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verizon ' ..,, <br /> Invoice Number Account Number Date Due Page <br /> 97714 542011189--00001 09/29/16 2 of 14 <br /> Get Minutes Used Get Data Used <br /> #MIN ±SEND Get Balance <br /> DATA+SEND gB.AL +SEND <br /> Payments and Adjustments <br /> Previous Balance <br /> Payment—Thank You $954.69 <br /> Payment Received 08/12/16 <br /> Total Payments —954.69 <br /> Adjustments .69 <br /> x — � <br /> Device Bill Incentive Credit for 541-214-6675 on 08/26/16 <br /> Device Bill Incentive Credit for 541-285-2921 on 08/26/16 <br /> Device Bill Incentive Credit for 541-521-2388 on 08/26/16 —50.00 <br /> —100.00 <br /> Device Bill Incentive Credit for 541-972-1919 on 08/26/16 —10-100.00 <br /> Total Adjustments $350.00 <br /> 1 <br /> Credit Balance —$350.00 <br /> —$350.00 <br /> f <br /> t <br /> , <br /> f <br /> 1. <br /> G <br /> I <br /> I <br /> l <br /> F <br /> Written notations included on your payinitnt will not be feelewedlayered.Pieaft send tr <br /> VarIzen WirelessAttn:Correspondence ipc�tflent:e f tt PO Box sA�t Ge to: <br /> Automatic Pa Enrollment for Account:5420111 $ �YBil1>} fbrd; <t1692 <br /> E <br /> By signing below,you authorize Verizon Wireless to electronically debityour bankEUGaccount each month for the total balance due onour account. <br /> i. <br /> setup Automatic Payment. You will be noted each month of the date and amount of the debit 10 days in advance of the payment. I understand and accept these terms. Th <br /> s <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 incorre <br /> withdraw your authorization you must call Verizon Wireless.Check with your bank for any charges. y The check you send will be used to <br /> i <br /> 1.Check this box. 2.Sign name in box below,as shown on the bill and date, ct debits to my account.To <br /> 3.Return this slip with your payment.Do not send a voided check. <br /> I <br /> 0009100-0082970-0000002 of0000076_C12-RG-6504-09109 <br />