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verizon✓ <br /> Invoice Number Account Number Date Due Page <br /> 9757106623 971640668-00001 Past Due 2 of 8 _] <br /> • <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> • <br /> Payments <br /> Previous Balance $181.50 <br /> No Payment Received <br /> Total Payments $.00 <br /> Balance Forward Due Immediately $181.50 <br /> r. <br /> • <br /> Correspondence Address: Verizon Wireless Attn: Correspondence Team PO Box 5029 Wallingford, CT 06492 <br /> _.. <br /> Automatic Payment Enrollment for Account:971640668-00001 CITY OF EUGENE-SPRINKLERS <br /> ....�_. .._ .,_.., _. <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 intoned 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 /> E1111 <br /> Changing your billing address for Account:971640668-00001 CITY OF EUGENE-SPRINKLERS <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 /> • <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 /> Slate2ip 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 /> 0024268 00116554-0000002 of 0000010-CI 14 I-6810-24292 <br />