verizon <br /> Invoice Number Account Number Date Due Page <br /> 9767068937 871628793-00001 07/08/16 2 of 54 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $216.46 <br /> Payment—Thank You <br /> Payment Received 06/01/16 —216.46 <br /> Total Payments —$216.46 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> Previous Plan <br /> SMB UNL Talk&TXT 30GB 06/07—06/12 43.55 <br /> $225.00 per month/6 days on plan <br /> 22%Access Discount 06/07—06/12 —9.58 <br /> New Plan <br /> MORE EVERY UNL TLK&TXT 10GB 06/13—06/13 3.23 <br /> $100.00 per month/1 day on new plan <br /> 22%Access Discount 06/13—06/13 —.71 <br /> Month in Advance <br /> MORE EVERY UNL TLK&TXT 10GB 06/14—07/13 100.00 <br /> 22%Access Discount 06/14—07/13 —22 00 <br /> These are the normal monthly charges billed in advance. <br /> Subtotal $114.49 <br /> Total Account Charges and Credits $114.49 <br /> Written notations included with or on your payment will not be reviewed or honored. Please send correspondence to: <br /> Verizon Wireless Attn: Correspondence Team PO Box 5029 Wallingford, CT 06492 <br /> Automatic Payment Enrollment for Account:871628793-00001 EUGENE-PW/MAINTENANCE <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 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 /> • L1 _ ■ <br /> 0001114-0050075-0000002 of 0000080-C24-BK-6213-01115 <br />