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Mer02®n� Invoice Number Account Number Date Due Page <br /> r I 4 <br /> 9765152268 242059101=00003, 06/05/16 ;2 of 31 I <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $394.80 <br /> Payment—Thank You <br /> Payment Received 05/02/16 —394.80 <br /> Total.Payments —$394.80 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> Data SMB 30GB 05/11 —06/10 185.00 <br /> 22%Access Discount • 05/11 -06/10 —40.70 <br /> Subtotal $144.30 <br /> Total Account Charges and Credits $144.30 <br /> • <br /> ..w.... ........_ <br /> Witten notations inchTtlid with oron,your payment will not be revlewetl of honored7Pleasesend correspondence to . <br /> Verizon^Wireless Attn: Correspondence Team PO Box 5029 Wallingford, CT 06492 ' J <br /> Automatic Payment Enrollment for Account:242059101-00003 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 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 /> MI El <br /> • <br /> 0003021-006.1215.0000002 0101XXX/584123-FL-6110-03024 <br />