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0.00 10/03 Of 1P CA 1 RID* N 0.00 One Time Checking Account Payment Authorization Agreement (for use with kiosk payment): I authorize angular Wireless to pay my bill by debiting my bank accounL I can cancel authorization by contacting an in-store sales pawn. If my bank rejects a payment, I may be

•NacJisetwilk. City, LB•Lecskarg, MA- Mananna, MIS.hicleouria, MK-Mexico See* 00-Ckals, OR=Cebndo, PL, Palatka, PC-Panama City, PS-Pcnsacola, P1- Port St Joe, SDeSaelKstin. SA-Sarasota, 714-TNItgassee. TA-Tampa, ViitsAkto Reach, NA-Naples. LK-Lakeland, TV-Thenusvilk, SB-Sebring Rate Cede: RSDI-fRONP 600

-2349 40101HRBD 4°5725942030013e MICHAEL DAVIS 6267 GRAPEVIEW BLVD LOXAHATCHEE, FL 33470-4575 Return the portion below with payment to angular Wireless only. Account Number: 05725942-001-03 Total Amount Due: $190.98 Amount Paid: • Please do not send correspondence with paymen Total Amount Due

=Lake City. LB=Leekbuit. MI=Miantr. MA=Marhuma. MB=Melbouine. M X=Mexico Beach. OC=Ocallt. OR=Orlando. PL=Palatka. PC=Panania CA,. PS=Pensacola. PI=Port St Joe. SD=SanDestin, SA=Sainsou. TH=Tallahassee. TA=T:unpa. VB=Vero Beach. NA=Naples. I.K=1.4.el.ind. TV=Thon,aw die. SB=Sebeing Rate Code: RS D IA/RONP

7-2349 40KNHRBD 4057259420300131 MICHAEL DAVIS 6267 GRAPEVIEW BLVD LOXAHATCHEE, FL 33470-4575 Return the portion below with payment to angular Wireless only. Account Number: 05725942-001-03 Total Amount Due: $83.65 Amount Paid: • Please do not send correspondence with ;laymen Total Amount Due

C=Lake City. LB=Leesbuit. MI=Miantr. MA=MarLuma. MB=Melbouine. MX=Mexico Beach. 0C=0cala. 0R=0rlando. PL=Palatka. PC=P.umnia City. PS=Pensacola. PI=Port St Joe. SD=SanDemit.SA=Saiasou. TH=Tallahassee. TA=Tampa. VB=Vero Beach. NA=Naples. I.K=Lateland. TV=Thonkass die. SB=Sebeing Rau• Code: RS D I WRGNP 600

A. FL 34477-2349 1057259420300136 MICHAEL DAVIS 6267 GRAPEVIEW BLVD LOBAHATCHEE, FL 33470-4575 Return the portion below with payment to angular Wireless only. Account Number: 05725942-001-03 Total Amount Due: $96.22 Amount Paid: S • Please do not send correspondence with paymen Total Amount D

LC=Lake City. LB=Leesbuig. MI=Mianu. MA=MarLuma. MB=Melbouine. M X=Mexico Beach. OC=Ocala. OR=Orlando. PL Palatka. PC=Pmania City. PS=Pensacola. PI=Port St Joe. SD=SanDestin, SA=Sanksou. TH=Tallabassee. TA=Thima. VB=Vero Beach. NA=Naples. I.K=Lateland. TV=Thornanille. SB=Sebring Rate Code: RS D I =RGNP 600