1234, Main Street
Boston, MA 02123
04 April, 2005
<Recipient Address Goes Here>
Re: Request for Copy of Check
Account No. <number>
I am writing in to request a copy of a cancelled check with my account.
The check I am talking about has the number – [Check no.], payable to [Payee name], dated [date] in the amount of [$ ??].
I want the copy of this check with both sides.
If you have any questions, please contact me on my number [Phone no.]
Thank you for attention. I am expecting a fast action on this matter.
encl: <List of enclosed items goes here>