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verizon1 <br /> Invoice Number Account Number Date Due Page <br /> 9765152266 " 242059101-00001 06/05/16 2 of 69 • <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN'+`SEND #DATA+SEND' #BAL+SEND <br /> Payments <br /> Previous Balance $968.02 <br /> Payment—Thank You <br /> • Payment Received 04/28/16 —968.02 <br /> Total Payments —$968.02 <br /> Balance Forward $.00 <br /> • <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 05/11 —06/10 225.00 <br /> 22%Access Discount 05/11 -06/10 —49.50 <br /> Subtotal $175.50 <br /> Total Account Charges and Credits $175.50 <br /> �_.__...,.d_..... <br /> •Written:notations Included wlth or on your payment will not be revieweor honored. Please-send correspondence to -,r. r <br /> __ r :�_;Veraon Wire ..P0 resp9ntience Team PO Box 5029 Wallingford CT f6492 i <br /> Automatic Payment Enrollment for Account:242059101-00001 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 debt 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 mooned 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 /> ® n11 <br /> 0001239.005 4 82 0 0000002 01 0000076-C24-UK-4110-01 240 <br />