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AT&T CUSTOMER
1234 TELEPHONE LN
AUSTIN, TX 78748-1234

1 of 4
12/12/10 - 1/11/11
123456789105

Page:
Bill Cycle Date:
Account:

Visit us online at: www.att.com

Monthly Statement
Bill-At-A-Glance
Previous Balance

$228.33

Payment - Thank You!

$189.49CR
$38.84CR

Adjustments

$.00

Balance

$145.21

New Charges

Total Amount Due

$145.21

Amount Due in Full by

Jan 3, 2011

Payments & Adjustments

Service Summary
Service

Page

Wireless

Total
$145.21

512 555-1111
512 555-2222

$14.83
$27.03

2
3

512 555-3333

$103.35

Total New Charges

Item
No Description
1. Payment posted 12/08

189.49CR

2. Wireless - Media Net Usage 512-555-3333


3. Wireless - Government Fees & Taxes
Adjustment 512-555-3333
Total Adjustments

Total Payments & Adjustments

35.63CR
3.21CR
38.84CR

228.33CR

$145.21

Wireless
Group 1 Usage Summary - Nov 12 thru Dec 11
FamilyTalk Nation 850 w/Rollover Minutes - $9.99 Each
Additional Line, 850 Shared Anytime Minutes with Rollover,
Nationwide Long Distance & Roaming, Unlimited Mobile to Mobile
calling to/from other AT&T Mobiles, Unlimited Night (9pm-6am) &
Weekend Calling Call Forward Feature, Caller ID, Call Wait, Conference
Call Feature, Mobile Purchases & Downloads Detail, Basic Voicemail
Feature (Additional minutes $0.40 each)

How to contact us:

For questions about your account: 1 800-111-1111


For Deaf/Hard of hearing TTY: 1 800-111-1111
Visit us online at www.att.com

512 555-1111
512 555-2222
512 555-3333
Total

Plan
Minutes
269
11
333
613

Mobile to
Mobile Minutes
415
103
776
1,294

Night/Wknd
Minutes
93
25
54
172

Billed
Minutes
0
0
0
0

For Important Information about your bill, please


see the News You Can Use section (Page 4).
Wireless Services provided by AT&T Mobility, LLC.
AT&T | DIRECTV is a co-branded service provided by DIRECTV.

Return bottom portion with your check in the enclosed envelope.


Payments may take 7-10 days to post.

DUE BY: Jan 3, 2011

Printed on Recyclable Paper

$145.21
Account Number

123456789105

AT&T CUSTOMER
1234 TELEPHONE LN
AUSTIN, TX 78748-1234

Please include account number on your check.

CHECK FOR AUTO PAY


(SEE REVERSE)

Make checks payable to:

AT&T
PO Box 5014
Carol Stream, IL 60197-5014
llll llll ll l ll ll l l lllllllll ll ll l ll llll l llllllll lllllllllII ll

41004034000123456789105000000000095170000000145210000000000000008

AT&T CUSTOMER
1234 TELEPHONE LN
AUSTIN, TX 78748-1234

Page
Bill Cycle Date:
Account:

2 of 4
12/12/10 - 1/11/11
123456789105

Visit us online at: www.att.com


Other Charges and Credits - Continued

Wireless

.50
.12
.12
.71
1.45

Total Other Charges and Credits

4.84

Group 1 Usage Summary - Continued

Government Fees and Taxes


7. 9-1-1 Service Fee
8. City District Telecom Tax
9. City Telecom Tax
10. TX State Telecom Tax
Total Government Fees and Taxes

Rollover Minutes Summary


Last Months Rollover Balance
2,031
Current Month Added to Rollover
+
237
Expired Rollover Minutes *
83
NEW ROLLOVER MINUTES BALANCE
2,185
* Unused Rollover Minutes expire after 12 bill periods.

Total for 512 555-1111

14.83

Messaging Unlimited for Families - Unlimited domestic text,


picture, video and instant messages.

512 555-1111
512 555-2222
512 555-3333
Total

512 555-2222

Shared
Shared
Billed
Billed
Text Msgs MMS Msgs Text Msgs MMS Msgs
3836
17
0
0
1060
2
0
0
345
2
0
0
5241
21
0
0

BENJAMIN JAMES WILKINSON

Monthly Charges - Dec 12 thru Jan 11


1. FamilyTalk Nation 850 w/Rollover
2. Family Data Unlimited
3. Roadside Assistance

9.99
10.00
2.99

Total Monthly Charges

23.97

512 555-1111
ASHLEY LAUREN WILKINSON

Other Charges and Credits

Monthly Charges - Dec 12 thru Jan 11

Voice Usage Summary


FamilyTalk Nation 850 w/Rollover - Shared
Plan Minutes Used
11
Mobile to Mobile Minutes
Unlimited
Minutes Used
103
Nights & Weekends
Unlimited
Minutes Used
25

1. FamilyTalk Nation 850 w/Rollover

9.99

Other Charges and Credits


Voice Usage Summary
FamilyTalk Nation 850 w/Rollover - Shared
Plan Minutes Used
269
Mobile to Mobile Minutes
Unlimited
Minutes Used
415
Nights & Weekends
Unlimited
Minutes Used
93
Data Usage Summary
Family Msg Unlimited
Text/Instant Msgs Incoming
Text/Instant Msgs Out

Data Usage Summary


Family Msg Unlimited
Text/Instant Msgs Incoming
Text/Instant Msgs Out
Family Data Unlimited
Data Access Used

4,442KB

Multimedia Messaging
Minutes Used

1,815
2,021

Data Pay Per Use


2. Megabytes billed at $2.00/MB
Multimedia Messaging
Minutes Used
Surcharges and Other Fees
3. Federal Universal Service Charge
4. Regulatory Cost Recovery Charge
5. Texas Universe Service
6. TX Franchise Tax Recovery
Total Surcharges and Other Fees

519
541

Surcharges and Other Fees


4. Federal Universal Service Charge
5. Regulatory Cost Recovery Charge
6. Texas Universe Service
7. TX Franchise Tax Recovery
Total Surcharges and Other Fees

2.00

17

.43
.66
.28
.15
1.52

.39
.66
.26
.08
1.39
2011 AT&T Intellectual Property. All rights reserved.
021711 ct6697

AT&T CUSTOMER
1234 TELEPHONE LN
AUSTIN, TX 78748-1234
|||||||||| || | || || | | || ||||| ||| || | || || || |||||||||||||||||||||||||||
9565.8.231.51977 1 AV 0.255

If I enroll in AutoPay, I authorize AT&T to pay my bill monthly by electronically


deducting money from my bank account. I can cancel authorization by notifying
AT&T at www.att.com, 1-800-331-0500, or 611 from my cell-phone. If my bank
rejects a payment, I agree to pay a return fee in the amount of the lesser of $30
or the highest amount permitted by law.
Bank Account Holder Signature: ______________________________________
Date: ________________________

AutoPay Enrollment

AT&T CUSTOMER
1234 TELEPHONE LN
AUSTIN, TX 78748-1234

Page:
Bill Cycle Date:
Account:

3 of 4
12/12/10 - 1/11/11
123456789105

Visit us online at: www.att.com

512 555-1111

Other Charges and Credits

ASHLEY LAUREN WILKINSON

Other Charges and Credits

- Continued

Government Fees and Taxes


8. 9-1-1 Service Fee
9. City District Telecom Tax
10. City Telecom Tax
11. TX State Telecom Tax
Total Government Fees and Taxes

.50
.13
.13
.78
1.54

Total Other Charges and Credits

3.06

Total for 512 555-2222

- Continued

Government Fees and Taxes


7. 9-1-1 Service Fee
8. City District Telecom Tax
9. City Telecom Tax
10. TX State Telecom Tax
Total Government Fees and Taxes

Total Other Charges and Credits

Total for 512 555-3333


Total for Wireless accounts

.50
.95
.95
5.93
8.33

13.36
103.35

145.21

27.03

News You Can Use


512 555-3333
ALEXANDER PAUL WILKINSON

Monthly Charges - Dec 12 thru Jan 11


1. FamilyTalk Nation 850 w/Rollover
2. Family Msg Unlimited

59.99
30.00

Total Monthly Charges

89.99

Other Charges and Credits


Voice Usage Summary
FamilyTalk Nation 850 w/Rollover - Shared
Plan Minutes Used
333
Mobile to Mobile Minutes
Unlimited
Minutes Used
776
Nights & Weekends
Unlimited
Minutes Used
54
Data Usage Summary
Family Msg Unlimited
Text/Instant Msgs Incoming
Text/Instant Msgs Out

185
160

Family Data Unl 30days Free


Data Access Used

1.613KB

Multimedia Messaging
Minutes Used
Surcharges and Other Fees
3. Federal Universal Service Charge
4. Regulatory Cost Recovery Charge
5. Texas Universe Service
6. TX Franchise Tax Recovery
Total Surcharges and Other Fees

Add A Line
Add a Line with Family Talk from AT&T. FamilyTalk(R) plans start
at just $69.99/month including 700 Rollover Minutes. Add up to
three additional lines for only $9.99 each. Sign up now by calling
800-449-1672 or visit att.com/Addaline.
Attention TTY Users
For Deaf/hard of hearing customers: (TTY) 1 866 241-6567
Questions on accessibility by persons with disabilities: 1 866 2416568.
Go Green! Sign up for Paperless Billing Today
Sign up for paperless billing and join AT&T in its efforts to be more
earth-friendly. Going paperless is safe, secure and easy...and
will save you time and money each month. View and store your
monthly bills online (for up to 12 months) instead of receiving
paper bills in the mail. Visit att.com/actgreen to learn more and
enroll today. Its free, its easy, and its green!
Moving?
AT&T can help. Call us to move your existing AT&T services or to
order new AT&T home phone, high speed internet and digital TV
services. 1-800-MOVE-ATT (1-800-668-3288)

Important Information
2.23
.66
1.48
.66
5.03

Late Fee
A Past Due Collection fee of $5.00 will be assessed if payment is
not received on or before the due date.

AT&T CUSTOMER
1234 TELEPHONE LN
AUSTIN, TX 78748-1234

Page: 4 of 4
Bill Cycle Date: 12/12/10 - 1/11/11
Account: 123456789105

Visit us online at: www.att.com

Important Information - Continued


Electronic Check Conversion
When you pay your bill by check, you authorize us to either use
the information from your check to make a one-time electronic
funds transfer from your account or to process the payment as a
check transaction. When we use information from your check to
make an electronic fund transfer, funds may be withdrawn from
your account as soon as the same day we receive your payment,
and you will not receive your check back from the bank. You
agree to pay a fee of up to $30 if your check is returned unpaid.
Returned checks may be represented electronically.
Tax ID
AT&T Mobility Tax ID # 84-1659970.
AT&T Surcharges
Include: Regulatory Cost Recovery Charge to recover costs to
comply with government assessments and regulations; Universal
Service Charges; and gross receipts charges. They are not taxes
and are subject to change.
Single Payment Agreement
For Kiosk Payment: I authorize AT&T to pay my bill by debiting my
bank account. If my bank rejects a payment, I may be charged a
return fee up to $30.
Other Payment Options
All payment options below can be paid through your bank
account, debit card, and credit card.
- Pay using your wireless phone for free. Dial *PAY (*729), then
hit send.
- Pay Online. Logon to Manage My Wireless Account at att.com/
MyWireless. First time users must register.
- Make a one time payment under Account Overview; choose
Make a Payment.
- Sign up for Paperless Billing under Bill & Payments at no
additional charge.
- Pay by mail using this remittance stub and a check or money
order. It may take up to 7-10 days to post.
- Dial 1-800-331-0500 and pay from any phone.
- An Administrative Fee may apply.

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