SERVICE SUMMARY

Order Status: C Appl. ID No.: 726669904 Order Date: Mon Jul 10 00:00:00 EDT 2017 Bill Acct. No.:
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Agent Name: A Wireless Marysville B Street
Agent Address: 906 B STREET SUITE B,MARYSVILLE,CA 95901-5370
Billing Outlet ID: 000091118
POS Location Code: W2887-01
Activation type: Individual X New Upgrade Feature Change Calling Plan Change Add-on MultiLine Order

POS Location Code Appl. ID No.

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CUSTOMER INFORMATION No. of Lines Approved: 1
ROBERT BLUTHARDT Total Security Deposit: $0.00
462 TURQUOISE DR
HERCULES CA 94547-1739
USA
Home Phone: 530-618-2724
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Account Information
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Account Level Service Product Offers (SPOs)
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Included SPOs:
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Line 1
Account No.:

Wireless No.: 530-822-6422 Wireless No. Barcode:

Device Id: 357-752082430831 Device Barcode:

Make: SAM Model: Samsung Galaxy S8+ 64GB in Arctic Silver

ICCID: 89148000003347301736 4G SIM Barcode:
IP Address:
Effective Date: 07/10/2017
Plan: The new Verizon Plan Single Smartphone Unlimited $65.00 98129
Monthly Line Access: $20.00
Activation Fee: $30.00
Service Contract Term: Monthly
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Features
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81498 - Total Mobile Protection$11.00 monthly
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Activation Fee will be credited if service is cancelled within 3 days. Taxes & surcharges can add 6% to 44% to your monthly
access and usage charges, including these Verizon Wireless monthly surcharges: Monthly Federal Universal Service Charge on
interstate & international telecom charges (varies quarterly based on FCC rate) 16.7% per line; Regulatory ($0.21 per voice line;
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$0.02 per data-only line); Administrative ($1.23 per voice line; $0.06 per data-only line).
I agree to the VZW Customer Agreement (CA), including settlement of disputes by arbitration instead of jury trial, as well as the
terms of the plan and optional services I have chosen. I am aware that I can view the CA anytime at verizonwireless.com.

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Customer Signature
Account Owner Name - ROBERT BLUTHARDT
Account Owner Signature
X

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