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verizon1 <br /> Invoice Number Account Number Date Due Page <br /> 9766854804 542058966-00001 07/05/16 2 0133 <br /> Get Minutes Used Get Data Used <br /> G <br /> et Balance <br /> a ` . te11141P -• <br /> •w ,.gs.• <br /> Payments and Adjustments <br /> Previous Balance $519.94 <br /> Payment—Thank You <br /> Payment Received 06/01/16 —519.94 <br /> Total Payments —$519.94 <br /> Adjustments <br /> Equip Bill Incentive Credit for 541-554-6549 on 05/23/16 —300.00 <br /> Total Adjustments —$300.00 <br /> Credit Balance <br /> —$300.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Taik&TXT 30GB 06/11 —07/10 225.00 <br /> 22%Access Discount 06/11 —07/10 —49.50 <br /> Subtotal $175.50 <br /> Total Account Charges and Credits $175.50 <br /> Written notations included Withor on your payment will not be fevievved or honored.Please send correspondence to. <br /> Verizon Wireless Attn: Correspondence Team PO Box 5029 Wallingford CT 06492 <br /> 4utomatic Payment Enrollment for Account:54.2058966-00001 CITY OF EUGENE PWM/POS <br /> 3y 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 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 /> • ❑ I <br /> tl <br /> 0003050-0064750-0000002 of 0000056-Q3-FL-6210-03053 <br />