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Invoice NumberAccount NumberDate DuePage <br />9733595181872298827-0000111/05/142 of 4 <br />Get Minutes UsedGet Data UsedGet Balance <br />#MIN + SEND#DATA + SEND#BAL + SEND <br /> <br />Explanation of Charges <br />Payments <br />Verizon Wireless' Surcharges <br />Previous Balance$281.66 <br />VerizonWireless'Surchargesinclude(i)aRegulatoryCharge <br />Payment - Thank You <br />(whichhelpsdefrayvariousgovernmentchargeswepayincluding <br />governmentnumberadministrationandlicensefees);(ii)a <br />Payment Received 10/03/14-281.66 <br />FederalUniversalServiceCharge(and,ifapplicable,aState <br />Total Payments-$281.66 <br />UniversalServiceCharge)torecoverchargesimposedonusby <br />thegovernmenttosupportuniversalservice;and(iii)an <br />Balance Forward$.00 <br />AdministrativeCharge,whichhelpsdefraycertainexpenseswe <br />incur,including:chargeswe,orouragents,paylocaltelephone <br />companiesfordeliveringcallsfromourcustomerstotheir <br />customers;feesandassessmentsonournetworkfacilitiesand <br />services;propertytaxes;andthecostsweincurrespondingto <br />regulatoryobligations.PleasenotethattheseareVerizon <br />Wirelesscharges,nottaxes.Thesecharges,andwhat'sincluded, <br />are subject to change from time to time. <br />Taxes, Governmental Surcharges and Fees <br />Includessales,exciseandothertaxesandgovernmental <br />surchargesandfeesthatwearerequiredbylawtobill <br />customers.Thesetaxes,surchargesandfeesmaychangefrom <br />time to time without notice. <br />Late Fee Information <br />A late payment applies for unpaid balances. The charge is the <br />greater of $5 or 1.5% per month, or as permitted by law. <br />Verizon Wireless' Other Charges and Credits <br />Includes charges for products and services, and credits owing. <br />Correspondence Address: Verizon WirelessAttn: Correspondence TeamPO Box 5029Wallingford, CT 06492 <br />Automatic Payment Enrollment for Account: 872298827-00001 CITY OF EUGENE-SPRINKLERS <br />Bysigningbelow,youauthorizeVerizonWirelesstoelectronicallydebityourbankaccounteachmonthforthetotalbalancedueonyouraccount.Thecheckyousendwillbeusedto <br />setupAutomaticPayment.Youwillbenotifiedeachmonthofthedateandamountofthedebit10daysinadvanceofthepayment.Iunderstandandaccepttheseterms.This <br />agreementdoesnotalterthetermsofyourexistingCustomerAgreement.IagreethatVerizonWirelessisnotliableforerroneousbillstatementsorincorrectdebitstomyaccount.To <br />withdrawyourauthorizationyoumustcallVerizonWireless.Checkwithyourbankforanycharges. <br />1.Checkthisbox.2.Signnameinboxbelow,asshownonthebillanddate.3.Returnthisslipwithyourpayment.Donotsendavoidedcheck. <br />Changing your billing address for Account: 872298827-00001 CITY OF EUGENE-SPRINKLERS <br />UsethisspaceorsignintoMyVerizonatvzw.com/changeaddresstochangethemailingaddresswherewesendyourbill.Ifwedonothaveyourmostrecentemailaddress,provideit <br />belowandwe'lluseittotellyouimportantinformationaboutyourVerizonWirelessservice.Allow2billingcyclesfortheaddresschangetotakeeffect. <br />Confirmingorchangingyourserviceaddress <br />NewAddress <br />Foreachofyourmobilenumbers,inordertobilltaxesand <br />Citysurchargescorrectlyweneedaserviceaddress-whichisa <br />streetaddress(notaPOBox)thatisthehomeorprimary <br />State/Zip <br />businessaddressofthepersonwhousesthatnumber.To <br />confirmorchangetheserviceaddressforanyofyourmobile <br />WorkPhoneHomePhone <br />numbers,signintoMyVerizonatvzw.com/serviceaddress. <br />Email <br />