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veriz®n✓ <br /> Invoice Number Account Number Date Due Page <br /> 9756963167 242059101-00002 01/05/16 2 of 32 : <br /> Get Minutes Used Get Data Used Get Balance <br /> -#MIN OSEND . #DATA+SEND • • #BAL+SEND <br /> Payments <br /> • <br /> Previous Balance $701.98 <br /> Payment—Thank You <br /> Payment Received 12/04/15 —701.98 <br /> Total Payments —$701.98 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> • <br /> Data SMB 30G8 12/11 —01/10 185.00 <br /> 22%Access Discount 12/11 —01/10 —40.70 <br /> • Subtotal $144.30 <br /> • <br /> Total Account Charges and Credits $144.30 <br /> • <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 teens. 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 W reless.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 /> 111 111 <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.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 /> 0003800 0080879-0000002 of 0000058-C23-R-681003803 <br />