDALL RD GENEVA IL 60134 11101 8 68 0.00 0.00

4 1Z9714430330508515

Ground Commercial Third Party Customer entered weight

1st ref: 119188980794

Sender :

32 2nd ref : 00307638 Receiver: PABLO ROSARIO RAVEL MOTEL 808 QUEENS PLZ. S. LONG ISLAND CITY NY 11101

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 6 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/11 Pickup Record 4530029210 Entry Tracking Number Service Ground Commercial Third Party Customer entered weight ZIP Code 58254 Zone 7 Weight 68 Published Charge 0.00 Incentive Credit Billed Charge 0.00

5 1Z9714430330508462

1st ref: 13373960794

Sender :

32 2nd ref : 00307750 Receiver: STEVE FORDE MCVILLE ASSISTED LIVIN G 514 N. OLSGARD MCVILLE ND 58254 58254 7 7 0.00 0.00

6 1Z9714430330508471

Ground Commercial Third Party Customer entered weight

1st ref: 13373960794

Sender :

6.8 2nd ref : 00307750-00002 Receiver: STEVE FORDE MCVILLE ASSISTED LIVIN G 514 N. OLSGARD MCVILLE ND 58254 55106 7 66 0.00 0.00

8 1Z9714430330508597

Ground Commercial Third Party Customer entered weight

1st ref: CAS00000098

Sender :
9 1Z9714430330508604 Ground Commercial Third Party Customer entered weight

35.4 2nd ref : 00307859 Receiver: HEALTH SYSTEMS CORP. 725 MINNEHAHA AVE ST PAUL MN 55106 55106 7 66 0.00 0.00

1st ref: CAS00000098

Sender :
10 1Z9714430330508613 1st ref: 124884-1 Ground Commercial Third Party

35.4 2nd ref : 00307859-00002 Receiver: HEALTH SYSTEMS CORP. 725 MINNEHAHA AVE ST PAUL MN 55106 75088 6 80 0.00 0.00

2nd ref : 00308011

Sender :

Receiver: PO# 0038101449


LAKE POINTE MED CTR 6800 SCENIC DR ROWLETT TX 75088

11 1Z9714430330508622 1st ref: 124884-1

Ground Commercial Third Party

75088

14

0.00

0.00

2nd ref : 00308011-00002

Sender :

Receiver: PO# 0038101449


LAKE POINTE MED CTR 6800 SCENIC DR ROWLETT TX 75088

12 1Z9714430330508480

Ground Commercial Third Party Customer entered weight

46556

68

0.00

0.00

1st ref: 0002474

Sender :

32 2nd ref : 00308012 Receiver: LYNN HOLBROOK UNIVERSITY OF NOTRE DA ME 021 DEBARTOLO CENTER NOTRE DAME IN 46556 46556 7 90 0.00 0.00

13 1Z9714430330508499

Ground Commercial Third Party Customer entered weight

1st ref: 0002474

Sender :

62.5 2nd ref : 00308012-00002 Receiver: LYNN HOLBROOK UNIVERSITY OF NOTRE DA ME 021 DEBARTOLO CENTER NOTRE DAME IN 46556

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 7 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/11 Pickup Record 4530029210 Entry Tracking Number Service Ground Commercial Third Party Customer entered weight ZIP Code 46556 Zone 7 Weight 14 Published Charge 0.00 Incentive Credit Billed Charge 0.00

14 1Z9714430330508506

1st ref: 0002474

Sender :

13.6 2nd ref : 00308012-00003 Receiver: LYNN HOLBROOK UNIVERSITY OF NOTRE DA ME 021 DEBARTOLO CENTER NOTRE DAME IN 46556 26753 8 68 0.00 0.00

15 1Z9714430330508542

Ground Residential Third Party Customer entered weight

1st ref: 6266

Sender :
16 1Z9714430330508524 Ground Residential Third Party Customer entered weight

31 2nd ref : 00308016 Receiver: DIANE BALDWIN OLD FURNACE RD RIDGELY WV 26753 72727 6 68 0.00 0.00

1st ref: 6267

Sender :
17 1Z9714430330508533 Ground Residential Third Party Customer entered weight

32 2nd ref : 00308017 Receiver: MICHAEL CLARK 15513 GOSHEN TUTTLE RD ELKINS AR 72727 72727 6 7 0.00 0.00

1st ref: 6267

Sender :
18 1Z9714430330508579 Ground Commercial Third Party Customer entered weight

6.8 2nd ref : 00308017-00002 Receiver: MICHAEL CLARK 15513 GOSHEN TUTTLE RD ELKINS AR 72727 31088 8 90 0.00 0.00

1st ref: P12181

Sender :

54 2nd ref : 00308020 Receiver: PATRICIA LEE ONE HOUR 2290 MOODY RD # 100 WARNER ROBINS GA 31088 31088 8 13 0.00 0.00

19 1Z9714430330508588 1st ref: P12181

Ground Commercial Third Party

2nd ref : 00308020-00002

Sender :

Receiver: PATRICIA LEE


ONE HOUR 2290 MOODY RD # 100 WARNER ROBINS GA 31088

20 1Z9714430330508408

Ground Residential Third Party Customer entered weight

73089

90

0.00

0.00

1st ref: 6273

Sender :
21 1Z9714430330508551 Ground Commercial Third Party Customer entered weight

62.5 2nd ref : 00308041 Receiver: JERRY CAMPBELL 1486 COUNTY ST 2910 TUTTLE OK 73089 27536 8 68 0.00 0.00

1st ref: 119214900794

Sender :

31 2nd ref : 00308043 Receiver: MILAN PATEL MILKAM HOSPITALITY 1727 NORTH GARNETT ST HENDERSON NC 27536

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 8 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/11 Pickup Record 4530029210 Entry Tracking Number Service Ground Commercial Third Party Customer entered weight ZIP Code 27536 Zone 8 Weight 7 Published Charge 0.00 Incentive Credit Billed Charge 0.00

22 1Z9714430330508560

1st ref: 119214900794

Sender :

6.4 2nd ref : 00308043-00002 Receiver: MILAN PATEL MILKAM HOSPITALITY 1727 NORTH GARNETT ST HENDERSON NC 27536 38478 7 30 0.00 0.00

23 1Z9714430330508426

Ground Commercial Third Party Customer entered weight

1st ref: PO129177

Sender :

19 2nd ref : 00308048 Receiver: CUST PO# 35455 HILLSIDE HOSPITAL 1265 E. COLLEGE ST. PULASKI TN 38478 22 Package(s) 0.00 90 0.00 0.00 83301 5

Total for Pickup Number: 4530029210


05/12 4530029221 1 1Z9714430330508800 Ground Commercial Third Party Customer entered weight

1st ref: AEL5988540

Sender :
2 1Z9714430330508784 Ground Commercial Third Party Customer entered weight

52 2nd ref : 00307958 Receiver: MOTEL 6 TWIN FALLS 1472 BLUE LAKES BLVD. N. TWIN FALLS ID 83301 53158 7 20 0.00 0.00

1st ref: 459642

Sender :
3 1Z9714430330508631 Ground Commercial Third Party Customer entered weight

19.4 2nd ref : 00307972 Receiver: UNITED HEALTH SYSTEM I NC SCMC ST.CATHERINES MEDICAL CTR.CAM PLEASANT PRAIRIE WI 53158 42519 8 56 0.00 0.00

1st ref: 4216377

Sender :

34 2nd ref : 00308049 Receiver: ALICE JACKSON SEVEN GABLES MOTEL 8064 S HWY 27 BURNSIDE KY 42519 54751 7 82 0.00 0.00

4 1Z9714430330508766

Ground Residential Third Party Customer entered weight

1st ref: 119221310794

Sender :
5 1Z9714430330508720 Ground Residential Third Party Customer entered weight

37 2nd ref : 00308103 Receiver: ROBERTA SHERVEY 707 RIVER HEIGHTS RD MENOMONIE WI 54751 47421 7 68 0.00 0.00

1st ref: 119080360794

Sender :

32 2nd ref : 00308105 Receiver: DONALD FAIR 326 THE WOODS BEDFORD IN 47421

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 9 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/12 Pickup Record 4530029221 Entry Tracking Number Service Ground Residential Third Party Customer entered weight ZIP Code 47421 Zone 7 Weight 7 Published Charge 0.00 Incentive Credit Billed Charge 0.00

6 1Z9714430330508739

1st ref: 119080360794

Sender :
7 1Z9714430330508702 Ground Commercial Third Party Customer entered weight

6.8 2nd ref : 00308105-00002 Receiver: DONALD FAIR 326 THE WOODS BEDFORD IN 47421 07740 8 68 0.00 0.00

1st ref: 119214280794

Sender :

32 2nd ref : 00308106 Receiver: JIM MALONEY SUDS BY THE SHORE 425 LIBERTY STREET LONG BRANCH NJ 07740 07740 8 90 0.00 0.00

8 1Z9714430330508711

Ground Commercial Third Party Customer entered weight

1st ref: 119214280794

Sender :

62 2nd ref : 00308106-00002 Receiver: JIM MALONEY SUDS BY THE SHORE 425 LIBERTY STREET LONG BRANCH NJ 07740 35007 7 50 0.00 0.00

9 1Z9714430330508659 1st ref: PO129521

Ground Commercial Third Party

2nd ref : 00308110

Sender :

Receiver: CUST. PO.# 7793


SHELBY AMBULATORY SURG ERY CTR. 1010 1ST. N. BOX 400 ALABASTER AL 35007

10 1Z9714430330508668 1st ref: PO129521

Ground Commercial Third Party

35007

14

0.00

0.00

2nd ref : 00308110-00002

Sender :

Receiver: CUST. PO.# 7793


SHELBY AMBULATORY SURG ERY CTR. 1010 1ST. N. BOX 400 ALABASTER AL 35007

11 1Z9714430330508677 1st ref: PO129521

Ground Commercial Third Party

35007

11

0.00

0.00

2nd ref : 00308110-00003

Sender :

Receiver: CUST. PO.# 7793


SHELBY AMBULATORY SURG ERY CTR. 1010 1ST. N. BOX 400 ALABASTER AL 35007

12 1Z9714430330508757

Ground Commercial Third Party Customer entered weight

81301

56

0.00

0.00

1st ref: 4217756

Sender :

37 2nd ref : 00308114 Receiver: JUDITH MILLER DURANGO LODGE 150 E 5TH ST DURANGO CO 81301 14625 8 90 0.00 0.00

13 1Z9714430330508640

Ground Commercial Collect Customer entered weight

1st ref: 1726

Sender :

62.5 2nd ref : 00308127 Receiver: EMPIRE LAUNDRY MACHINE RY INC 860 LINDEN AVE ROCHESTER NY 14625

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 10 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/12 Pickup Record 4530029221 Entry Tracking Number Service Ground Commercial Collect Customer entered weight ZIP Code 07936 Zone 8 Weight 67 Published Charge 0.00 Incentive Credit Billed Charge 0.00

14 1Z9714430330508686

1st ref: 11285

Sender :

21 2nd ref : 00308133 Receiver: IRENE GIVAUDAN 717 RIDGEDALE AVE. EAST HANOVER NJ 07936 07936 8 82 0.00 0.00

15 1Z9714430330508695

Ground Commercial Collect Customer entered weight

1st ref: 11285

Sender :

21 2nd ref : 00308133-00002 Receiver: IRENE GIVAUDAN 717 RIDGEDALE AVE. EAST HANOVER NJ 07936 23188 8 90 0.00 0.00

16 1Z9714430330508748

Ground Residential Third Party Customer entered weight

1st ref: CHUCK51111

Sender :
17 1Z9714430330508775 Ground Commercial Third Party Customer entered weight

44.2 2nd ref : 00308144 Receiver: JANET PARK 101 MILES MAHONE LN WILLIAMSBURG VA 23188 32063 8 82 0.00 0.00

1st ref: 6274

Sender :

37 2nd ref : 00308151 Receiver: LYN TAYLOR BAKER COUNTY SHERIFF OFFICE 1 SHERIFF OFFICE DR MACCLENNY FL 32063 17 Package(s) 0.00 6 0.00 0.00 87507 5

Total for Pickup Number: 4530029221


05/13 4530029232 1 1Z9714430330508864 Ground Commercial Third Party Customer entered weight

1st ref: 151194640794

Sender :

5.1 2nd ref : 00308071 Receiver: MARK HAWRYLAK JOE'S DINER & PIZZA 2801 RODEO RD. STE. A5 SANTA FE NM 87507 94558 4 56 0.00 0.00

2 1Z9714430330508882

Ground Commercial Third Party Customer entered weight

1st ref: 4218836

Sender :

37 2nd ref : 00308182 Receiver: GRAHAM LA RESIDENCE COUNTRY I NN 4066 HOWARD LN NAPA CA 94558 19464 8 64 0.00 0.00

3 1Z9714430330508828 1st ref: PO129879

Ground Commercial Third Party

2nd ref : 00308183

Sender :

Receiver: CUST.PO.#31786
POTTSTOWN MEMORIAL MED .CTR. 1600 E. HIGH ST. POTTSTOWN PA 19464

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 11 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/13 Pickup Record 4530029232 Entry Tracking Number Service Ground Commercial Third Party ZIP Code 19464 Zone 8 Weight 14 Published Charge 0.00 Incentive Credit Billed Charge 0.00

4 1Z9714430330508837 1st ref: PO129879

2nd ref : 00308183-00002

Sender :

Receiver: CUST.PO.#31786
POTTSTOWN MEMORIAL MED .CTR. 1600 E. HIGH ST. POTTSTOWN PA 19464

5 1Z9714430330508846 1st ref: PO129879

Ground Commercial Third Party

19464

11

0.00

0.00

2nd ref : 00308183-00003

Sender :

Receiver: CUST.PO.#31786
POTTSTOWN MEMORIAL MED .CTR. 1600 E. HIGH ST. POTTSTOWN PA 19464

6 1Z9714430330508855

Ground Commercial Third Party Customer entered weight

19464

0.00

0.00

1st ref: PO129879

Sender :

3.3 2nd ref : 00308183-00004 Receiver: CUST.PO.#31786 POTTSTOWN MEMORIAL MED .CTR. 1600 E. HIGH ST. POTTSTOWN PA 19464 07305 8 82 0.00 0.00

7 1Z9714430330508908

Ground Residential Third Party Customer entered weight

1st ref: 109702

Sender :
8 1Z9714430330508917 1st ref: 109702 Ground Residential Third Party

37 2nd ref : 00308184 Receiver: TERRY HALL 42 LOCUST ST JERSEY CITY NJ 07305 07305 8 8 0.00 0.00

2nd ref : 00308184-00002

Sender :
9 1Z9714430330508935 Ground Commercial Third Party Customer entered weight

Receiver: TERRY HALL


42 LOCUST ST JERSEY CITY NJ 07305 04605 8 62 0.00 0.00

1st ref: P12211

Sender :

18.3 2nd ref : 00308186 Receiver: ELIZABETH HUDSON DANDY DIAPER SERVICE 71 STONEHAM WAY TRENTON ME 04605 40351 8 90 0.00 0.00

10 1Z9714430330508873

Ground Residential Third Party Customer entered weight

1st ref: 6280

Sender :
11 1Z9714430330508891 Ground Commercial Third Party Customer entered weight

62.5 2nd ref : 00308188 Receiver: CHRISTINE TACKETT 201 PLAYFORTH DR MOREHAED KY 40351 11375 8 56 0.00 0.00

1st ref: 4219094

Sender :

37 2nd ref : 00308197 Receiver: CHRISTINA ROSARIO NEW YORK SPORTS CLUB # 0132 6947 AUSTIN ST FOREST HILLS NY 11375

Delivery Service Invoice


Invoice date Invoice number Shipper number Page 12 of 12

May 14, 2011 0000971443201 971443

Outbound
Vendor Manifest (continued)
Pickup Date 05/13 Pickup Record 4530029232 Entry Tracking Number Service Ground Residential Third Party Customer entered weight ZIP Code 99109 Zone 5 Weight 7 Published Charge 0.00 Incentive Credit Billed Charge 0.00

12 1Z9714430330508819

1st ref: 6285

Sender :
13 1Z9714430330508926 Ground Residential Third Party Customer entered weight

6.8 2nd ref : 00308199 Receiver: NORMAN KELLAN 569 EAGLE DR CHEWELAH WA 99109 20124 8 68 0.00 0.00

1st ref: 119226460794

Sender :
14 1Z9714430330508944 Ground Commercial Third Party Customer entered weight

31 2nd ref : 00308200 Receiver: PAULA KEATING 7242 ARCHLAW DR CLIFTON VA 20124 21093 8 4 0.00 0.00

1st ref: 119228080794

Sender :

3.9 2nd ref : 00308204 Receiver: ARMAND SHANK ROCCHI CONSTRUCTION CO 57 W TIMONIUM RD # 115 LUTHERVILLE TIMONIUM MD 21093 14 Package(s) 72 Package(s) 0.00 0.00

Total for Pickup Number: 4530029232 Total Vendor Manifest Chargeback


Pickup Date 05/11 Pickup Record 4530029210 Entry Tracking Number Service Ground Commercial Chargeback Surcharge Fuel Surcharge

ZIP Code 47905

Zone 7

Weight 13

Published Charge 12.16 11.00 1.03 24.19

Incentive Credit -3.16 -0.27 -3.43

Billed Charge 9.00 11.00 0.76 20.76

7 1Z9714430330508417

Total Reason : Bill to Account Number Refused Charges Original Bill To Account : 0000444150 1st ref: PO222311 Sender : R & B WIRE PROD INC-12345 3100 S FAIRVIEW SANTA ANA CA 92704 6507 Third Party: HP PRODUCTS PO BOX 68310 INDIANAPOLIS IN 46268

2nd ref : 00307793

Receiver: CREASY SPRINGS HEALTH CAMPUS


1750 S. CREASY LANE LAFAYETTE IN 47905

Total Chargeback Total Outbound

1 Package(s) 73 Package(s)

24.19 24.19

-3.43 -3.43

20.76 20.76

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