EFTA01316137.pdf

Questions re Changes? • attrareress.com • To, Free I 866 293-4634 AT&T Wireless • 611 from your %%valets phone • TTY users 1 866 4-AWS-TTY MARTIN GOLICK 124 SEMINOLE LAKES DR ROYAL PALM BEACH FL 33411.4210 Date of invoice: March 15, 2004 SUMMARY OF MONTHLY CHARGES FOR ACCOUNT 0031035751 Previous Payments Account Balance Current Monthly Total Balance Received Adjustments Forward Charges Amount Due 71.31 -71.31 0.00 0.00 69.50 69.50 Your billing cycle ended on March 14 2004 Current Monthly Charges Subscriber Adjustments 0.00 Monthly Service 54.97 Monthly Usage 2.50 Charges 0.00 Credits 0.00 Taxes. Surcharges & Regulatory Fees 12.03 Total Current Monthly Charges DUE UPON RECEIPT 69.50 TOTAL AMOUNT DUE 69.50 IMPORTANT ACCOUNT INFORMATION: 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. Note: => We Pnnt on AT&T WIRELESS APPRECIATES YOUR BUSINESS Front and Back Please Return This Pomon With Your Payment. Use &service and payment of this invoice indcates agreement Service # 5613797824 Account# 0031035751 AT&T Wireless wth the General Terms and Conditions for wireless service. Account Name: MARTIN GOLICK O Yes. I want to enroll in REPT and have my monthly payment automatically deducted from the account on my enclosed check (see reverse sgnature required). 1-1 Check here for change of address (see reverse) Total Amount Date Due Amount Due Paid #BWNHNGB UPON RECEIPT 69.50 #00000003103575128 w 1029393 02 AI0SI7 "AUTO TG 003141101.SAI.0310340100 olio ..... MARTIN GOLICK AT&T WIRELESS 124 SEMINOLE LAKES DR PO BOX 8229 ROYAL PALM BEACH FL 33411.4210 AURORA IL 60572-8229 000000000000000000003L03575120000000069506 CONFIDENTIAL SDNY_GM_00344156 EFTA_002 I 685 I EFTA01316137  7 REFT (Recurring Electronic Fund Transfer): 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 Pay." 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 athyireless core or call 1 866 293.4634. 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 our Customer Care at 1 866 293.4634 or dial 611 from your wireless phone. ,Sabias que tambion ofrecemos servicio al cliente en tu idioma? Marca 611 desde tu tehtifono inalambrico. 0 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 fee. 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. Please Send Correspondence To: AT&T Wireless Next Generation Correspondence P.O. Box 68056 Anaheim Hills, CA 92817-8056 102939100XQS1853 Change of Address Only. Pease print address dearly and check the box on the reverse side. Please contact Customer Care to change the AccountName and transfer Financial Responsibility. New Billing Address City State Lc Home Phone ( ) Work Phone( ) If your billing address is NOT your Tax Address'. please enter the Tax Address below. (Multi-tine accounts should attach a est of each wreless nurriter and the respective Tax Address.) New Tax Address' Wireless Number ( ) City State Lc 'Under Federal laws. your Tax Address must be: your primary place of use. your residential or business address. and located %whin AT&T iiMreless 0 licensed service area. Non-business customers on AT&T Dgeal One Rate. Regional Advantage or Shared Advantage plans must use their residential address as they tax address. Recurring Electronic Fund Transfer (REFT) Enrollment. Please read the agreement on the top portion of this page. sign below and check the "REFT Regsuation" box on the reverse side. 6.1 - 3G Financial Account Holder Signature Date Email Address' ❑ ' I do not wish to receive email notification of special offers avalable to AT&T 'IA/Veleta customers. CONFIDENTIAL SDNY_GM_00344157 EF1'A_00216852 EFTA01316138 Account Name Date of Invoice MARTIN GOLICK March 15. 2004 • AT&T Wireless Account Number 0031035751 Page 3 of 10 ACCOUNT DETAILS SUMMARY OF CURRENT ACTIVITY - CONTINUED Detail of Payments - Thank You! Taxes. Surcharges and Regulatory Fees Continued Item Description Date ApplbdIReversed Payment Amount Charge item Description Charge I PAYMENT 031204 -71.31 -7111 5 FEDERAL TAX 164 Total ci Payments -71.31 Total Taxes. Surcharges and Regulatory Fees 12.03 Current Subscriber Monthly Charges and Credits TOTAL CHARGES FOR (561)379-7824 69.50 Subscriber Number Charge 5613797824 MSS Total Current Subscriber Monthly Charges and Credits Rh re 69.50 DETAIL OF CURRENT ACTIVITY Total Current Monthly Charges 69.50 VOICE USAGE FOR (561)379.7824 amber Only Charge SUMMARY OF CURRENT ACTIVITY item Dale Tune Called Calls To Used Rate Description Charge 1 021512 11A INCOMING 2 02115 CI 02P 5611792-9727 WPALLIBEACH FL IMN 000 NOKTAYKEND LIN Monthly Service Charges 3 0215 04 17P Mi 3014363 WPALIABEACH FL IMN 000 NIGHTINKEND MN 4 02,15 04 19P 561 7984772 WPALIABEACH FL 211N 000 MONTIINKEND MN item Description Service Dales Charge 5 ozns 04 21P NCOMING 111N 000103HTNAKEND MN 6 02115 04 23P (5611818-3331 WPALIABEACH FL I IAN T/A/KEW MIN 1 CALL WAITING 02/ 5.04 0301034 0.03 7 5 94 37P IIMAINO 2 IAN 000NIIGGHHTVAIE iN D MIN 2 AT&T TEXT MESSAGING 02(15.04 - 0341034 4.99 8 5 NAM (561)1118,1331 I/WM-MBE/CH FL 2 IAN A. NIGHTIVAMN NO MIN 3 CALLER ID 0215.04 - 0341034 0.03 9 MI5 040 (561)792.6375 WPALIABEACH FL IMN CO NIGHTY/BEND MIN 10 02015 0620P NCOMING I IAN 000 MGHTYMENG MIN 4 AT&T VOICEMAIL 02/15.04 - 0341034 0.00 11 MI5 0522P (5612163331 WPALIABEACH FL I IAN 000 MGHTAIMEND MN 5 DETNL BILLING 02/15.04 - 0341034 0.03 12 DanS 050 NCOMING IMN 000 MGHT.VMENO MN 6 339.99 CHARTER OFFER 02/15.04 - 0341034 39.99 13 oms 0723P INCOMING IMN 000 MGHTIAMENO IAN 1 INCOMING IMN 000 140HT.WicENO MN 7 1000 NIGHT AND WEEKEND MINUTES 0215:04 - 05(14134 9.99 15 02/15 07 56P INCOMING 2MN 000 NIGHTAYKENO MN 8 CALL FORWARDS4 02,15:04 - 03/1104 0.00 16 0201506 03P 1561)315-7476 TAKE WORTH FL 2MN 000 MGHTAYAMO IAN 9 THREE WAY CALLING 02115:04 01414034 Eat 17 02/15 06 OW INCOMNG 1MN 000 AIGHTAYKENO IAN 18 0215 06 MP 1561218-3331 WPALMBEACH FL HAIN 000 MGHTANKENOMN Total Monthly Service Charges 54.97 19 0215 06 37P 261)315-7476 UWE WORTH FL HAIN 000 MGHTNOMNOMN Monthly Usage Charges ?°WIIS IF 261)236.3299 22 02/15 1025P INCOLIW WPALMMACH FL INCOXING HAN HAIN 21/IN 000 tileano18:211 NIGHTMKENDIVIN , Beni Descdplicon Only used Charge 23 0215 1017P INCOXI MIN 000 NIGHTMKEND MN 24 0215 10:44P NCCAINNGG 21,N 000 NIGHT/WKENDIAN 1 1000 NIGHT/MEND MN 600 MIN 0.00 25 MI5 10:59P r 61 98.8907 WPAUMEACH 4MIN 000 NIGHT:WKEND 2 DROP CALL CREDIT 4 MIN 0.00 26 0015 11:19P 561 103331 WPAUMEACH FL !MIN CCO NIGHT:WKENO 3 500 ADDIANYTME MIN 500 IAN 0.00 27 MI5 1124P 561 103331 WPAU CMNOACM ME FL MIN OCONMHIANKEND 28 02/151126P INC 2MIN 000NIGHT:MEND MIN 4 MESSAGE RETRIEVAL 20 EVT 0.03 29 02115 1127P 561 LAKE WORTH FL I MN 000 NISIITAWEND MIN 5 AT&T CONNECT 2 EVT 2.50 30 02115 1132P 561 18-9331 WPAUMEACA-I FL 21kIN 000NIGHT/MEND MIN 6 CALL COMPLETION 2 EVT 0.03 31 02115 11211P 561 184331 WPAUAIMACH FL 2MM 000 N/3HTNAKENTI MIN 32 0215 11.0 NCOIAINCI IMN 000 N/Mfr/WKEND MIN 7 CALL WAITING 6 100 INCL MSGS SENT 9 INCL. IN PLAN DATA EVT 78 EVT 4 KB 0.03 0.03 0.03 II 8ilii1Z 35 02/15 1121:41 RIlatii cil WPALIABEACH EL WPALIMEACH FL INCOMING 1MN I MN I MN A. N I WSIM 000 MGHTAAMEND MN MiN 10 INCLUDED MIVUIES 142 MIN 0 00 36 021161225A (561I 2302293 WPALIABEACH FL <MN 000 MGHTAYKEND MN 37 0216 12 IM 561 6183331 WPALMBEACH FL I MN 000 NGHT.WKEND IAN Tetal Monthly Usage Champs 2.50 3.5 02(16 12 24A 561 6183331 WPALMBEACH FL 2MN 000 NGHT.WKENO IAN 39 021612.28* 861 6183331 WPALMBEACH FL 3MN 000 MGHTAYKENO IAN 11.02.1Kilebytes (KB)-1 Megabyte (LE) INCOMNG WAN 000 MGICAYKENO IAN 41 02,18 04 581 161I 315-7476 UWE WORTH FL IMN 000 MGHTINKENO 42 0216 04 MA 561 136-3199 WPALMBEACH FL 1MIN 000 tiONTIWNENDMN Taxes, Surcharges and Regulatory Fees 43 01(16 OS 00A 561 616-3331 WPALMBEACH FL 000 tiONTANNENDMIN 44 0216 OS 03A 561 616-3331 WPALMBEACH FL MIN DROP CALL CREDIT kern Description Charge 45 0216 0659A INCOMNG I MIN 500 AWL AMINE MN 1 UNNERSAL CONNECTIWTY CHARGE 1.42 48 0216 0922A INCOMNG 500 AODIL ANYTME MN 2 STATE COMM SERVICE TAX 3 LOCAL COMM SERVICE TAX 5.40 3.07 48 I SIM 49 0016 09:59A 541)5434180 SWILI ACH FL I fZ (1 INCCA.ING 2 I MIN 4MIN ANYTME LIN 500 Al301. ANYT1AE LAN 4 COUNTY 911 TM 0.50 50 0216 11131 INCOAING 1MIN 910 ADM. ANTTME Lw 51 Cep! 01219 (5611790-3459 WPALNGEACH FL I MIN SCO ADD. ANYTME MN CONFIDENTIAL SDNY_GM_00344158 EFTA_00216853 EFTA01316139 r Account Name MARTIN GOLICK Account Number Date of Invoice March 15, 2004 a`Cr AT&T Wireless 0031035751 Page 4 of 10 DETAIL OF CURRENT ACTIVITY - CONTINUED DETAIL OF CURRENT ACTIVITY - CONTINUED VOICE USAGE FOR (561)379.7824 - Continued VOICE USAGE FOR (561)379.7824 - Continued NuMber Only Charge thither Gray Charge gain Date Tine Called Calls TO Used Rile DeSerlpliOn Charge heal Date Time Called Calls TO Lilted Rate DeStriptIOn Charge NMARC MIN E Silt Siig 54 02116 04 14P F1236.3299 NCOIAING WPALMBEACH FL MN MN ES 281- "AMIfil 500 ADDL ANYTME IAIN lig Ell R:14; III 0219 03:23P 060235-2293 'On WPAL036ACH FL IAIN 2IAIN 1X ADDL ANyTUEMN 500 ADDL ANYTME MN r9642511-2985 SS 0216 0424P I 818.3331 WPAUMEACH FL MN 930 ADM. AHEM IAIN 112 0219 0325P INCCNING 2IAIN 500 ADDL ANYTME MN 56 0216 04 43P 561 8183331 WPALMBEACH FL MN 500 A ANYTME IAIN 113 021903:44P I IAIN 500 ADDL ANYTME MN 57 021604 INC MN 0 DM. E 114 02119 06:10P NCCNING INCCNING IAIN SOO ADDL ANYTME MN SS 020706 23A FTLAUOEROL FL MN ADC1L ANT11AE IAN 115 0219 08:30P 061)315-7476 LAKE WCPITH FL IAIN SOO ANYME MN 69 02117 09 24A 1 236-3299 WPALMBEACH FL $00 ADOL ANYTME MIN 116 C019 1022P INCOmNG MIN 103 NIGHTANKEND MN 60 02117 10 21A 11790-3459 WPALMBEACH FL MIN $00 ADDL ANYTLIE IAIN I 0200 03:19A 061)7924628 WPALMBEACH FL MIN SOO ADDL ANYTME MN INCOMNO MIN 500 ADDL ANYTME MIN 110 0200 0320A 1954)2552965 FTLAUDERDL FL MIN SOO ADDL ANYTME MN 62 0217 09S4P48P 061)315-7476 UWELING WORTH FL MIN NOHEINKEND LAN 119 0200 0322A INCONINCL MIN SOO ADDL ANYTME IN 63 0217 09 INCO MIN 1000 NIGHTMKEND PAN 120 0200 1123A INCONING 2MIN SOO ADDL ANYTME IN 64 02/171023P 4561)379-7824 WPALMBEACH FL MIN 1003 NIGHTMKEND MN 121 0200 1134A 4581)313-4331 LAKE WORTH FL MIN 503 ADDL ANYTME IN 1156:38AA 4561)282-8891 ra.L.MACH FL MIN ADLL ANANyTYTmME AD 65 02/17 1023P 4561)3187476 BB 02/17 1027P LAKE I NCC WORTH FL eriNG FIT MIN tasNight&FINEttIN IMO NIGHEWKENDIAIN • 11 124 0220 0226P iNCCIA IAIN 3IAIN 500 ADM. ANYTME MN MN 67 0208 09:31A (560790-3459 WPAUMEACH FL MIN 500 ADDL ANYTME UN 125 02(20 COL34P iNCCeaNG NG IAIN SOO ADDL ANYTME MN 6B 02/1809:34A (561)790-3459 WPALPREACH FL MIN SCO ADM. ANYTME MN 126 0220 COL37P OCCILI IAIN SOO ADM. ANYTME MN 69 02/18 1108A INCOMING MIN 500 ADM. ANYTME IAN 127 0220 CO:15P 061018-3331 WPALMB NG EACH FL IAIN SOO ADM. ANYTME MN 70 02/18 12:15P 561 790 1060 WPM-PREACH FL MN 500 ADDL ANYTME MN 128 0220 CO:33P 050662-7668 WPALMIMACH FL IAIN SOO ADM. ANYTME MN 71 02/18 12:18P 561 681 6333 VVIMUMEA MN 500 ADDL AMEBAE MN 129 02/20 03:35P iNCCOLING 2IAIN SCO ADD'. ANYTME MN 72 02118 12.19P 561 861-0333 V/PALMBEACH CPI FLFL MN 5COADDL ANYTME MN '30 02/20 0124P OWI 2MIN SOO AWL ANYTME MN 73 0218 1221P 561 8614333 WPALMBEACAI FL MN 500 A001. ANYTILE MN 131020008382 561 15-7476 NG'1TH FL LA EKEWC4 MIN 500 AWL ANYTME MN 74 02181223P 305 6650212 MN 500ADO TME MN '32 0220 0357P 561 791-7372 WPALMBEACH FL MIN SOO ADDL ANYTME MN EVT 12$ AT&T CONNECT I2$ '33 0220 0858P 561 183331 WPALMBEACH FL MIN 500 ADDL ANYTME IN 75 02118 I223P 561)8614333 WPALM3EACI-I FL MN 500 AC01. ANYTME MN 134 0220 0858P 561 094606 WPALMBEACH FL 2MIN 500 AWL ANYTME IN 76 0218 122CP 0611790.1060 WPAUABEACH FL EVT MILEMON iteggt MITRE MN 13 1365 St2F rtrAkLit R FE MIN IAIN ADO'L ANANyTYTmME MN 77 02'181229P (305)5551212 MN DROP CALL CREDIT 137 0220 06:45P 561 36-2293 WPALMEZACH FL IAIN 500 ADDL ANYTME MN MN 5000501. MN 138 0220 06:45P INCCNING IAIN 500 ADDL ANYTME MN EVT I.26 ATILT CO NNECT) CONNECT 1.25 139 0220 0649P INCCeaNG IAIN 500 ADM ANYTME MN 76 0218 1220P (561)691.6333 WPAUABEACH FL MN DROP CALL CREDIT I EVT CALL WAITING MN 5000301NOM MN 140 0220 0702P 3IAIN WO MOE ANYTME MN EVT CALL COMPLETION Nil 0220 0706P 4561)7981007 WPPALIMMACH FL IAIN SOO ADDL ANYTME MN 79 02'181234P 56116314333 WPALMBEACH FL MN 500 A001. MOTIVE MN '42 0220 07736P 4561)662.7668 WPALIMEACH FL MIN 500 ADDL ANYTME IN 80 02118 12.37P 1 790-1060 WPALMBEACH FL UN 500 ADO% MOTIVE MN 143 0220 07:12P WANING 2MIN 500 ADDL ANYTME IN 81 021180109P 1 315-7478 LAKE WORTH FL MN 500 ADDL AMINE MIN 144 0220 0726P INCOMNG 1MIN 500 AWL ANYTME IN 82 02/18 01MP 315-7478 LAKE WORTH FL MN 500 ADM ANYTME MIN '45 0200 0727P 4561)315-7476 LAKE WORTH FL I MIN 500 AWL ANYTME IN 84 0208 03 05P 561 315-7478 LAKE WOR FL INCOMING MN MIN 500 ADDL ANYTIME MIN 500 AWL ANNTIVE MIN 146 0220 0727P 47331691-9745 '47 0200 0728P IN TOMS RI NJ I MIN I MIN 500 AWL ANYTME MN 500 AOCIL ANYTME MN MIN I EVT SERE c; 87 0209 03 43P M8128 PCOMPIG MN MN 500 ADDL ANYIIAEMN A ANTILIE MIN 148 022007:32P 4718)BM-2677 '49 0220 07:35P OLIECNS iNCCILINGNY I MIN IAIN man. ANYTME Mal SOO ADM. ANYTME MN BS 0209 04 37P 187476 880211904 40P 01 363299 LAKE WORTH FL WPALMBEACH FL MIN MIN 500 AD&L ANYTIAE MIN 500 ADDL ANYTIAE MIN 00 0220 07:37P 060662-7668 I5I 0220 07:46P WPAL iNC CILI MNGACH FL 4IAIN IAIN SOO ADM. ANYTME MN SOO ADM. ANYTME MN 57P 561 7530169 WPALMBEACH FL MIN 500 ADDL ANYTIAE MIN 152 0220 07:49P 561 LAKE WORTH FL IAIN SOO ADM. ANYTME MN 02/0 19 0500P 561 7901060 WPALMBEACH FL MIN SOO ADDL ANYTME MN 153 0220 07:52P 561 17-2428 WPALI06/014 FL IAIN SOO ADDL ANYTME MN 92 2/10 0511P 561 8163331 WPALMBEACH FL MIN 500 ADM ANYTME MN 154 02/20 0820P 561 36-2293 WPAUMEACH FL I MIN 500 AGM ANYTME MN 93 0208 0573P 561 759-0169 WPM.MBRACH FL MIN ANYTME MN 155 0220 09.13P INCCNING 2MIN 00) NIGHTNMEND MN 94 0218 05:49P 581 7924375 95 0218 0550P 561 174420 WPM:MBE:ACM FL WPALMACH FL IAIN IAIN 500 AWL ANYTME MN SCO ADD% ANYTME tuv '50 0220 0928P 4561)610.3331 '57 072009.41P WPAUMEACH FL INCCNING 2MIN I MIN 00)NIGHTANKEND MN 000 NIGHTLWKEND MN 96 C018 05$1P INOOMNO IAIN SCO ADD% ANYTME MN 158 0200 09.48P INCOMING 2 OM NIGHTLY/KENOLAN 97 0218 OSS2P INCCMN3 IAIN SOO ADM ANYTME MN 159 0200 09.49P OCCNING I MIN 030 NIGHTLY/KENO MN EitusEMITING I SS 0218 07:17P iNCCMNG IAIN WI ANYTME MN 160 0220 09:58P I LING ' FAIN CZ -NWIS9H/PtENOMN 99 02/18 0720P iNCONING IAN 500 ADDL ANYTME MN III 0200 10:16P NCCI NCCILING 2IAIN 0:0 NIGHEWKEND MN 100 02/18 I022P r6t15.7476 LAKE VA2RTH FL IAN 1000 NIGHT ,WEND um 162 0220 1023P iNCCILING 2IAIN 0:0 NIGHEWKEND MN 101 0715A 561 753-0169 %OPAL/A/MACH FL IAN 500 ADDL ANYTME MN 163 0220 1027P 45610183331 WPALMMACH FL IAIN 0:0 NIGHEWKEND MN 102 02119 09A 7A 561 79.7824 %OPAL:A/BEACH FL M SCO ADM ANYTME MN 04 0220 1027P INCCILING IAIN 0:0 NIGHEWKEND MN EVNT MESSAGE RETREVAL 165 0220 1029P INCCILING IAIN 0:0 NIGHEWKEND MN 103 02/19 0109P (50)2362293 WPALMBEACH FL MN SCOADDLANYTME MN 166 0220 1031P INCILNG IAIN 0:0 NIGH T/WKEND MN 104 02119 OISOP (5617236-2293 WPALMBEACH FL MN SCOADDI ANYTME LAN 167 0200 10.41P 4561)8103331 WPCALIMEACH FL MIN 00) NIGHTANKENDIAN 105 02119 0155P INCOMING IAN 500 ADM. ANYTME PAN 168 0200 1047P INCCNINCI MIN 00) NIGHTLWKENDIAN 108 02119 0244P {131 -1517 WPALPMEACH Ft IAN 500 ADM. ANYTME MN 169 0201 12738A INCOMING 3MIN 00) NIGHTLWKNOMN , 107 02119 0256P 54 3985 FTLAUDERDL FL IAN 500 ADDL ANYTME MN 170 0201 12.42A INCOMING MIN 00) NIGHTLWKNOMN I 106 02119 0257P 54 -2985 FTLALIDERDL Ft IAN SO:LADD% ANYTME MN III 0221