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ice <br /> ve riz on� <br /> Invoice Number Account Number Date Due Page <br /> 9790965722 371628681-00001 09/08/17 2 of 62 <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND END <br /> Payments <br /> Previous Balance $862.68 <br /> Payment—Thank You <br /> Payment Received 07/26/17 —862.68 <br /> Total Payments —$862.68 <br /> Balance Forward $.00 <br /> Account Charges and Credits <br /> Account Monthly Charges <br /> SMB UNL Talk&TXT 30GB 08/14—09/13 225.00 <br /> 22%Access Discount 08/14—09/13 —49.50 <br /> Subtotal $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 291089 Columbia, SC 29229 <br /> Automatic Payment Enrollment for Account:371628681-00001 EUGEN'I ?ARKS&OPEN SPACES <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 /> ULI ■ <br /> I II 11 II 11. IIII1..1-I II111111,111 nl I1111 II11Ik111 ISI 1,K f..l I 111111, I <br />