-,.......: <br /> verizonvInvoice Number Account Number Date Due Page i <br /> 976 4001 542011189-00001 08/30/16 2 of 14 <br /> Get Data Used Get Balance <br /> Get Minutes Used <br /> #MIN +SEND #DATA+SEND #BAL+SEND 0 <br /> Payments <br /> 40 <br /> Previous Balance $918. <br /> Payment—Thank You i <br /> Payment Received 07/20/16 —918.45 <br /> Total Payments —$9245 <br /> Balance Forward <br /> • <br /> • <br /> • • <br /> ge • •' i <br /> Written notations included with or on your payment will not be reviewed or honored Please senddcorrespondence to: <br /> vet`izon 1fliretess At_tn:COrrespp_ndence Tenfn_l�O' ox #1 Wailiingfprd,Cl'0_04_92 _ .. _ _ <br /> Automatic Payment Enrollment for Account:542011189-00001 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 /> ebit 10 <br /> agreement does not alter the terms of yourtified each month of the date exist ng Customer Agreement.Ind amount of the agree that VerizondWi Wireless sys in advance n t liable for rrrf the roneous bill statements o understandnt. I ncorrect d bits 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.ent.Do not send a voided check. <br /> UDI <br /> I ■ <br /> 0009112-0082994-0000002 of 0000016-C12-RG-6404-09121 <br />