EFTA01316181.pdf

0uestnns et Changes? • • attreiretess.com AT&T Wireless • Tol Free I 866 2934634 • 611 from your mreless phone • TTY users 1 866 4-AWS-TTY MARTIN GOLICK Date of invoice: August 19, 2004 SUMMARY OF MONTHLY CHARGES FOR ACCOUNT Previous Payments Account Balance Current Monthly Total Balance Received Adjustments Forward Charges Amount Due 88.96 -88.96 0.00 0.00 323.87 323.87 Your billing cycle ended on August 14, 2004 Current Monthly Charges Subscriber Adjustments 180.19 Monthly Service 56.10 Monthly Usage 66.22 Charges 0.00 Credits -2.50 Taxes. Surcharges 8 Regulatory Fees 23.86 Total Current Monthly Charges DUE UPON RECEIPT 323.87 TOTAL AMOUNT DUE 323.87 YOU ASKED FOR AT&T WIRELESS CALL FORWARDING AND NOW YOU HAVE IT! EFFECTIVE 5/31/04. YOU CAN DIRECT INCOMING CALLS TO A NUMBER OF YOUR CHOICE - WHEN YOUR PHONE IS BUSY. AFTER A FEW RINGS. OR WHEN YOUR PHONE IS OFF • YOU'RE IN CONTROL! VISIT ATTWIRELESS.COM/FEATURES FOR COMPLETE DETAILS AND INSTRUCTIONS. Note: => We Pant on AT&T WIRELESS APPRECIATES YOUR BUSINESS front and Back Please Return This Pomon With Your Payment. Use of service or payment of this invoice indicates agreement Service IS Account la AT&T Wireless enth tie General Terms and Conditions for wireless service. Account Name: MARTIN GOLICK ri Yes. I want to enroll in REPT and have my monthly payments aomahcaity ut deducted from the account on my enclosed check (see reverse sgnature required). Check here for change of address (see reverse) Total Amount Date Due Amount Due Paid #BWNHNGB UPON RECEIPT 323.87 #0000000310357512# w 2004692 02 AT 0SIT "AUTO T7 0 03143x0 I . S A202 1034 0:00 al Jinn I sill doll ..... MARTIN GOLICK AT&T WIRELESS PO BOX 8229 AURORA IL 60572-8229 000000000000000000003L03575120000000323879 CONFIDENTIAL SDNY_GM_00344270 EFTA_002 16965 EFTA01316181  7 Recurring Electronic Fund Transfer (REFT): To enroll: sign below, check the REFT box on the reverse side and remit with this month's payment. Keep paying your bill until your statement indicates to Not Par. REFT Agreement: I authorize my financial institution to deduct the amount of my monthly wireless phone bill from the account associated with the enclosed check and remit payment to AT&T Wireless. This authority will be effective until I notify AT&T Wireless to terminate it. I agree that I may be assessed a service charge (up to $20) or late fee or both if a payment is returned by my bank. For more information visit athvireless.com/ocs or call 1 866 293.4634. Please keep a copy of the form below and this REFT Agreement for your records or retain a copy of the blank form from next month's invoice. Questions? We can help: AT&T Wireless appreciates your business and welcomes the opportunity to assist you. As part of our commitment to you, we are always adding new calling plans and promotions to match your individual needs. Visit our website at attwireless.com or contact Customer Care by dialing 611 from your wireless phone or 1 866 293.4634. ,Sabias que tambian ofrecemos servicio al cliente en to idioma? Marca 611 desde to telefono inalambrico 6 1 866 293 4634 desde cualquier telefono y oprime el '. Driving Wireless Safety: Your wireless phone gives you the freedom and flexibility to stay in touch when you travel, but don't let a phone call distract you from driving safely. Use hands-free device if allowed or required by law. Call Carefully. Arrive Safely. AT&T Wireless Processing Fees: Accounts suspended for non-payment will be subject to a $25 reactivation fee per line and may be assessed a security deposit prior to reinstatement. Checks returned for non-sufficient funds will be charged up to a $20.00 tee. Local Tax: Local taxes are based on local government boundaries, the address information you provide for your account and/or your wireless telephone number. Please review the local tax charges on your bill. If you believe there is an error in the local tax charge, please contact us immediately at 1 866 293-4634. Please note that some local or state laws may require you to follow special procedures when notifying us about a local tax dispute. You may also use the form below to notify us of any change to your taxing address. Thank you for your cooperation. Early Termination Fee (ETF): If you cancel service before your contract end date (including if you switch your wireless number to another carrier), you will be charged an Early Termination Fee of up to $200. Please Send Correspondence To: AT&T Wireless Next Generation Correspondence P.O. Box 68056 Anaheim Hills, CA 92817-8056 2C04692.00CC0658.7 Change of Address Only. Please print address dearly and check the box on the reverse side. Please contact Customer Care to change the Account Name and Uanster Financial Responsibility. New Billing Address City State Zip Home Phone ( ) Work Phone( It your billing address is NOT your Tax Address*. ;tease enter the Tax Address below. (Multi4Ine accounts should attach a sat of each weeless number and the respective Tax Address.) New Tax Address' Wireless Number ( ) City State Zip 'Under Federal laws, your Tax Address must be: your primary place of use. your residential or business address. and located wean AT&T Weless 0 licensed service area. Non-business customers on AT&T Digital One Rate. Regional Advantage or Shared Advantage plans must use their residential address as the., tax address. Recurring Electronic Fund Transfer (REFT) Enrollment. Please read the agreement on the top portal of this page. sgn below and check me -REFT Regatratlon- box on the reverse side. 6.1 - 3G Financial Account Holder Signature Date Email Address' ❑ ' I do not wish to receive email nouticaticti of speoal otters available to AT&T Weless customers. CONFIDENTIAL SONY_GM_00344271 EFTA_00216966 EFTA01316182 r Account Name Date of Invoice MARTIN GOLICK August 19.2004 AT&T Wireless Account Number Page 3 of 14 SUMMARY OF CURRENT ACTIVITY - CONTINUED TO BETTER SERVE YOU AND ALL OUR CUSTOMERS. EFFECTIVE JULY 2004, OUR REPRESENTATIVES WILL NO LONGER PROCESS Monthly Service Charges Continued ROUTINE CUSTOMER PAYMENTS. THANK YOU FOR YOUR UNDER- Item Description Service Dates Charge STANDING IF OUR REPRESENTATIVE ASKS YOU TO MAKE YOUR 4 WORLDCONNECT 07/1504.081404 0.00 5 COM EOP 1.99EW/3.00INS 64.99 081604 1814131 1.13 PAYMENT ON ATTWIRELESS.COM OR THROUGH OUR AUTOMATED 6 AT&T VOCEMAIL 07/1504.0&1404 0.00 VOICE MENU. THESE OPTIONS WILL PROVIDE YOU WITH A 7 DETAIL BILLING 07/1504.081404 0.00 8 539.99 CHARTER OFFER 07/1504.0&1404 3199 QUICK AND EASY PAYMENT EXPERIENCE. WITHOUT HOLDING FOR 9 1000 NIGHT AND WEEKEND MINUTES 07/1514 0810.04 9.99 10 CALL FORWARDING 07115'04.081404 0.00 A REPRESENTATIVE. 11 THREE WAY CALLING 07115'04.061404 2.22 Total Monthly Service Charges 56.10 APPLY NOW FOR THE AT&T UNIVERSAL CARD Monthly Usage Charges CALL I.800.426-3430 TODAY! Item Description Only Used Charge 'ENJOY A GREAT LOW APR ON BALANCE TRANSFERS 1 1000 NIGHTiWKEND MIN 985 MIN 0.00 'OPTIONS TO ENROLL IN CASH BACK OR REWARDS PROGRAM 2 SOO ADD'L ANYTME MIN 500 MIN 0.00 3 MESSAGE RETRIEVAL 55 EVT 0.00 'NO ANNUAL FEE CREDIT CARD 4 CALL WAITING 29 EVT 0.00 5 CO INCL. MSGS SENT 69 EVT 0.00 6 411 WFO 2 EVT 2.50 7 INCL IN PLAN DATA 5 KB 0.00 ACCOUNT DETAILS 8 DROP CALL CREDIT 8 MIN 0.00 9 INCLUDED MINUTES 500 MIN 0.00 10 ADDL DATA 60.01KB 116 KB 3.48 Detail of Payments Thank You! II AT&T E-WALLET EVT 1.99 12 ADDITIONAL AIWUTES 233 MIN SA 2c, them Description Date ApplieaRevensed Payment Amount Charge I PAYMENT 011704 Total Monthly Usage Charges 66.22 88•66 It8.211 Total of Payments -88.96 1.024 Kilobytes (KB) - 1 Megabyle (MB) • Current Subscriber Monthly Charges and Credits Other Subscriber Credits Subscriber Number Subscriber Name Charge Item Description Charge 373 87 1 15 DAY EQUIP WAITING PERIOD CREDIT -250 Total Current Subscriber Monthly Charges and Credits 323.87 Total Other Subscriber Credits -210 Total Current Monthly Charges 323.87 Taxes. Surcharges and Regulatory Fees Item Description Charge SUMMARY OF CURRENT ACTIVITY 1 UNIVERSAL CONNECTIVITY CHARGE 3.14 2 SALES TAX 007 Detail of Subscriber Adjustments 3 STATE COMM SERVICE TAX 10.68 4 LOCAL COMM SERVICE TAX 6 08 Item Description Date Applied Charge 5 COUNTY 911 TAX 0.50 I RETAIL EQUIP CHARGE 5511.55271 080904 180.19 6 FEDERAL TAX 3 39 Total of Subscriber Adjustments 180.19 Total Taxes. Surcharges and Regulatory Fees 23.86 Monthly Service Charges TOTAL CHARGES FOR 323.87 Item Description Service Dates Charge 1 CALL WAITING 07/1519 0814,04 0.03 2 AT&T TEXT MESSAGING 07/1104 . 0814,04 4.99 3 CALLER ID 07/1514 08010.14 0.03 CONFIDENTIAL SDNY_GM_00344272 EFTA_002 16967 EFTA01316183 P Account Name Date of Invoice MARTIN GOLICK August 19, 2004 AT&T Wireless Account Number Page 4 of 14 DETAIL OF CURRENT ACTIVITY DETAIL OF CURRENT ACTIVITY - CONTINUED VOICE USAGE FOR VOICE USAGE FOR - Continued Number Only Charge Number Only Charge RIM Date Mlle Called cells To Used Rale DeacdplIOn Charge Item Date Time raba cells TO Used Rate Description Charge 211N !FA ail; 3 07/16 02:13A PSIS= INCOMING MN MN MN 1000EaraM3 1000 MGHT/WKEND UM 65 0296 021 66 07116 0228P NE YORK NY VMAWLIABEACH FL WPALIABEACH FL 2m.r/ 5C0 ADDI. ONVTIIE MN 600 41.401 ANTS* MN 4 07/15 06:124 DELRAY BCH FL MN 5000/1301'NYRE PANPAN 67 07116 02299 ISMS/BEACH FL sIN 500 ADO' ANYTME MN S 07/15 06S9A VVPAUNIEACH FL MN 500 M301/STINE MN M 0786 02:439 INCOIAAN/ING 4 sm 500 ADM. ANYTME MN 07/15 09:1M INCOMING MN 500 91301. /STINE MN 69 0786 02 029 %W BEACH FL IMN 500 ADM ANYTNE MN 7 07/16 09A1A YVPA FL MN 500 ADM.MITTS /AN 70 07/16 02 529 WPALMBEACH FL 500 ADO1ANYN III 8 07115 094 WPALMBEAC UVEMACHH FL MN 500 ADM. ANYTME NIN INCOMING 2MN 500 ACM 4101 T11E E MIN N 9 07/15 09599.A4 WPALMWACH Ft MIN 5004001ANyniErAN 72 0746 03 SOP NOSAING MN 500 ADO1ANYTME MIN 10 07/15 10 110. VVPALSEACAI FL MN WO ADM. ANYTME PAN 73 07116 04 08P NcOMING MN SOO ADC/L ANYWE MIN 11 07/151031A F1LAVDERDL FL MN 500 ADM. MITTS MN 74 07/16 04 HP NoCAING 1MN SOO M301 ANYTME MIN 12 07115 11 12A INCOMING MN 500 A001MIMS MN 75 07071/166 10 54 76 47P P WPALMBEACH FL WIN $000001 ANYTME MIN 19 0785 11 28A FlIALMERIX FL MN 500 AC01. ANYTME MN NOOSING 2MIN SOO 0301ANYTME MIN 14 0785 11 $1Ft NOOMSM SIN /1 4 WPALSIBEAC EL IMIN NYTME MN IS 07115 1SW NCOIAING MN 2:81lAg 17 4 MN /1 WPALMBEACH H FL 41/IN ADD1A ANYTIAE MN 16 071151226P PALM BEACH FL MN 500 ADDS ANYTME IAN 79 07/16 0620P 000SING I IAN 600 A00L ANYTME MN 17 07115 12/10P INCOMING MN SOO /IDOL ANYTNE MIN 10 07/16 0621P INCCNGM 2MIN SOO ADM ANYTME IAN le 07/15 124IP INCOIAING PAN SOO AWL ANTS* MIN /II 07/16 06:43P WPALISMACH FL 2MIN SOO ADO L ANYTME IAN 19 07/15 12:43P WPAUABEACH FL MN SOO AWL ANYWE MIN 12 07/16 07:16P WPALMBEACH FL 3IAIN SOO AMYL ANYTME IAN 200711601:099 FTMUDERDI. FL MN 500 ADO1ANTWE MIN 83 07/16 0729P WPAUMEACH FL SOO AMYL ANYTME IAN 21 07/1501:1W MN ADM ANYWE MIN M 07/16 0730P WPAUM MIN SOO AMYL ANYTME mN 22 07115 01:10P WPALMBEACHFL MN 500 AMA ANYTME MIN 85 07/16 0732P WPALMBEAC EACH FL MO AMYL ANYTME PAN 23 07115 01:21P 'NOOSING IAN 503 ADD1 ANYTME MIN 86 07/16 0732P YYPALMBEACM FL MN WO ADM. ANYTIE MN 24 07/1501:33P MIN 503 ADD1 ANYTME MIN 87 07116 0703P INCSAINO SOO ADM. ANYTME MN 25 07/15 01:34P 26 07/15 0222P 'NOOSING WPALMBEACH FL INCOSINCI MIN MIN 500 ADC/L ANYTME MN 500 ADC/L ANYTME MN 89 07116 07.459 89 07/16 0818P WPAUMEACH FL 9/P40/BEACH FL MN MN 500 A001. ANYTME MN DOt 500 AC IOL ANYTMEE MN L 8'95 03399 29 07/15 0348P ral alaDL FL INCSANG I MIN IAN IAN 2gE ANYTME lig 500 ADDY. ANYTME MN 9396852 92 07116 0927P 499 9/PALL/BEACHFL WPALIMEACH FL WPALMBEACH FL UN MN ANTIV IN 1000NIGHTVMENDNMN 1000 NIGHT %WENO IAN 30 07115 0722P BE FL IAN SCOADDI ANYTME MN 93 07/16 0929P WPALMBEACH FL MN 1000 MGHTAWENO IAN 31 07/15 0723P WPALMBEACH FL IAN SCOADDI ANYTkIE IAN 07/16 09:35P WPALMBEACH FL MN 1000 hIGHT.WKENO IAN 32 07/15 08:10P 33 07/15 08:10P INCOMNG NEW YORK NY M1/1 MN SOO ADM. ANYTME MN 500 ADM. ANYTME PAN 95 07/160912P 96 07/16 1010/ WPALMBEACH FL NCOMNG MN MN 1000 MGHTAVKENO 1000 MS/TM/KENO MN 34 071160124P FTLAUDEROL FL MN 500 ANYT/E PAN 97 07/16 1040P itMOMNG MN 1000 MGHTAVKEND IAN 35 07115 0625P V/PALM3EACH FL MN 500 ADOI. ADDS ANYTME MN 96 07/113 10 11P FTLAUCCROL FL AN 1000 MGHTANKENDLIN 36 OWIS 0626P FILAUDERDL Ft MN 500 ADO% ANYT ME MN /1 1 1P WPALMBEACH FL MIN 1000 NIGHTANKENDLIN 37 07/15 0835P 7 08 35P 98 0/15 NCOMINO INCOMING MN MN 500 AMYL ANTES MN 500 *ctn. MOTIVE MIN 100 0707/157 00 1 121A 101 07/1704 269 'NOOSING NEW YORK NY 2MMININ 1000 NIGHTANKENDmN 1000 NIGHTANKENDmN 39 0785 08.522 NCOMING MN 500 ADM ANYTME MIN 102 07/1704 27P FTLAUCCROL FL WIN 1000 NIGHTANKENDmN 40 OW5 00.54P WPALMBEACH FL MN 500 ADCTL AMINE MIN 103 07/17 04 309 'NOOSING WIN 1000 NIGHTANKENDmN 41 07/1500.599 FTLAUOERDL FL MN 5MIN ISM r mo rin 'ati 184 Sr; tli; I 16R t1 IMACH FL WIN M tlienWWEN N8m mN 42 07/15 MOM INCOMING MN 1000 NGSTAMMO MN IEVT MESSAGE RETRIEVAL 4307/1101:44A SWAM/EACHFL MIN 1000 ISFRAMEND MN 106 07/17 OIMP FTLAUCEROL FL 9/AIN 1000 A/CHM/I/KENO/AN EV1 MESSAGE REIRMVAL '07 07/1704:639 NEW YORK NY 11/IN 1000 A/CHM/I/KENO/AN 44 07/1101:52A WPALMBEACH FL MN 1000 MGHTAVKENO MN 106 07/17 05:101/ INCOMNG WIN 1000 A/CHM/I/KENO/AN 07/16 01:511 WPALIABEACH FL MN 1000 MGHTMMENO MN 109 07/17 05:139 WPALMINGBEACH FL WIN 1000 MGHT/AMENOPAN /1 10:355A 46 0713 'NOOSI NG MIN SOO mot MITTS MIN 110 07/17 05:14P 'NOOS IN 1000 NIGHTAIMENOmN 47 07/16 11:07A 'NOOSING MIN SOO 0301ANYTME MIN IWEVT C WAITING 4607/16 11:10A WPALMBEACH FL MIN 500 ADD1 ANYTME MIN ill 07/1705 41P 'NOOSING 'MIN ALLMGHTANKENDmN 1000 49 07/16 12:15P WPALMBEACH FL MIN 500 ADC/L ANYTME MN 112 07/1705 SIP PALSIBEACH FL WIN 1000 MGHTANKENDmN 50 07/16 12:16P 'NOOSING MIN 500 A001 ANYTME MN 113 07/1706 IP W'NOSING WIN 1000 MGHTANKEND mN EVT CALL Y/A3903 114 07/1707 59P iNCOIANG WIN 1000 MGHTANKEND mN FILAUDENDL FL 11 53 07/16 0123P LWZNEMHIL FL FTLAUDERDL FL M MIN MIN N ZIE ENTLIE Lig SCO ADM. ANYTME IIN BIP P 117 07/17 10 149 INGOMNLi WPALMBEACH FL 'MIN WIN WIN MaaM1 M EN N8mic INN 1000 MGHTMIKENOPAN 54 07/16 01:10P FTIAUDERIX FL MIN SOO ADM. ANYTME MN 10/07/17 10 199 WPALMBEACH FL WIN 1000 MGHTMIKENOPAN SS 07/16 01:14P WCOMPM/MESH FL IAN SCOADDI ANTIS IAN 11907/17 10 209 WPALMBEACH FL 2/AIN 1000 MGHIMIKENDIAN 51 56 07/16 0122P IN NG MN 5009001ANYTME MN IENT PASSAGE RETRIEVAL 57 07/16 OISP INCOMING MN 500 9001ANTIS MN 120 07/17 10:259 WPALMBEACH FL WIN 1000 MGHTONKENOmN a SS 07/16 CA SP S9 07/16 0144P WPALMBEA04 FL INCSAING MN MN 500 ADDI.MITTS KIN 500 ADM. ANYTME MN 121 07/17 10:319 122 07/17 10:35P WPMA EACH FL 'NOOSINIBG SMIN IN 1000 MGHTAIMENOPAN 1000 MGHTAIMEND /AN 60 07/1601 MP WPAUMEACH FL MN 500.0001MOTIVE MN IWEVT CALL WARING 61 07/16 01 50P NCOMINO MN 500 ANA ANYTME MN 123 07/17 1102P 'NOOSING 'MIN 1000 MGHTANKENDLIN aa 02 07/16 01 599 63 07116 02 OOP INCOMING INCOMING IAN IAN 500 ADDIANYWC PAIN 500 ADM ANYTIME MIN 124 07/17 11 03P 125 07/17 11 24P 'NOOSING 'NOOSING 2MIN 2MIN 1000 MGHTANKENDNIN 1000 MS/TM/KENO /AN CONFIDENTIAL SDNY_GM_00344273 EFTA_00216968 EFTA01316184 r Account Name Date of Invoice MARTIN GOLICK August 19, 2004 AT&T Wireless Number Page 5 of 14 DETAIL OF CURRENT ACTIVITY - CONTINUED DETAIL OF CURRENT ACTIVITY - CONTINUED VOICE USAGE FOR • Continued VOICE USAGE FOR • Continued NUMMI Only Charge NLMIber Only Charge Hein Date MM. catleL Calls TO Used Pate Description Charge Sem Wee Time Called CtAla TO Used Rate Description Charge li9 811,1111111 vifiamsEssn EL WPALIABEACH FL IMN NIONTWKEND MN NGHT.WIENO MN fig 04/1908369 DAN 500 0 I. ANME MN 128 07118 12254 INCOMING IMN 000 NGHT.WIEND MN 189 07119 08509 V/PALLIBEACkl FL 411N 00 ADOLANYTME MN 123 07118 12S2P LNCOIAING 7MN 000 NGHT.WIEND MN 190 07119 09:169 INCOMING 21111 000 NGHTNMENO MIN 130 07118 D3S1P WPALIABEACH FL 5MN 000 raGHT.WIEND MN 191 071190951P INCOMING 111N 000 NIGIONMENO MIN i EVE IESSAGE RETREYAL 192 071190951P WPALLIBEACkl FL WIN 000 NIGIONMENO MIN 131 07118 0316P NEW YORK NY IMN 000 NOHT.WIEND MN 193 07119 09539 IN034 WP/%BEACkl 0 FL I MIN 000 NGHTNMEND MIN 132 07/16 03 59P INCOMING 9mN 000 NGEITAVICEND MN 194 071191159P I 1104 000NIGHTNMEND MN 133 07118 OS 02P FTLAUDEFOL FL 3MN 000 NGEETWKENO MN 195 07,20 12004 PAL CH FL DAN 000 NIGHTNMEND MN 134 07116 06 46P INCOMING 3MN 000 NGEETWKENO UN 196 07/2012020 IN VICOMMINGBEA 11111 000NIGHTNMEND MIN 135 070 06 49P INCOMING IMN 000 NGEETWKEND Lim I EVT CALL WAITNO 133 07086 07 079 INCOMING 2M