Use a Sample Request Letter For Lost Receipt template to make your document workflow more streamlined.
Show details Hide detailsReceived the check indicated above or have received the check and lost it. I request a stop payment order be placed on this check, and a new check be issued to me at the above address. I understand that should I receive/locate the original check, I will return it to the Business Office at CCSU. Please do not attempt to deposit original check, as you may be assessed a fee from your bank. SIGNATURE______________________________ DATE_____________________ PRINT NAME____________________________.
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