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verizon1 <br /> Invoice Number Account Number Date Due Page <br /> .. ,__ <br /> r t , ®9760229318 242059101-00003 03/05/16 2 of 31'- <br /> Get Minutes Used Get Data.Used Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $382.84 <br /> Payment—Thank You <br /> Payment Received 02/01/16 —382.84 <br /> • <br /> Total Payments —$382.84 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> Data SMB 30GB 02/11 —03/10 185.00 <br /> 22%Access Discount 02/11 —03/10 —40.70 <br /> Subtotal $144.30 <br /> Total Account Charges and Credits $144.30 <br /> Written notations included with.or.on your payment will not be reviewed orhonored:Please senO.correspondence to:•7• • <br /> . • Verlzon Wireless Mtn* Corresriondence Team PO Box 5029 waiiingford,ATO.6.492_ ;, ; -t_i <br /> Automatic Payment Enrollment for Account 242059101-00003 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 noted 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 /> • <br /> 00037514)080081.00000W of 0000058.C21-11-5810 03755 <br />