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- {
- "document_metadata": {
- "page_number": "2",
- "document_number": "4-495-75031",
- "date": "Dec 23, 2002",
- "document_type": "Adjustment Request",
- "has_handwriting": false,
- "has_stamps": false
- },
- "full_text": "FedEx Invoice Number: 4-495-75031 Invoice Date: Dec 23, 2002 Account Number: 1144 2081 6 Page: 2 of 21 Adjustment Request FAX TO (800) 548-3020 Tracking No./Airbill No. 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. From: 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 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. FedEx 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: DOJ-OGR-00016065",
- "text_blocks": [
- {
- "type": "printed",
- "content": "FedEx",
- "position": "header"
- },
- {
- "type": "printed",
- "content": "Invoice Number: 4-495-75031 Invoice Date: Dec 23, 2002 Account Number: 1144 2081 6 Page: 2 of 21",
- "position": "header"
- },
- {
- "type": "printed",
- "content": "Adjustment Request FAX TO (800) 548-3020",
- "position": "header"
- },
- {
- "type": "printed",
- "content": "Tracking No./Airbill No. Reason Code Explanation",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "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.",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "From: Name Date ( ) ( ) Business Phone Business Fax",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "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 OTHR Other Please Explain",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "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.",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "FedEx Federal Express Please indicate change in address for the account # listed below: Physical Address Billing Address Mailing Address Account Number: 1144-2081-6",
- "position": "bottom"
- },
- {
- "type": "printed",
- "content": "Name Address Apt. / Suite: City: State: Zip: Phone: ( ) Fax: ( ) Authorizing Signature:",
- "position": "bottom"
- },
- {
- "type": "printed",
- "content": "DOJ-OGR-00016065",
- "position": "footer"
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- ],
- "entities": {
- "people": [],
- "organizations": [
- "FedEx"
- ],
- "locations": [],
- "dates": [
- "Dec 23, 2002"
- ],
- "reference_numbers": [
- "4-495-75031",
- "1144 2081 6",
- "1144-2081-6",
- "DOJ-OGR-00016065"
- ]
- },
- "additional_notes": "The document is a FedEx Adjustment Request form, page 2 of 21, dated Dec 23, 2002. It contains fields for tracking numbers, reason codes, and explanations for adjustments, as well as contact information and a section for address changes. The form is printed and does not contain any handwritten text or stamps."
- }
|