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verl]onwireless Invoice Number Account Number Date Due Page <br /> 9736960036 542058966 -00001 01/05/15 2 of 23 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN + SEND #DATA + SEND #BAL + SEND <br /> Explanation of Charges Payments <br /> Verizon Wireless' Surcharges Previous Balance $.00 <br /> - Verizon Wireless' Surcharges include (i) a Regulatory Charge <br /> (which helps defray various government charges we pay including No Payment Received <br /> - government number administration and license fees); (ii) a Total Payments $.00 <br /> - Federal Universal Service Charge (and, if applicable, a Slate <br /> Universal Service Charge) to recover charges imposed on us by Balance Forward $.00 <br /> the government to support universal service; and (iii) an <br /> - Administrative Charge, which helps defray certain expenses we <br /> - incur, including: charges we, or our agents, pay local telephone Account Charges and Cred <br /> companies for delivering calls from our customers to their <br /> - customers; fees and assessments on our network facilities and <br /> services; property taxes; and the costs we incur responding to Account Monthly Charges <br /> regulatory obligations. Please note that these are Verizon <br /> Wireless charges, not taxes. These charges, and what's included, New Plan <br /> are subject to change from time to lime. MORE EVERYTHING DATA 6GB 11/21 — 12/10 26.67 <br /> $40.00 per month / 20 days on new plan <br /> - Taxes, Governmental Surcharges and Fees 22% Access Discount 11/21 — 12/10 —5.87 <br /> - Includes sales, excise and other taxes and governmental <br /> surcharges and fees that we are required by law to bill Month in Advance <br /> customers. These taxes, surcharges and fees may change from MORE EVERYTHING DATA 6GB 12/11 — 01/10 40.00 <br /> time to time without notice. <br /> 22% Access Discount 12/11 — 01/10 —8.80 <br /> Understanding Your Prorated (partial month) Charges These are the normal monthly charges billed in advance. <br /> Prorated charges occur when you add new service, or make a Subtotal $52.00 <br /> change to your existing service, in the middle of your bill cycle. <br /> Prorated charges are calculated by determining the daily charge, <br /> and then by multiplying the daily charge by the number of days Total Account Charges and Credits $52.00 <br /> the service was used. <br /> If a plan change is effective as of a dale during the bill cycle, your <br /> proration will include a credit for unused days on the old plan, <br /> and a charge for the days used on your new plan. <br /> Correspondence Address: Verizon Wireless Attn: Correspondence Team PO Box 5029 Wallingford, CT 06492 <br /> Automatic Payment Enrollment for Account: 542058966 -00001 CITY OF EUGENE <br /> By signing below, you authorize Verizon Wireless to electronically debit your bank account each month for the total balance due on your account. The check you send will be used to <br /> setup Automatic Payment. You will be notified each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these terms. This <br /> agreement does not alter the terms of your existing Customer Agreement. I agree that Verizon Wireless is not liable for erroneous bit statements or incorrect debits to my account. To <br /> withdraw your authorization you must call Verizon Wireless. Check with your bank for any charges. <br /> 1. Check this box. 2. Sign name in box below, as shown on the bill and date. 3. Return this slip with your payment. Do not send a voided check. <br /> • El <br /> Changing your billing address for Account: 542058966-00001 CITY OF EUGENE <br /> Use this space or sign in to My Verizon at vzw.com/changeaddress to change the mailing address where we send your bill. If we do not have your most recent email address, provide ft <br /> below and well use it to tell you important information about your Verizon Wireless service. Allow 2 billing cycles for the address change to take effect. <br /> New Address Confirming or changing your service address <br /> — – For each of your mobile numbers, in order to bill taxes and <br /> City surcharges correctly we need a service address - which is a <br /> street address (not a PO Box) that is the home or primary <br /> State/Zip business address of the person who uses that number. To <br /> Work Phone Home Phone confirm or change the service address for any of your mobile <br /> numbers, sign in to My Verizon at vzw.com/serviceaddress. <br /> Email <br /> 0001604- 0034456 - 0000002 of 0000040- C23 -FL -6810 -01605 <br />