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1.* <br /> izonVer Invoice Number Account Number Date Due Page <br /> 9788670758 542011189-00001 07/30/17 2 of 14 <br /> ...._.. ..__....__. <br /> Get Minutes Used Get Data Used Get Balance <br /> #MIN+SEND #DATA+SEND #BAL+SEND <br /> Payments <br /> • <br /> Previous Balance $986.00 <br /> Payment—Thank You <br /> Payment Received 06/14/17 —986.00 <br /> Total Payments —$986.00 <br /> Balance Forward $.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 /> utomatic Payment Enrollment for Account:542011189-00001 CITY OF EUGENE <br /> ;y 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 /> etup Automatic Payment. You will be notified each month of the date and amount of the debt 10 days in advance of the payment. I understand and accept these terms. This <br /> greement 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 /> rithdraw 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 /> • LI1 ■ <br />