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Date <br />«Payee_Name» <br />«Street_Address» <br />«City» <br />Dear «Payee_Name», <br />Our records indicate that the following check issued to you or your organization has not been <br />cashed. <br />Check number: «Check_Number» <br />Amount: $«Amount» <br />Date issued: «Issue_Date» <br />Under California Government Code Section 50050 et seq., unclaimed funds will become the <br />property of the Town three (3) years after the check was issued, or after twelve (12) months for <br />checks less than $15. It is likely that the check was lost or never received. Please check your bank <br />records to verify that the check has never been cashed by you. If your record indicates that you <br />have deposited the check, please mark X on number 1 below. If your record shows that you have <br />never received the check, please mark X on number 2 and we will issue a replacement check to you. <br />This letter should be returned to my attention at the address below. <br />Please reply to this correspondence below and return to us, either via e-mail or mail. <br />____1. Yes, I have received and cashed the above-mentioned check. <br />____2. No, I have never received and cashed the above-mentioned check. Please issue a <br />replacement check. <br />Signed by: _________________________________________ Date ________________ <br />Sincerely, <br />Accounts Payable <br />Town of Los Altos Hills <br />26379 Fremont Road <br />Los Altos Hills, CA 94022 <br />Resolution 31-20 Page 6 <br />Exhibit I - Sample Letter