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verizon r..„; <br /> Invoice Number Account Number Date Due Page <br /> 9783735889 742058933-00001 05/05/17 2 of 44 <br /> Get Minutes Used --Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND <br /> #BAL+SEND <br /> IPayments <br /> Previous Balance $679.36 <br /> Payment-Thank You <br /> Payment Received 03/22/17 —679.36 <br /> Total Payments <br /> —$679.36 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 04/11 -05/10 225.00 <br /> 22%Access Discount 04/11 —05/10 —49.50 <br /> Subtotal — <br /> $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 P.O.. Box 2.91089 Columbia, SC 29229 <br /> Automatic Payment Enrollment for Account:742058933-00001 CITY OF EUGENE <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 noted each month of the date and amount of the debt 10 days in advance of the payment. I understand and accept these terns. 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 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 /> ■ El <br /> I ■ <br /> 0000787-0035031-0000002 of 0000064-C24-BKfi010-00787 <br />