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verizon <br /> Invoice Number Account Number Date Due Page <br /> 9787361056 872298827-00001 07/05/17 2 of 4 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN +SEND #DATA+SEND #BAL +SEND <br /> Payments <br /> Previous Balance $536.12 <br /> Payment—Thank You <br /> Payment Received 05/23/17 —536.12 <br /> Total Payments —$536.12 <br /> Balance Forward $.00 <br /> • <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 291089 Columbia, SC 29229 _.e., .. <br /> Automatic Payment Enrollment for Account:87229t3, 00001 CITY Or GENE-1 MB SPRINKLERS <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 /> ■ ❑ i <br /> 0017213-0064494 0000002 of 0000006 C11-LT-6210-17230 <br />