CUSTOMER RECEIPT Please keep this important document for your records. This is only an order acknowledgement and is not a bill. Thank you for your order. Visit us on the web at www.verizon.com. _________________________________________________________________________________________________________ Dear Loyal FiOS TV Customer, We would like to take the opportunity to thank you for choosing the self installation option for the addition, upgrade or swap of your set top box(es) and/or digital adaptor(s). Self installation is now the quickest and easiest way for our customers to add, upgrade or exchange their FiOS TV equipment. Please see the materials included with your equipment for detailed instructions on how to proceed with installing and activating your boxes for use. Please note the code needed in order to activate your new box(es) is located below for your convenience, so please do not discard this packing slip. Thanks again for allowing us to continue to improve the way we serve you. Regards, FiOS TV Customer Experience Team _________________________________________________________________________________________________________ Ship to: Order No: MAE504HYSP Ship Date: 01/08/2019 ASDF@ASDF.COM 15 HITCHINS DR, DED, MA 02026 _________________________________________________________________________________________________________ Item Item Description Ship Qty _________________________________________________________________________________________________________ 11018762 QIP2500 PHASE 3 1 UPS UPS GROUND 1 Standard Items Included: _________________________________________________________________________________________________________ Item Item Description Ship Qty 11021084 FTTP SET TOP BOX SLEEVE BOX 1 11036449 REMOTE CONTROL 1 700264279 Composite Audio/Video Cable 10 1 Equipment Activation Code 12345 _________________________________________________________________________________________________________ Page 1 of 1