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veriMlwireless Invoice Number Account Number Date Due Page <br /> 9750520413 942058818-00001 09/05/15 2 of 30" <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL+SEND <br /> Explanation of Charges Payments and Adjustments <br /> Verizon Wireless'Surcharges Previous Balance $416.20 <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 fees); (ii) a Payment Received 07/30/15 —416.20 <br /> - Federal Universal Service Charge (and, if applicable, a State <br /> - Universal Service Charge)to recover charges imposed on us by Total Payments —$416.20 <br /> the government to support universal service; and (iii) an Adjustments <br /> - Administrative Charge, which helps defray certain expenses we <br /> - incur, including:charges we, or our agents, pay local telephone Cellular Service—Access for 541-285-2585 on 08/07/15 —39.99 <br /> - companies for delivering calls from our customers to their Cellular Service—Access for 541-285-2585 on 08/07/15 —16.66 <br /> customers; fees and assessments on our network facilities and <br /> services; property taxes; and the costs we incur responding to Total Adjustments —$56.65 <br /> — regulatory obligations. Please note that these are Verizon Credit Balance —$56.65 <br /> Wireless charges,not taxes.These charges,and what's included, <br /> - are subject to change from time to time. <br /> Account Charges and Credits <br /> - Taxes,Governmental Surcharges and Fees <br /> - Includes sales, excise and other taxes and governmental Account Monthly Charges <br /> surcharges and fees that we are required by law to bill <br /> customers. These taxes, surcharges and fees may change from MORE EVERYTHING DATA SMB 30GB 08/11 —09/10 185.00 <br /> time to time without notice. 22%Access Discount 08/11 —09/10 —40.70 <br /> Subtotal $144.30 <br /> Understanding Your Prorated(partial month)Charges <br /> Prorated charges occur when you add new service, or make a Total Account Charges and Credits $144.30 <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 for the days used on your new plan. <br /> Correspondence Address:Verizon Wireless Attn:Correspondence Team PO Box 5029 Wallingford;GT 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 /> m <br /> agreement does not alter the terms of your existing Customer Agreeent.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 /> • L] ■ <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 bill.If we do not have your most recent email address,provide it <br /> below and we'll 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 /> 0003724-0080144-0000002 of 0000056-C23 FL-6410 03 72 7 <br />