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verizonn <br /> Invoice Number Account Number Date Due Page <br /> 9757061715 742058933-00001 01/05/16 2 of 28 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+:SEND ' #DATA+SEND' '; #BAL+SEND '• <br /> Payments <br /> Previous Balance $368.23 <br /> Payment—Thank You <br /> Payment Received 12/04/15 —368.23 <br /> Total Payments —$368.23 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> New Plan <br /> SMB UNL Talk&TXT 30GB 12/09—12/10 15.00 <br /> $225.00 per month/2 days on new plan <br /> 22%Access Discount 12/09—12/10 —3.30 <br /> Month in Advance <br /> SMB UNL Talk&TXT 30GB 12/11 —01/10 225.00 <br /> 22%Access Discount 12/11 —01/10 —49.50 <br /> Data SMB 30GB Refund 12/09—12/10 • —12.33 <br /> 22%Access Discount—Reversal 12/09— 12/10 2.71 <br /> These are the normal monthly charges billed in advance. <br /> Subtotal $177.58 <br /> Total Account Charges and Credits $177.58 <br /> Correspondence Address: Verizon Wireless Attn: Correspondence Team PO Box 5029 Wallingford, CT 06492 <br /> Automatic Payment Enrollment for Account:742058933-00001 CITY OF EUGENE <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 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 Mil <br /> Changing your billing address for Account:742058933-00001 CITY OF EUGENE <br /> Use this space or sign into 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 /> State/Zipstreet address(not a PO Box)that is the home or primary <br /> 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 /> 0003799.0080850.0000002 of 0000018.C23-FL-6810-03802 <br />