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verizon " <br /> Invoice Number Account Number Date Due Page <br /> 97703 7104 871628793-00001 09108/16. 2 of 54 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $594.91 <br /> Payment—Thank You <br /> Payment Received 08/05/16 —594.91 <br /> Total Payments —$594.91 <br /> Balance Forward $,00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> MORE EVERY UNL TLK&TXT 10GB 08/14—09/13 100.00 <br /> 22%Access Discount 08/14—09/13 —22.00 <br /> Subtotal $78.00 <br /> Total Account Charges and Credits $78.00 <br /> Written notations included with or on your payment will not be,reviewed or honored.Please send correspondence to: <br /> Verizon Wireless Attn:Correspondence Team PQ Box 5029 Wallingford,CT 06492 <br /> Automatic Payment Enrollment for Account:871628793-00001 EUGENE-PW/MAINTENANCE <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 /> 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 /> . 01 <br /> 0001100-0049541 0000002 of 0000076{14-BK-6413-01101 <br />