[DATE, ex. Wednesday, June 11, 1998]
[NAME, COMPANY AND ADDRESS, ex.
1234 First Street
Anycity, Anystate 85245]
Dear [NAME, ex. John Smith],
I am in receipt of [SOURCE, ex. your payment request letter of June 10, 1998]. I have looked through our records and determined that our check #[CHECK NUMBER] in the amount of $[AMOUNT] was sent to you on [DATE, ex. June 5, 1998]. If you do not receive this check by [DATE, ex. the end of this week], please contact me and I will immediately forward a replacement check to you.
[YOUR NAME, ex. Jill Jones]