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• <br /> verizon✓ <br /> Invoice Number Account Number Date Due Page <br /> 9763606188 742058933-00001 "05/05/16 '2 of 44 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $519.65 <br /> Payment—Thank You <br /> Payment Received 04/01/16 - —519.65 <br /> Total Payments —$519.65 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 04/11 —05/10 225.00 <br /> 22%Access Discount 04/11 -05/10 —49.50 <br /> Subtotal $175.50 <br /> Total Account Charges and Credits $175.50 <br /> .WPitteo—notations Included with or on your payment will not be reviewed or honored`Please sendcorrespondence to <br /> Verizon Wireless Attn_ Correspondence Team PO Box 5029 Wallingford CT06492 <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 Ihat 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 /> • <br /> 0001327-0059085,0000002 of 0000062-C24-B8L010 01378 <br />