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I �, <br /> REQUEST FOR REPLACEMENT CHECK <br /> The following check has been reported lost, stolen, destroyed, or otherwise invalidated. <br /> Check No: 93649 Date: 1/1/2011 Amount: $2,500 <br /> Payee: Matthew & Alissa Briggs <br /> ..............................................................................� <br /> Please provide the following information in order to receive your replacement check. <br /> Name: <br /> Address: <br /> City: State: Zip: <br /> Phone number: <br /> We understand the check listed above is no longer valid. If we find/receive this check, we will <br /> return it to the City of Orono. <br /> Matthew Briggs Alissa Briggs <br /> Date Date <br />