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w <br /> verizon1 <br /> Invoice Number Account Number Date Due Page <br /> 47686 721 71628681 1.,08D08/16 2 of 49 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN + SEND #DATA+SEND #BAL+SEND <br /> Payments and Adjustments <br /> Previous Balance $1,694.70 <br /> ...... Payment-Thank You <br /> .._� Payment Received 07/06/16 -1,694.70 <br /> Total Payments -$1,694.70 <br /> Adjustments <br /> IIMI <br /> Device Bill Incentive Credit for 541-285-8993 on 06/17/16 -150.00 <br /> Total Adjustments -$150.00 <br /> Credit Balance <br /> —$150.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 07/14-08/13 225.00 <br /> 22%Access Discount 07/14-08/13 -49.50 <br /> Subtotal <br /> $175.50 <br /> Total Account Charges and Credits $175.50 <br /> Written notations included With oron ffo payment <br /> ago It a reviewedbr honored. Please send correspondence to:" <br /> V®rixen wireless- Alta rl _Rs! erica tel l* o 'tl t t atlltn f►rpt 7 92 <br /> Automatic Payment Enrollment for Account:371628681.00001 EUGENE-PARKS&OPEN SPACES <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 /> ULII <br /> I <br /> 1111 <br /> 0002589-0055044-0000002 of 0000060-C23-FL-6313-02591 <br />