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verizon✓ <br /> Invoice Number Account Number Date Due Page <br /> 0168436099 24101 08/05/16 20t 32 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+ SEND #BAL+SEND <br /> Payments <br /> Previous Balance $354.72 <br /> Payment-Thank You <br /> Payment Received 07/06/16 -354.72 <br /> Total Payments -$354.72 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> Data SMB 30GB 07/11 -08/10 185.00 <br /> 22%Access Discount 07/11 -08/10 -40.70 <br /> Subtotal $144.30 <br /> Total Account Charges and Credits $144.30 <br /> Written notations included with or on your payment will not be reviewed or honored.Please,send despondence to: <br /> vette-Wireless Attn:Sorrespondentutleam PO Box 5029 Wallingford,et 06492 <br /> Automatic Payment Enrollment for Account:242059101-00004 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 atter 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 /> ULI ■ <br /> 0003041-0000559-0000002 of 0000058 C23 FL 6310-03044 <br />