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•, <br /> verizon Pi <br /> tv <br /> �: <br /> .r� <br /> Invoice Number Account Number Date Due Page <br /> 9789256408 871628793-00001 08/08/17 2 of 47 <br /> Get Minutes Used Get Data Used t Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> Previous Balance $497.73 <br /> Payment—Thank You <br /> Payment Received 06/27/17 —497.73 <br /> Total Payments _$497.73 <br /> Balance Forward $,00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> MORE EVERY UNL TLK&TXT 10GB 07/14—08/13 100.00 <br /> 22%Access Discount 07/14—08/13 —22.00 <br /> Subtotal $78.00 <br /> Total Account Charges and Credits $78.00 <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 P.O. Box 291089 Columbia, SC 29229 <br /> Automatic Payment Enrollment for Acco t 87162879300001 EUGENE-PW/MAINTENANCE <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 /> IL I <br /> uuO0689-0031223-0000002 of 0000066-C24-BK-6313-00689 <br />