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TELL US YOU MADE A PAYMENT If you have made a payment in the form of a check, please let us know by filling in the information below or faxing this information to 866-237-2500. Please include the following in your request: Full Company name Invoice Number if Available Invoice Amount if available Your CES account Number Check Number Please fill out the form below to Tell Us You Made a Payment. Full Company name: Invoice Number if available: Invoice Amount if available: Contact Person: E-mail Address: Phone Number for Contact Person: Your CES account Number: Check Number Date Check was Mailed Additional Comments/Requirements:

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