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ver►Zvnwireless Invoice Number Account Number Date Due Page <br /> 9738622346 242059101 -00002 02/05/15 2 of 8 <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 $372.21 <br /> - Verizon Wireless' Surcharges include (1) a Regulatory Charge <br /> (which helps defray various government charges we pay including Payment — Thank You <br /> - government number administration and license fees); (ii) a Payment Received 12/24/14 — 372.21 <br /> - Federal Universal Service Charge (and, if applicable, a State <br /> Universal Service Charge) to recover charges imposed on us by Total Payments — $372.21 <br /> the government to support universal service; and (iii) an Balance Forward $.00 <br /> Administrative Charge, which helps defray certain expenses we <br /> - incur, including: charges we, or our agents, pay local telephone <br /> companies for delivering calls from our customers to their <br /> customers; fees and assessments on our network facilities and Account Charges and Credits <br /> services; property taxes; and the costs we incur responding to <br /> regulatory obligations. Please note that these are Verizon Account Monthly Charges <br /> - Wireless charges, nol Taxes. These charges, and what's included, r. <br /> - are subject to change from time to time. More Evr SMB UNL Talk &TXT 30GB 01 •, 12/10 225.00 <br /> 22% Access Discount fr /11 ry 10 —49.50 <br /> Taxes, Governmental Surcharges and Fees Subtotal ' . '� 1 2 $175.50 <br /> - Includes sales, excise and other taxes and governmental Nip 14 <br /> surcharges and fees that we are required by law to bill <br /> customers. These taxes, surcharges and fees may change from Total Account Charges and Credits <br /> • <br /> time to time without notice. '. <br /> Understanding Your Prorated (partial month) Charges <br /> Prorated charges occur when you add new service, or make a <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 <br /> the service was used. <br /> If a plan change is effective as of a date during the bill cycle, your <br /> proration will include a credit for unused days on the old plan, <br /> and a charge tor 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: 242059101 -00002 CITY OF EUGENE PWM/POS <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 I I • <br /> Changing your billing address for Account: 242059101 -00002 CITY OF EUGENE PWM/POS <br /> Use this space or sign in to My Verizon at vzw.corn/changeaddress to change the mailing address where we send your bit. If we do not have your most recent email address, provide it <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 /> confirm or change the service address for any of your mobile <br /> Work Phone Home Phone numbers, sign in to My Verizon at vzw.com/serviceaddress. <br /> Email <br /> 0012096 - 0103185 0000002 of 0000012 -C22 -RG-5710-12108 <br />