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AS OF JULY 20TH, PAYMENTS SHOULD BE SENT TO THE FOLLOWING ADDRESS: CINGULAR WIRELESS PO BOX 6444 CAROL STREAM, IL 60197 cingular Account Name: MARTIN GOLICK Questions or Changes? • cingular.com • Toll Free 1 866 293.4634 • 611 from your wireless phone • TTY users - 1 866 429.7TTY Date of Invoice

GS SENT 5 CALL WAITING 6 411 INFO 7 MULTIMEDIA SNT 8 INCLUDED MINUTES Total Monthly Usage Charges Other Subscriber Charges Item Description 1 FEDERAL UNIVERSAL SERVICE FUND SURCHARGE Total Other Subscriber Charges Subscribe: Cicvee-ment fees and Taxes Item Description 1 911 SURCHARGE 2 SALES TAX 3 FEDERAL EXCISE TA

PER MONTH MAY BE APPLIED FOR AMOUNTS UNPAID 20 DAYS AFTER THE DATE OF INVOICE (AK 0.875%, AR 0.085%. NE 1.33%, WI 1.00%). cingular Account Name: MARTIN GOLICK r Ford and tear here) Please Return This Portion With Your Payment. Use of service or payment of this invoice indicates agreement mth the General

RETRIEVAL 5 411 INFO 6 CALL WAITING 7 INCLUDED MINUTES 8 SPECIAL NUMBER CALLS Total Monthly Usage Charges Other Subscriu • Item Description 1 FEDERAL UNIVERSAL SERVICE FUND SURCHARGE Total Other Subscriber Charges Subscriber Gove, 1; Fees and Taxes Item Description 1 SALES TAX 2 FEDERAL EXCISE TAX 3 STATE COMM SER

cingular MARTIN GOLICK SUMMARY OF MONTHLY CHARGES FOR ACCOUNT Previous Balance Payments Received Late Payment Charge Total Adjustments Balance Forward Current M

lIed/Reversed Other Subscriber Charges Payment Amount Charge Item Description Charge 1 PAYMENT 07/01/05 Total of Payments -79.24 -79 Pg. 1 FEDERAL UNIVERSAL SERVICE FUND SURCHARGE 1 65 -79.24 Total Other Subscriber Charges 1.45 Current SI.,fr•'I'lhPf" Monthly Charges and Credits Subscriber Government Fees and Ta

P cingular MARTIN GOLICK 124 SEMINOLE LAKES OR ROYAL PALM BEACH FL 33411.4210 SUMMARY OF MONTHLY CHARGES FOR ACCOUNT 0031035751 Previous Balance Payments Received Lat

MSGS SENT CALL WAITING 6 411 INFO 7 MULTIMEDIA SNT 8 INCLUDED MINUTES Total Monthly Usage Charges Other Subscriber Charges Item Description 1 FEDERAL UNIVERSAL SERVICE FUND SURCHARGE Total Other Subscriber Charges Subscriber Government Fees and Taxes Item Description 1 911 SURCHARGE 2 SALES TAX 3 FEDERAL EXCISE TAX

AFTER THE FREE TRIAL. ROADSIDE ASSISTANCE IS $2.99 A MONTH. SEE ENCLOSED INSERT FOR MORE INFORMATION. X cingular ra3.1-S3 the bar Account Name: MARTIN GOLICK Please Return This Portion With Your Payment. Use of service or payment of this invoice Indicates agreement vVrth the General Terms and Conditions

MIUT 4 MESSAGE RETRIEVAL 5 CALL WAITING 8 411 INFO 7 INCLUDED MINUTES Total Monthly Usage Charges Other Subscriber Charges Item Description 1 FEDERAL UNIVERSAL SERVICE FUND SURCHARGE Total Other Subscriber Charges Charge - 06/14/05 0.00 - 06114/05 4.99 - 06/14/05 0.00 - 06114/05 0.00 - 06/14/05 0.00 - 06/14/

Same: NAST'S optics Credit Madras.: 124 BEHIND= LAKES DR. ROYAL PikLM BEACH FL 3341)-4210 boto ID State: DOB: 06/23/1954 9.5N: Contact Name: MARTIN GOLICK Contact Rome Phone: (Contact Work Phone Contact Mon email: I-ontact Work Email: Customer Since: 11/30/2002 Photo ID Type: Photo 10 Number: Ac

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