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verizon Sty <br /> Invoice Number Account Number Date Due Page <br /> 9775215580 971640668-00001 12/05/16 2 of 8 <br /> Get Minutes Used Get Data Used <br /> Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $196.62 <br /> Payment—Thank You <br /> Payment Received 10/27/16 —196.62 <br /> Total Payments <br /> —$196.62 <br /> Balance Forward $.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 PO Box 50.2.9 Wallingford, CT 06492_ <br /> Automatic 'a ment Enrollment for Account:971640668-00001 CITY OF EUGENE-5MB SPRINKLERS <br /> setup Automatic 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 /> agreement does notaalter the terms of your existings Customer Agreemch month of the ent.I agree that Veizone and amount of the debit Wire esssdisys notnadvance of the liable for errroneousabill statementtsrorancand orrect accept these terms. <br /> to my account TTo <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 /> RE ! <br /> I ■ <br /> 0015466-0055552-0000002 of 0000010-C11-LT-6710-15481 <br />