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CUSTOMER RECEIPT <br /> veri wireless Please keep this important document for your records. <br /> Ship to: Order No: 000289760001 <br /> EUGENE, PARKS & OPEN SPACES Location Code: 0381201 <br /> ATTN: CLARA MATSLER Order Placement Date: 11/27/2012 <br /> 1820 ROOSEVELT BLVD Order Process Date: 11/27/2012 <br /> Ship Date: 11/27/2012 <br /> EUGENE, OR 97402 -4159 Wrhs Order No: 03812010002897600101 <br /> Cellular Service Information <br /> Mobile No: 541 - 285 -8395 User Name: POS SHRADER <br /> Price Plan Descr: AMERICA'S CHOICE II FAMILYSHARE SECONDARY 1400 SHR W /PRI $9.99 0705 <br /> Contract Term: 12 month(s) <br /> EARLY TERMINATION FEE: UP TO $175 <br /> The monthly Federal Universal Service Charge is 17.40% of interstate and int'I telecom charges (varies quarterly). The <br /> monthly Regulatory Charge is $0.16 per line for voice or Email plans, or $0.02 per line for Mobile Broadband plans, and <br /> helps defray the costs of complying with regulatory mandates. The monthly Administrative Charge is $0.99 per line for <br /> voice or Email plans, or $0.06 per line for Mobile Broadband plans. These charges are our charges, not taxes. Taxes, <br /> surcharges and other fees, such as E911 and gross receipt charges, can add between 8.00% and 16.00% to your monthly <br /> bill, and are added to your monthly access fees and airtime charges. <br /> Features: <br /> BUSY TRANSFER CALL FORWARDING <br /> CALLER ID DECLINE EQUIPMENT PROTECTION <br /> DETAILED BILLING - $0 ENHANCED VOICE MAIL:- $0 <br /> M2M NATIONAL UNLIMITED - $0 NATL ENHANCED SVC ACCESS $0 <br /> OTA SOFTWAREUPDATE -$0.00 PIX FLIX PAY PER MSG <br /> SDM REMOTE QUERY BLOCK TXT MSG W PER MSG CHARGES <br /> Not all available Features and Services are compatible with all devices. <br /> Electronic Device Recycling <br /> Oregon E- Cycles: Free recycling for computers, monitors and TVs www.oregonecycles.org or 1- 888 -5- ECYCLE <br /> Page 2 of 2 <br /> IIllIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III <br />