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verizon <br /> Invoice Number Account Number Date Due Page <br /> 9781822312 242059101-00002 04/05/17 2 of 28 <br /> Get Minutes Used I Get Data Used <br /> Get Balance <br /> #MIN+SEND #DATA+SEND #BAL +SEND <br /> Payments <br /> Previous Balance $1,242.03 <br /> Payment—Thank You <br /> Payment Received 02/27/17 —1,242.03 <br /> Total Payments —$1,242.03 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 50GB 03/11 —04/10 375.00 <br /> 22%Access Discount _ 03/11 —04/10 —82.50 <br /> Subtotal $292.50 <br /> Total Account Charges and Credits $292.50 <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:242059101-00002 CITY OF EUGENE PWM/POS <br /> By sigAutomatic ning 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 not alter'the termslof be <br /> otr fied'ng h month of the Customer Agreement.I agree that Verizon e and amount of the debit 10 Wi elessdisys not nadvance of the liable for erroneous abill statements oraincand orrect debits these terms.to my account.To <br /> withdraw your authorization you must cat 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 /> • L1I <br /> 1111 <br /> 0002011-0040735-0000002 of 0000050-C23-FL-5910-02013 <br />