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verz�Onwirefess Invoice Number Account Number Date Due Page <br /> 9738741086 942058818 -00001 02/05/15 2 of 13 <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 $181.24 <br /> - Verizon Wireless' Surcharges include (i) a Regulatory Charge <br /> (which helps defray various government charges we pay including Payment — Thank You <br /> government number administration and license tees); (ii) a Payment Received 12/29/14 — 181.24 <br /> - Federal Universal Service Charge (and, if applicable, a State <br /> - Universal Service Charge) to recover charges imposed on us by Total Payments — $18124 <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, not taxes. These charges, and what's included, <br /> - are subject to change from time to time. <br /> Previous Plan <br /> MORE EVERYTHING DATA 6GB Refund 01/09 — 01/10 — 2.58 <br /> Taxes, Governmental Surcharges and Fees $40.00 per month / 2 days refunded <br /> - Includes sales, excise and other taxes and governmental <br /> surcharges and tees that we are required by law 10 bill 22% Access Discount — Reversal 01/09 — 01/10 .57 <br /> customers. These taxes, surcharges and fees may change from <br /> New Plan <br /> time to time without notice. <br /> MORE EVERYTHING DATA SMB 30GB 01/09 — 01/10 11.94 <br /> Understanding Your Prorated (partial month) Charges $185.00 per month / 2 days on new plan <br /> Prorated charges occur when you add new service, or make a 22% Access Dis.Count 01/09 — 01/10 —2.63 <br /> change to your existing service, in the middle of your bill cycle. l <br /> Prorated charges are calculated by determining the daily charge, Month in A } anC e <br /> and then by multiplying the daily charge by the number of days MOREEVEDATA SMB 30GB 01/11 — 02/10 185.00 <br /> the service was used. 22 s§ Disc 01/11 — 02/10 —40.70 <br /> If a plan change is effective as of a date during the bill cycle, your These 2thsormal ly charges billed in advance. <br /> proration will include a credit for unused days on the old plan, Subtotal <br /> and a charge for the days used on your new plan. Yx 7 -.� $151.60 <br /> i1 <br /> Total Account Charges and Credits $151.60 <br /> Correspondence Address: Verizon Wireless Attn: Correspondence Team PO Box 5029 Wallingford, CT 06492 <br /> Automatic Payment Enrollment for Account: 942058818-00001 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 bill 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 /> • •LJ 1 ■ <br /> Changing your billing address for Account: 942058818-00001 CITY OF EUGENE PWM /POS <br /> Use this space or sign in to My Verizon at vzw.com/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 bit 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 /> 0012104- 0103255- 0000002 of0000022- C22 -RG- 5710 -12116 <br />