verizon . <br /> Invoice Number Account Number Date Due Page <br /> 9788969754 242059101-00004 08/05/17 2 of 30 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND ;DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $367.31 <br /> Payment—Thank You <br /> Payment Received 06/27/17 —367.31 <br /> Total Payments —$367.31 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> Data SMB 30GB 07/11 —08/10 185.00 <br /> 22%Access Discount 07/11 —08/10 —40.70 <br /> Subtotal $144.30 <br /> Account Usage Charges <br /> Data Over Allowance—GB 60.00 <br /> Subtotal $60.00 <br /> Total Account Charges and Credits $204.30 <br /> Written notations included with or on your payment will not be reviewed or honored. Please send correspondence to: <br /> w, a Verizon Wireless Attn: Correspondence Team P.O. Box 291089 Columbia, SC 29229 <br /> mss . <br /> Automatic Payment Enrollment for Account:242069101-00004 CITY OF EUGENE PWM/POS <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. S.Return this slip with your payment.Do not send a voided check. <br /> ILl <br /> 0002001-0040488-0000002 of 0000054-C23-FL-6310-02003 II <br />