verizon' Invoice Number Account Number Date Due Page <br /> 976843 242059101-00001 08105//6 2 of 64 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL +SEND <br /> Payments <br /> Previous Balance $924.24 <br /> Payment—Thank You <br /> Payment Received 07/06/16 —924.24 <br /> Total Payments —$924.24 <br /> Balance Forward $•00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 07/11 —08/10 225.00 <br /> 22%Access Discount 07/11 —08/10 —49.50 <br /> Subtotal $175.50 <br /> Total Account Charges and Credits $175.50 <br /> Written notations included with or on yourayment will t be reviewedhonore Please send oprrespoudence to: <br /> ver,1101t Wireless Atte;Cerreap€t ence,AVA It Box.0 _Wel Marti OT -- ..2... _. <br /> Automatic Payment Enrollment for Account:242059101-00001 CITY OF EUGENE PWMIPOS <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 tc <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. The <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.Tc <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 /> • LI ■ <br /> 0001273-0056356-0000002 of 0000076-C24-BK-6310-01274 <br />