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4 <br /> Invoice Number \ Invoice Date \ Account Number \ Page <br /> 5-061-24520 Jun 11,2015 2439-9693-7 1 of 3 <br /> FedEx Tax ID: 71-042711 <br /> Billing Address: Shipping Address: <br /> NEBRASKA COMMUNITY NEBRASKA COMMUNITY FOUNDATION Invoice Questions? <br /> PO BOX 83107 3833 SOUTH 14TH ST Contact FedEx Revenue Services <br /> LINCOLN NE 68501-3107 LINCOLN NE 68502 Phone: (800 622-1147 <br /> M-F 7 AMto 8 PM CST <br /> Sa7AM to6PMCST <br /> Fax: (800)548-3020 <br /> Invoice Summary Jun 11,2015 Internet: vvww.fedex.com <br /> FedEx Express Services <br /> Transportation Charges 21.15 <br /> Special Handling Charges 4.63 z <br /> Total Charges USD $25.78 (n 1 ,) I T , fl <br /> TOTAL THIS INVOICE USD $25.78 !I L I l.. I., <br /> III,! li1M i " ';:1r ; IIji <br /> Ii JU 1 6) t: . J ! 1, It <br /> Other discounts may apply. '_...' �_1" <br /> ;3` <br /> • <br /> (MIL\ 0 0 <br /> V <br /> Detailed descriptions of surcharges can be located atfedex.com <br /> To ensure proper credit,please return this portion with your payment toFedEx. Invoice Number \ Account Number \ Amount Due \ <br /> Please do not staple or fold.Please make check payable to FedEx. <br /> ❑ For change of address,check here and complete form on reverse side. 5-061-24520 2439-9693-7 USD $25.78 <br /> Remittance Advice <br /> Your payment is due by Jun 26,2015 <br /> 243996955061245204800000257833 <br /> 0 01 6 03 8 01 AT 0.413 *'AUTO T8 1 1161 68501-310707 -C01-P16054-11 <br /> 1111111IIr11IIIIIII"IJIIII111111I1IIIJ1111111 111111JII.IIIIIIII 111111111111111M111111[11111111111111111111111111111 p1111 <br /> NEBRASKA COMMUNITY ka FedEx <br /> PO 80X83107 <br /> LINCOLN NE 68501-3107 P.O.Box 94515 <br /> PALATINE IL 60094-4515 <br /> 111111 ff1 I Ii1II 111111111 IIIUIII111 <br /> 60008610017848 1161-01-00-0016038-0002-0042794 <br />