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verizon <br /> Invoice Number Account Number Date Due Page <br /> 9768710161 871628793-00001 08/08/16 24:460 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND ;DATA+SEND #BAL+SEND <br /> Payments and Adjustments <br /> _ Previous Balance $659.24 <br /> Payment—Thank You <br /> Payment Received 07/06/16 —659.24 <br /> Total Payments —$659.24 <br /> Adjustments <br /> Equipment Credit for 541-972-2541 on 07/01/16 —14.99 <br /> Total Adjustments —$14.99 <br /> Credit Balance —$14.99" <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> MORE EVERY UNL TLK&TXT 10GB 07/14—08/13 100.00 <br /> 22%Access Discount 07/14—08/13 —22.00 <br /> Subtotal $78.00 <br /> Total Account Charges and Credits $78.00I <br /> • <br /> Written notations.included With or On your payrae tt nat.t a reviewed or boo rot Plea se send correspondence to: <br /> Verizon Wireless Atte:Cora <br /> splfndel a Team PO Box 502919allingford, GT 0 tarre <br /> Automatic Payment Enrollment for Account:871628793-00001 EUGENE-PW/MAINTENANCE <br /> By ssning 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 Aws.matic 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 /> UDI U <br /> 0001112-0050264 0000002 of 0000080-C24-BK-6313-01113 <br />