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verizon " <br /> Invoice Number Account Number Date Due Page <br /> 9771974335 371628681-00001 10/08/16 2 of 48 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments and Adjustments <br /> Previous Balance $826.06 <br /> Payment—Thank You <br /> Payment Received 08/25/16 —826.06 <br /> Total Payments —$826.06 <br /> Adjustments <br /> Equip Bill Incentive Credit for 541-521-3830 on 08/29/16 —100.00 <br /> Total Adjustments -$100.00 <br /> Credit Balance —$100.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 09/14—10/13 225.00 <br /> 22%Access Discount 09/14—10/13 —49.50 <br /> Subtotal $175.50 <br /> Total Account Charges and Credits $175.50 <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 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 /> ■ ❑ ■ <br /> 0002633 0055766 0000002 of 0000058-C23-FL-6513-02635 <br />