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REQUEST FOR STOP PAYMENT OF ACCOUNTS PAYABLE CHECK Name of Payee: City of Palmdale Check No: Date Issued: Reason for Replacement: Lost Stolen Not Received Error Other Reason (Please Specify): Please stop payment of the above check and issue another in its place. I understand that if I find or receive the check, I am to forward it to the Finance/Accounts Payable Division immediately or be held responsible for payment if it is cashed. I understand that the waiting period for the replacement check could be ten (10) to fifteen (15) working days. Payee Signature Date Address: City: State: Zip Code: Accounts Payable Use Only Vendor Name: Vendor Number: New Check Date: New Check No.: Check Amount: $ Input By: Approved By: Issued By: SIGN