Monthly Statement Statement for Account number Bill close date

JEREMY BURKES 949096273 Nov 20, 2024

Company: STATE OF NEW MEXICO

Balance

Previous balance $518.82

Payments received ($518.82) ---Manifest Line--------------

Balance forward $0.00

Current charges
Recurring $394.05
Other $163.78
JEREMY BURKES
13500 SKYLINE RD NE G2
Total amount due by 12/13/24 $557.83 ALBUQUERQUE NM 87123-0000

"Change from last month" does not include changes to taxes and fees unless
associated with changes in service plan, Equipment Installment Plan, or Lease.

Current charges
Bill highlights
Change from Follow numbers throughout bill.
Account and lines Recurring Other last month
Your plan changed.
Account $160.00 $23.43 $143.57
An Equipment Installment Plan (EIP) monthly charge was
(505) 205-6845 $25.84 $19.10 $76.15 billed for the first time.

New - (505) 440-9624 $61.35 $38.75 - A fee was charged.

(505) 504-3249 $40.00 - $1.33
Get a monthly discount of up to $5/line by setting up AutoPay
at https://t-mo.co/AutoPay & paying your bill on time (max 8
(505) 523-4964 $19.37 $8.33 $2.59
lines).
(505) 585-9778 $19.37 $50.00 $3.24
Visit my.t-mobile.com or the T-Mobile App to pay your bill
(505) 585-9946 $19.37 $8.33 $3.24 online, manage your account and get product support.

(505) 868-6389 $30.98 $15.84 $1.04

New - (943) 262-1332 $17.77 - - For more information visit my.t-mobile.com.

Subtotal $394.05 $163.78

Total $557.83

Please detach this portion and return with your payment.Please make sure address shows through window.

Statement for: JEREMY BURKES Pay online: t-mobile.com/pay

Account number: 949096273 Pay by phone: *PAY (*729)

Total amount due Amount

by 12/13/24 enclosed

T-MOBILE Scan to pay $557.83

PO BOX 742596

CINCINNATI OH 45274-2596

Sign up for AutoPay - Check box and complete reverse side.

If you changed your address - Check box and record new

address on the reverse side.

0409490962731213240000557836871121122
 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Need to know

T-Mobile ONE recurring charges include applicable Government taxes & fees & from your account or to process the payment as a check transaction. If we process
T-Mobile fees & charges as determined by your primary place of use. your payment by EFT, the funds may be withdrawn the same day we receive your
check, & your canceled check will not be returned. If payment is returned unpaid,
Government taxes & fees includes sales, use, excise, public utility & E911 you authorize us to collect additional fees as outlined in the Terms & Conditions of
taxes & governmental charges & fees that we are required by law to bill & remit. Service at t-mobile.com/terms-conditions. Call (800) 937-8997 with any questions.
These may change without notice.
Equipment Protect by Assurant (in Puerto Rico: CAPIC) is for the equipment repair
T-Mobile fees and charges include: (1) Regulatory Programs & Telco & replacement you may have selected. See Equipment Protection Terms &
Recovery Fee, collected & retained by us to help cover costs for: (a) funding & Conditions at t-mobile.com for details.
complying with government mandates, programs & obligations, like E911 or local
number portability ($.50 for voice lines; $0.12 for data only lines), & (b) charges You can contact the New Mexico Public Regulation Commission with any
imposed on us by other carriers for delivery of calls from our customers to theirs & complaints that T-Mobile was unable to resolve at (888) 427-5772.
by 3rd parties for certain network facilities & services we buy to provide
you service ($2.99 for voice lines; $1.28 for data only lines); (2) state & federal Contact us with any questions or disputes about your service or bill.
Universal Service Fund charges (recovers charges imposed on us by the Call (800) 937-8997 or 611 from your T-Mobile device-TTY (877) 296-1018, visit
government to support universal service); (3) other governmental assessments t-mobile.com, or write to T-Mobile Customer Relations, P.O. Box 37380, Albuquerque,
including, without limitation, gross receipt & excise taxes. These fees & charges NM 87176-7380. View your bill & usage details online by logging into your account at
are T-Mobile recovery charges, not governmentally imposed taxes. What is t-mobile.com. View Terms & Conditions online at tmobile.com/terms-conditions.
included in the fees & charges may vary by locale & rate plan & is subject to
change. Partial megabytes (MB) rounded up. 1024 MB = 1 GB

Late Fees, which are assessed up to the highest amount permitted by law, During congestion, heavy data users and customers choosing lower-prioritized
may apply on unpaid balances. This fee is a liquidated damage & not a penalty. plans may notice lower speeds than other customers. Video typically streams on
smartphone/tablet at DVD quality (480p), unless you add HD-capable (1080p).
Payment by Check. When you pay by check, you authorize us to either use plan/feature High-speed tethering up to allotment, if any, and then max 3G speeds.
information from your check to make a one-time electronic fund transfer (EFT) See plan for details.

AutoPay Terms and Conditions Sign up for AutoPay

Please read the following AutoPay ("AutoPay") Terms and Conditions. They describe the terms you agree to with AutoPay Checking AutoPay Savings
regard to recurring payments you make to T-Mobile. These AutoPay Terms and Conditions may be updated at any
time, and changes become binding once posted to the T-Mobile website.
If you have elected to enroll in AutoPay, you authorize T-Mobile to automatically debit your bank account/debit Bank account number
card or charge your credit card, on a recurring basis no earlier than 2 days before your statement due date until
you terminate your authorization online at my.T-Mobile.com or by calling 1-877-453-1304. You authorize T-Mobile
Routing and Transit number
to store your payment method for future payments by you and any verified users on the account. The amount of
each monthly recurring payment will be the full monthly price reflected on your monthly statement for wireless
service, plus any additional services, equipment, taxes, fees and other charges applicable to your T-Mobile By signing below, you authorize your enrollment in AutoPay and agree to the
purchase(s). If you find a billing error and notify T-Mobile at least 4 days before your monthly statement is due, we
AutoPay Terms and Conditions:
will attempt to correct the error before the next recurring payment. Also, if you sign up for, cancel or make changes
to AutoPay 2 days or less before the payment due date, the change may not take effect until the following payment
cycle. Otherwise, we will automatically debit/charge the amount reflected on your monthly statement. After
Signature Date
terminating your authorization, you will be responsible for scheduling payments for subsequent monthly charges.
You also authorize T-Mobile to credit your bank account/card in the appropriate amount for any refunds or other
billing adjustments.
If you are signing on behalf of a corporate, organizational or governmental entity, you represent and warrant that
(1) you are authorized to sign on behalf of such entity and (2) the credit card you are using was established for Change of address Effective date
business purposes and that it is not a debit card.
T-MOBILE SHALL BEAR NO LIABILITY OR RESPONSIBILITY FOR ANY LOSSES OF ANY KIND THAT YOU Address
MAY INCUR AS A RESULT OF AN ERRONEOUS STATEMENT, ANY DELAY IN THE ACTUAL DATE ON
WHICH YOUR ACCOUNT IS DEBITED OR YOUR FAILURE TO PROVIDE ACCURATE AND/OR VALID
PAYMENT INFORMATION. City State ZIP

Home phone Business phone

 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Payments received
11/20 ($518.82)

Total: ($518.82)

Current charges

Account
Charges based on the following address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$143.57 Service prior to Nov 21

Your plan changed Nov 9.
Plan
A fee was charged.
Family Discount Nov 9 - Nov 20 ($2.00)

Family Allowances Nov 9 - Nov 20 $2.00

Included T-Mobile fees and charges

State & Local Sales Tax $0.00

Subtotal: $0.00

Other charges and credits

Late fee for invoice due 11/13/24 $23.43

Subtotal: $23.43

Service from Nov 21 to Dec 20

Plan

Family Discount ($5.00)

Go5G Plus $160.00
Family Allowances $5.00
Breakdown

Included Products and Services $156.46

Included T-Mobile fees and charges

State & Local Sales Tax $0.08

Subtotal: $160.00

Total: $183.43

(505) 573-1640
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$76.15 Service prior to Nov 21

Equipment

Protection 360 Tier 2 TE - Credit ($6.00)

Plan: Go5G Plus
Talk: Unlimited Protection 360 Tier 5 TE $12.00
Text: Unlimited
Data: Unlimited high speed Subtotal: $6.00

View your bill online Page 3 of 8

t-mobile.com/bill Manage your account at my.t-mobile.com
Call Customer Service at (800) 937-8997 or 611 from your cell phone
 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Continued... (505) 573-1640

Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Equipment agreement details

Plan ID:202310191105279795

Description Balance of remaining payments

Service from Nov 21 to Dec 20
Galaxy A14 5G $114.00
Plan
Balance(s) will not reflect transactions made in proximity of bill
close date.
Included T-Mobile fees and charges

State & Local Sales Tax $0.09

Included Government taxes and fees

Equipment agreement details State 911 $0.51

Plan ID:202410171108909517
State Universal Service Fund $1.13
Description Balance of remaining payments
Google Case for Google Pixel 9 Pro XL - $34.99 Subtotal: $0.00
Obsidian
GoTo Tempered Glass Screen Protector for $39.99
Equipment
Google Pixel 9 Pro XL - Clear
GoTo Tempered Glass Screen Protector for $39.99 Galaxy A14 5G - Monthly charge $9.50
Google Pixel 9 Pro XL - Clear
Balance(s) will not reflect transactions made in proximity of bill GoTo Tempered Glass Screen Protector for Google Pixel 9 Pro XL - $3.34
close date.
Clear - Monthly charge

GoTo Tempered Glass Screen Protector for Google Pixel 9 Pro XL - $3.34

Clear - Monthly charge

Google Case for Google Pixel 9 Pro XL - Obsidian - Monthly charge $2.92

Protection 360 Tier 5 TE $18.00

Subtotal: $37.10

T-Mobile fees and charges & Government taxes and fees

T-Mobile fees and charges

State & Local Sales Tax $1.84

Subtotal: $1.84

Total: $44.94

(505) 440-9624
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes
First EIP monthly charge was billed.
The usage address changed. Service prior to Nov 21

Plan

Go5G Plus AAL 2L Nov 20 - Nov 20 $1.33

Plan: Go5G Plus Breakdown

Talk: Unlimited
Included Products and Services $1.33
Text: Unlimited
Data: Unlimited high speed Subtotal: $1.33

Equipment

Protection 360 Tier 5 TE $0.60

Equipment agreement details
Plan ID:202411201103180725 Subtotal: $0.60
Description Balance of remaining payments
iPhone 16 Plus - Black - 128GB $929.99
Balance(s) will not reflect transactions made in proximity of bill
close date. Service from Nov 21 to Dec 20

Plan

Go5G Plus AAL 2L $40.00

View your bill online Page 4 of 8

t-mobile.com/bill Manage your account at my.t-mobile.com
Call Customer Service at (800) 937-8997 or 611 from your cell phone
 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Continued... (505) 440-9624

Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Continued... Plan

Breakdown

Included Products and Services $39.92

Included T-Mobile fees and charges

State & Local Sales Tax $0.08

Subtotal: $40.00

Equipment

iPhone 16 Plus - Black - 128GB - Monthly charge $38.75

Protection 360 Tier 5 TE $18.00

Subtotal: $56.75

T-Mobile fees and charges & Government taxes and fees

T-Mobile fees and charges

State & Local Sales Tax $1.42

Subtotal: $1.42

Total: $100.10

(505) 504-3249
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$1.33 Service from Nov 21 to Dec 20

Plan

Go5G Plus AAL 2L $40.00

Plan: Go5G Plus Breakdown
Talk: Unlimited
Included Products and Services $39.92
Text: Unlimited
Data: Unlimited high speed Included T-Mobile fees and charges

State & Local Sales Tax $0.08

Subtotal: $40.00

Total: $40.00

(505) 523-4964
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$2.59 Service from Nov 21 to Dec 20

Plan

Line Discount ID240574 ($40.00)

Plan: Go5G Plus Go5G Plus AAL 2L $40.00
Talk: Unlimited Included T-Mobile fees and charges
Text: Unlimited
Data: Unlimited high speed State & Local Sales Tax $0.00

Subtotal: $0.00

View your bill online Page 5 of 8

t-mobile.com/bill Manage your account at my.t-mobile.com
Call Customer Service at (800) 937-8997 or 611 from your cell phone
 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Continued... (505) 523-4964

Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Equipment agreement details

Plan ID:202410171108909516 Equipment

Description Balance of remaining payments P882 Plan #202410171108909516 Smartphone Activate ID240539 ($41.67)
Pixel 9 Pro XL - Obsidian - 256GB $1,149.99
Balance(s) will not reflect transactions made in proximity of bill
Pixel 9 Pro XL - Obsidian - 256GB - Monthly charge $50.00
close date.
Protection 360 Tier 5 TE $18.00

Subtotal: $26.33

T-Mobile fees and charges & Government taxes and fees

T-Mobile fees and charges

State & Local Sales Tax $1.37

Subtotal: $1.37

Total: $27.70

(505) 585-9778
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$3.24 Service from Nov 21 to Dec 20

Plan

Included T-Mobile fees and charges

Plan: Go5G Plus State & Local Sales Tax $0.09
Talk: Unlimited
Text: Unlimited Included Government taxes and fees
Data: Unlimited high speed State 911 $0.51

State Universal Service Fund $1.13

Subtotal: $0.00
Equipment agreement details
Plan ID:202410161108799767 Equipment
Description Balance of remaining payments iPhone 16 Pro Max - Desert Titanium - 256GB - Monthly charge $50.00
iPhone 16 Pro Max - Desert Titanium - 25 $1,158.38
Balance(s) will not reflect transactions made in proximity of bill Protection 360 Tier 5 TE $18.00
close date.

Subtotal: $68.00

T-Mobile fees and charges & Government taxes and fees

T-Mobile fees and charges

State & Local Sales Tax $1.37

Subtotal: $1.37

Total: $69.37

(505) 585-9946
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$3.24 Service from Nov 21 to Dec 20

Plan

Line Discount ID240575 ($40.00)

View your bill online Page 6 of 8

t-mobile.com/bill Manage your account at my.t-mobile.com
Call Customer Service at (800) 937-8997 or 611 from your cell phone
 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Continued... (505) 585-9946

Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Plan: Go5G Plus Continued... Plan

Talk: Unlimited Go5G Plus AAL 2L $40.00
Text: Unlimited
Included T-Mobile fees and charges
Data: Unlimited high speed
State & Local Sales Tax $0.00

Subtotal: $0.00

Equipment agreement details

Equipment
Plan ID:202410161108799767
P882 Plan #202410161108799767 Smartphone Activate ID240539 ($41.67)
Description Balance of remaining payments
Pixel 9 Pro XL - Hazel - 256GB $1,149.99 Pixel 9 Pro XL - Hazel - 256GB - Monthly charge $50.00
Balance(s) will not reflect transactions made in proximity of bill
close date. Protection 360 Tier 5 TE $18.00

Subtotal: $26.33

T-Mobile fees and charges & Government taxes and fees

T-Mobile fees and charges

State & Local Sales Tax $1.37

Subtotal: $1.37

Total: $27.70

(505) 868-6389
Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

Changes

$1.04 Service from Nov 21 to Dec 20

Plan

Data with paired DIGITS $17.00

Plan: Data with paired DIGITS Breakdown

Included Products and Services $15.27

Usage for this T-Mobile Data with DIGITS line is
recorded under the paired Primary voice line. Included T-Mobile fees and charges
Visit www.my.t-mobile.com to manage this line
and view usage details. State & Local Sales Tax $0.09

Included Government taxes and fees

State 911 $0.51

Equipment agreement details State Universal Service Fund $1.13

Plan ID:202410201109210467
Subtotal: $17.00
Description Balance of remaining payments
Galaxy Watch7 44MM - Green $379.99
Balance(s) will not reflect transactions made in proximity of bill Equipment
close date.
Galaxy Watch7 44MM - Green - Monthly charge $15.84

Protection 360 Mobile Internet Tier 3 TE $13.00

Subtotal: $28.84

View your bill online Page 7 of 8

t-mobile.com/bill Manage your account at my.t-mobile.com
Call Customer Service at (800) 937-8997 or 611 from your cell phone
 Statement for Account number Bill close date
JEFFREY R. BURBANK 949096273 Nov 20, 2024

Continued... (505) 868-6389

Service charge taxes based on this address: 2816 MESA LINDA DR NE, ALBUQUERQUE NM 87112-1122

T-Mobile fees and charges & Government taxes and fees

T-Mobile fees and charges

State & Local Sales Tax $0.98

Subtotal: $0.98

Total: $46.82

(943) 262-1332
Service charge taxes based on this address: 1273 LA MESA DR, LAWRENCEVILLE GA 30043-3758

Changes
First EIP monthly charge was billed.
The usage address changed. Service prior to Nov 21

Plan

IoT ID240492 Nov 10 - Nov 20 ($1.47)

Plan: SyncUP TRACKER 2 TI SyncUP TRACKER 2 TI Nov 10 - Nov 20 $3.67

Text: Unlimited
Breakdown
Data: Unlimited high speed
Included Products and Services $2.20

Subtotal: $2.20

Equipment agreement details

Equipment
Plan ID:202411091101660965
Protection 360 Mobile Internet Tier 1 TE $2.57
Description Balance of remaining payments
SyncUP TRACKER 2 $54.00
Subtotal: $2.57
Balance(s) will not reflect transactions made in proximity of bill
close date.

Service from Nov 21 to Dec 20

Plan

IoT ID240492 ($4.00)

SyncUP TRACKER 2 TI $10.00
Breakdown

Included Products and Services $6.00

Subtotal: $6.00

Equipment

P283 Plan #202411091101660965 2023 SyncUP Tracker P1 ($2.25)

SyncUP TRACKER 2 - Monthly charge $2.25

Protection 360 Mobile Internet Tier 1 TE $7.00

Subtotal: $7.00

Total: $17.77

View your bill online Page 8 of 8

t-mobile.com/bill Manage your account at my.t-mobile.com
Call Customer Service at (800) 937-8997 or 611 from your cell phone