| A | B | C | D | E | F | G | H | I | J | K | L | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | ||||||||||||
2 | Monthly Statement | JOHN G DOE | Page | 1 of 2 | ||||||||
3 | 123 ANY STREET | Account Number | 678 123-1234 545 1889 | |||||||||
4 | DULUTH GA 30097-1234 | Billing Date | Jan 05, 2017 | |||||||||
5 | Horizon Mobile | |||||||||||
6 | ||||||||||||
7 | Bill-At-A-Glance | Plans and Services | ||||||||||
8 | Previous Bill | 71.00 | Monthly Service - Nov 26 thru Dec 26 | |||||||||
9 | Payment Received 12-11 Thank You! | -71.00 | 1. | iPhone Plan 3GB | 60.93 | |||||||
10 | Adjustments | 0.00 | Surcharges and Other Fees | |||||||||
11 | Balance | 0.00 | Item | |||||||||
12 | Current Charges | 71.00 | No. | Description | Quantity | |||||||
13 | Total Amount Due | $71.00 | 2. | Federal Universal Service Charge | 3.22 | |||||||
14 | 3. | Regulatory Cost Recovery Charge | 1.61 | |||||||||
15 | Amount Due in Full by | Jan 23, 2017 | Total Surcharges and Other Fees | 4.83 | ||||||||
16 | Government Fees and Taxes | |||||||||||
17 | Billing Summary | Item | ||||||||||
18 | Page | No. | Description | Quantity | ||||||||
19 | Plans and Services | 1 | 71.00 | 4. | Federal Universal Service Fee | 0.74 | ||||||
20 | 1 888-757-6500 | 5. | GA - State/Local Tax | 1.27 | ||||||||
21 | PIN: 9999 | 6. | GA-Johns Creek Franchise Fee | 0.53 | ||||||||
22 | 7. | GA Public-Safety Fee | 1.20 | |||||||||
23 | Total Current Charges | 71.00 | 8. | Emergency 911 - Johnscreek | 1 | 1.50 | ||||||
24 | Total Government Fees and Taxes | 5.24 | ||||||||||
25 | Send to: 789 Smartphone Lane, Decatur, GA 98765 | Total Plans and Services | 71.00 | |||||||||