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verizon' <br /> Invoice Number Account Number Date Due Page <br /> 9768533298 742058933-00001 08/05/16 2 of 47 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL +SEND <br /> Payments and Adjustments <br /> Previous Balance $829.49 <br /> Payment—Thank You <br /> �■ Payment Received 07/06/16 —829.49 <br /> Total Payments <br /> —$829.49 <br /> Adjustments <br /> Device Bill Incentive Credit for 541-654-2370 on 06/17/16 —300.00 <br /> Equip Bill Incentive Credit for 541-954-3741 on 06/12/16 —150.00 <br /> Total Adjustments —$450.00 <br /> Credit Balance <br /> —$450.00 <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 <br /> $175.50 <br /> Total Account Charges and Credits $175.50 <br /> Written notations included with or an your payment wilt not be reviewed or'honored.Please send correspondence to: <br /> iterizo}twIrel .Atto_Caf'respondence Teaairl_P©IBox 6029 N►aiiingtard,CI06492 <br /> Automatic Payment Enrollment for Account:742058933-00001 CITY OF EUGENE <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 /> nd amount of the <br /> agreement does not alter the terms ofe f yourt xiissting Customer Agreem.ent.each month of the date I agree that Verizondebit 10 Wi Wireless is notnadvance of the liable for erroneous bill statements orent. I 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 /> ■ <br /> EJ I <br /> I ■ <br /> 0001272-0056318-0000002 of0000068-C24-BK-6310-01273 <br />