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verizon' <br /> Invoice Number Account Number Date Due Page <br /> 9770319671,. 371628681-00001 00108/16 2 of 51 <br /> Get Minutes Used Get Data Used Get Balance <br /> ;MIN +SEND #DATA± SEND #BAL + SEND <br /> Payments <br /> Previous Balance $728.53 <br /> Payment-Thank You <br /> Payment Received 08/05/16 -728.53 <br /> Total Payments -$728.53 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 08/14-09/13 225.00 <br /> 22%Access Discount 08/14-09/13 -49.50 <br /> Subtotal $175.50 <br /> Total Account Charges and Credits $175.50 <br /> Written notations included with or on plot payment will not bereviewedor'honored.Please send correspondence to: <br /> Verizon Wireless Attn:Correspondent ear;PO Box 5029 Wallingford,CT'06492 <br /> Automatic Payment Enrollment for Account:371628681-00001 EUGENE-PARKS&OPEN SPACES <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 /> • L1 ■ <br /> 0002618-0055479-0000002 of 0000058 C23 FL-6413-02620 <br />