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Joyce & Company MAIN STREET Providence, RI 02903-00000 Check Number:   Payment Date*: Pay to the order of: Select a Payee Cox @Work Montlhy Payment Amount: $ From Payment Account: BUSINESS PARTNER CHECKING I - 1234567890

Invoice Information   Invoice Number: Invoice Amount: $ Invoice Description: Adjustment Amount: $ Adjustment Description: Discount Amount: $ Discount Description:

*Payment Date is the date the payee is scheduled to receive the payment.