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PUBLIC NOTICE PUBLIC NOTICE PUBLIC NOTICE PUBLIC NOTICE NOTICE IS HEARBY GIVEN THAT, the Chief Financial Of ficer of the City of Huntington Beach, County of Orange, State of California, decla res that the following monetary sums have been held by the Chief Financial Officer and h ave remained unclaimed in the funds hereafter indicated for a period of over three (3) years and will become the property of the City of Huntington Beach on the 28th day of Februar y, 2022 at 6:00PM, a date not less than forty-five (45) days nor more than sixty (60) days after first publication of this Notice.
Any party of interest may, prior to the date design ated herein above, file a claim with the Chief Financial Officer which includes the claimant ’s name, address, amount of claim, the grounds on which the claim is founded and the date, name, amount, and heading shown in this notice. The Chief Financial Officer may accept or reject the claim. If rejected by the Chief Financial Officer, the party submitting the c laim may, within 30 days of receiving a notice of rejection, file and serve on the Chief Fi nancial Officer a verified complaint seeking to recover all, or a designated part, of the unclai med funds. Claim forms are available at:
www.huntingtonbeachca.gov/UnclaimedFunds.
Reference Reference Reference Reference Date Date Date Date Check No. Check No. Check No. Check No. Amount Amount Amount Amount SUSIE PARADISE 7/8/2016 821762 30.00 RYAN BEAUDOIN 7/8/2016 821816 63.65 BILLIE CHACE 7/8/2016 821826 36.24 JODY DEWEY 7/8/2016 821839 36.13 CHRISTIN ENRIGHT 7/8/2016 821847 38.48 GARY GLASCOE 7/8/2016 821857 139.14 JIAN LIN 7/ 8/2016 821883 50.16 MABEL ROMACLY 7/8/2016 821918 34.82 KHAN CHI TRAN 7/8/2016 821933 49.88 MARGARET SIMON 7/29/2016 822500 189.47
SOLAR ELECTRIC SERVICE
CENTER 8/5/ 2016 822716 149.49 MISSY LOTT 8/5/2016 822776 44.97 JOYCE A RICKARD 8/26/2016 823488 162.45 KEVIN AKREY 9/2/2016 823653 20.98 DAISY CARDOZO 9/2/2016 823657 34.49 JAQUELINE CAYCO 9/2/2016 823660 57.27 DAWN CORRAO 9/2/2016 823666 173.73 CHAD GORDON 9/2/2016 823681 32.35 HARLEYCAT 9/2/2016 823683 120.68 SUMMER HULSEY 9/2/2016 823693 20.77 MTI ENGINEERING CORP 9/2/2016 823716 134.43 MARGARET SIMON 9/2/2016 823736 157.52 NICHOLAS STEPHENS 9/2/2016 823738 37.29 BRETT DANNA 9/16/2016 824137 75.00 JOHN GUY 9/16 /2016 824148 85.16 THEODORE MAY 9/16/2016 824160 84.69 JAMES NELSON 9/16/2016 824164 75.00 THUYNHI NGUYEN 9/16/2016 824167 39.66 TOWER E 9/16/ 2016 824173 75.00 PATRICIA BARR 9/23/2016 824200 51.06 STEPHEN MERCIER 9/23/2016 824311 73.16 STEPHEN CASTRO 10/21/2016 825007 58.00 ENGINES REPUBLIC 10/28/2016 825312 131.71 MARY BUCKELS 11/4/2016 825402 20.00 JENNIFER DANIEL 11/4/2016 825590 45.60 SHANE DIGIARGN 11/4/2016 825594 35.47 KYLE GRAGG 11/4/2016 825604 23.21 ERIC HANSEN 11/4/2016 825606 59.28 MARTIN LEVINE 11/4/2016 825618 66.00 DANNY NGUYEN 11/4/2016 825631 306.25 MARK OSER 11/4/2016 825635 18.84 DOROTHY PHELAN 11/4/2016 825638 43.50 ERICA RAEL 11/4/2016 825641 27.64 SCOTT SMITH 11/4/2016 825651 36.34 LABORATORIES TISONS 11/4/2016 825658 174.69 LUCIAN AXINTI 12/9/2016 826291 42.00 PETER DANFORD 12/9/2016 826321 42.00 PAUL HODGES 12/9/2016 826358 44.00 ORCUN TEZEL 12/9/2016 826463 58.00 JILL HARDY 12/16/2016 826542 448.00
ALBERT BENARDO QTIP
FAMILY TRU 12/16/2016 826634 74.30 ANNEMARIE ARKLESS 12/16/2016 826636 72.40 PETER AXELROD 12/16/2016 826638 75.00 JOSEPH CSONKA 12/16/2016 826664 22.51 LYDIA DELEO 12/16/2016 826665 15.25 SHARON GARDNER 12/16/2016 826675 351.07 SUSAN HAMMOND 12/16/2016 826680 24.18 RICHARD HANCOCK 12/16/2016 826681 38.18 HARLEYCAT 12/16/2016 826682 325.00 DOMENICA HEJNA 12/16/2016 826684 58.71 DUNIA IBARRA 12/16/2016 826687 200.00 STEVE KANE 12/16/2016 826692 46.66 SUSHI KIKI'S 12/16/2016 826695 47.64 CAROL LITTLEJOHN 12/16/2016 826705 57.57 FABIOLA MARTINEZ 12/16/2016 826711 24.28 ALICYN MULLINS 12/16/2016 826719 57.60 SHENA REAVIS 12/16/2016 826744 65.29 LACEY STREET 12/16/2016 826755 220.81 RICHARD TOTH 12/16/2016 826762 35.00 SAHAR ZETON 12/16/2016 826777 47.02 YOLANDA NGAN 12/30/2016 827166 43.94 VIRGIL DEAN 1/6/2017 827299 31.10 ZAYDA DEPAZ 1/6/2017 827300 23.45 SONJA KOHLER 1/6/2017 827312 40.03 RICHARD LENELL 1/6/2017 827316 43.89 KHANH NGUYEN 1/6/2017 827323 15.91 RONALD LANE 1/20/2017 827701 47.53 RACHEL MENDEZ 1/20/2017 827704 20.31 WILL NAVA 1/20/2017 827706 25.54 ERIC PHAM 1/20/2017 827711 103.99 RICHARD CHRISTIANSEN 2/3/2017 827943 44.00 NOELIA TOMAS 2/3/2017 828059 44.00 BREE NORTON 3/17/2017 829064 77.00 RICHARD ADRAY 3/17/2017 829146 75.00 TERESA AGUILAR 3/17/2017 829149 75.00 JENNY AREVALO 3/17/2017 829155 75.00 CHRISTINA ARRIETA 3/17/2017 829156 75.00 BANK OWNED WORLD 3/17/2017 829162 75.00 BOHDAN BARDYGULA 3/17/2017 829163 75.00 JILL BATES 3/17/2017 829168 51.55 CAROL BESMAN 3/17/2017 829173 75.00 BOARDWALK NB INC 3/17/2017 829178 75.00 DEVELOPMENT BONANNI 3/17/2017 829180 100.00 MARYANN BONIN 3/17/2017 829184 75.00
BRIGHTVIEW
DEVLOPMENT LLC 3/17/2017 829191 75.00 JAY BROWN 3/17/2017 829194 75.00 CLINT BUYTENHUYS 3/17/2017 829201 75.00 PETE CALZADA 3/17/2017 829203 75.00 STEVE CAPPS 3/17/2017 829206 75.00 DORRIS CAREY 3/17/2017 829207 75.00 ROBERT CASTILLE 3/17/2017 829211 75.00 TONY CHARTREY 3/17/2017 829217 75.00 FRANK CHAVEZ 3/17/2017 829218 75.00 GILES CHERRICK 3/17/2017 829220 75.00 NANCY CONRAD 3/17/2017 829228 75.00 HOWARD CONTARSY 3/17/2017 829230 75.00 ROBERT CONWAY 3/17/2017 829231 75.00 NATHAN CROTEAU 3/17/2017 829234 100.00 JOHN D'AGOSTINO 3/17/2017 829236 75.00 MATTHEW DARLING 3/17/2017 829238 75.00 CHERICE DAVIS 3/17/2017 829240 75.00 DARLEEN DAVIS 3/17/2017 829241 75.00 DON DEERING 3/17/2017 829245 75.00 DON DINARNAN 3/17/2017 829250 100.00 DOWNTOWN 21ST
PARTNERS II LLC 3/17/2017 829254 75.00 MEREDITH EDMONDS 3/17/2017 829256 75.00 PATRICIA FARLEY 3/17/2017 829263 75.00 KENNETH FINDER 3/17/2017 829268 75.00
FIRST NEWPORT
PROPERTIES LLC 3/17/2017 829269 75.00 TOM FITZSIMMONS 3/17/2017 829270 75.00 JENNIFER FLANNERY 3/17/2017 829271 75.00 WAHIB FRAGALLA 3/17/2017 829273 150.00 ANNA GANEVA 3/17/2017 829281 16.44 KELLY GIFFORD 3/17/2017 829289 75.00 JULIE GRAYJEK 3/17/2017 829293 75.00 OSCAR GUERRERO 3/17/2017 829296 100.00 MARCUS HACKLEY 3/17/2017 829297 75.00 AL HANSEN 3/17/2017 829302 100.00 HYON HARPER 3/17/2017 829304 75.00 AARON HATCH 3/17/2017 829305 75.00 HEARTHSIDE HOMES 3/17/2017 829307 300.00 HEARTHSIDE HOMES 3/17/2017 829308 400.00 FRANK HOSTROM 3/17/2017 829324 75.00 MABEL HSU 3/17/2017 829328 75.00 ALICIA HUBER 3/17/2017 829330 75.00 CONSTRUCTION INTEGRITY 3/17/2017 829335 75.00 JULIE JACINTO 3/17/2017 829339 75.00 JD 6TH ST 3/ 17/2017 829341 200.00 DANIEL JOHNSON 3/17/2017 829343 100.00 LANCE KERRINS 3/17/2017 829356 25.52 REBECCA KING 3/17/2017 829361 62.57 LAWRENCE KINNEY 3/17/2017 829362 75.00 KITT VICTOR V MD 3/17/2017 829363 75.00 BRIAN KOERNER 3/17/2017 829368 24.11 KATHRYN KOKKOSOULIS 3/17/2017 829370 75.00 CRAIG KURUZOVICH 3/17/2017 829375 75.00 LA COVA CAPITAL GROUP 3/17/2017 829376 75.00 GINA LAGRASTA 3/17/2017 829378 75.00 TRI LE 3/17/ 2017 829383 100.00 ANGELA LEE 3/17/2017 829386 75.00 NICHOLAS LEMON 3/17/2017 829389 75.00 CHRISTOPHER LIPTAK 3/17/2017 829394 75.00 SHANNON LOERA 3/17/2017 829397 75.00 NABIL MAKARI 3/17/2017 829406 130.00 TONI MARINACCI 3/17/2017 829408 75.00 JAMES MELVIN 3/17/2017 829420 75.00 DAVID MICHELSON 3/17/2017 829422 75.00 IAN MIESEN 3/17/2017 829423 75.00 ANTHONY MITITIERI 3/17/2017 829428 75.00 LLC MJAK 3/1 7/2017 829429 100.00 DAVID MOELLER 3/17/2017 829430 75.00 DONIE MONTGOMERY 3/17/2017 829431 75.00 ROBERTO MONTOYA 3/17/2017 829432 75.00 DONNA MOORES 3/17/2017 829434 75.00 LUIS MUNIZ 3/17/2017 829438 75.00 CHRISTINA NADLER 3/17/2017 829439 75.00 CHRISTIE NEWMEYER 3/17/2017 829443 75.00 TRACEY NGO 3/17/2017 829444 75.00 NGUYEN - UIBAL MINH THU 3/17/2017 829445 75.00 ANTHONY NGUYEN 3/17/2017 829448 75.00 ROBERT NGUYEN 3/17/2017 829454 75.00 THUY NGUYEN 3/17/2017 829456 75.00 VANNA NGUYEN 3/17/2017 829460 75.00 KIM NIX 3/17 /2017 829462 75.00 JOHN NUNN 3/17/2017 829463 23.17 CAROLYN O'CONNELL 3/17/2017 829466 75.00 DARRYL ORR 3/17/2017 829469 75.00 GREG PATCHEN 3/17/2017 829485 100.00 EVELYN PELAYO 3/17/2017 829489 75.00 JOSH PELTER 3/17/2017 829490 75.00 JEFF PENNY 3/17/2017 829491 75.00 VINH PHAN 3/17/2017 829494 100.00 JAMES PIMENTEL 3/17/2017 829496 75.00 SILVIANNA PLATT 3/17/2017 829500 100.00 BLANCA POTES 3/17/2017 829506 75.00 MEL POWELL 3/17/2017 829507 75.00 CONSTRUCTION RAFAEL 3/17/2017 829515 100.00 RONALD REYES 3/17/2017 829523 75.00 SERGIO RIOS 3/17/2017 829524 75.00 LES SALISBURY 3/17/2017 829536 75.00 FILIPPO SAN 3/17/2017 829538 75.00 ADAM SCHULTZ 3/17/2017 829548 75.00 SARRA SCHUSTER 3/17/2017 829549 75.00 KERRI SEYMOUR 3/17/2017 829553 75.00 HOMES SHEA 3/17/2017 829554 1,050.00 ROBERT SHEALY 3/17/2017 829555 75.00 SOL LEVIN REALTY 3/17/2017 829564 75.00 JON STEVENSON 3/17/2017 829568 75.00 KEN STEWART 3/17/2017 829569 75.00
THE PACIFIC COASTAL
COMPANY 3/17/2017 829580 75.00 DARREN THIENES 3/17/2017 829581 75.00 JEAN THOMS 3/17/2017 829584 75.00 KRISZTINA TIHOKKER 3/17/2017 829585 100.00 LISA TOCCO 3/17/2017 829586 75.00 NICOLLE TOPP 3/17/2017 829589 75.00 BINH TRAN 3/17/2017 829590 75.00 TAWNI TRAN 3/17/2017 829592 44.55 TRIPLE M HOMECARE 3/17/2017 829594 75.00 CINDY TYLER 3/17/2017 829599 100.00 Continued on the right Continued on the right Continued on the right Continued on the right Reference Reference Reference Reference Date Check No. Amount Date Chec k No. Amount Date Chec k No. Amount Date Chec k No. Amount ANITA VO 3/17/2017 829604 100.00 JAMES WACHTER 3/17/2017 829607 7 5.00 GARRETT WALKER 3/17/2017 829609 75.00 DIANE WALL 3/17/2017 829610 75.0 0 LEE WEBBER 3/17/2017 829613 200.00
KILEY WEINMANN 3/17/2017 829614 75.00 WAYNE WEISBERGER 3/17/2017 829615 75.00
WHITE GLOVE
PROPERTY MGMT 3/17/2017 829618 75.00 SUZANNE WHITE 3/17/2017 829622 75.00 MARY WILLER 3/17/2017 829623 75 .00 GRANT WILSON 3/17/2017 829626 7 5.00 CHRISTOPHER WOLFE 3/17/2017 829632 75.00 JAMES WOLLENBERG 3/17/2017 829633 75.00 WILLIAM WRIGHT 3/17/2017 829639 75.00 CLARENCE YOSHIKANE 3/17/2017 829641 7 5.00 TOM ZINGALE 3/17/2017 829646 75 .00 PAUL PALMER 3/24/2017 829791 350. 00 DENISE MORRIS 3/31/2017 829964 25 0.00 FREDERICK REBER 3/31/2017 830037 114.48 7-9-11 DOWNTOWN 4/14/2017 830361 100.00
ELIZABETH
ANASTASSIABBS 4/14/2017 830365 35.72 CHRIS CARPENTER 4/14/2017 830383 75.00 JESSICA GRIFFITH 4/14/2017 83040 5 75.00 HOMES HEARTHSIDE 4/14/2017 83041 0 100.00 DESIREE HOUGHTON 4/14/2017 83041 2 35.26 MATT MEYERS 4/14/2017 830435 42 .24 JOHN MORCK 4/14/2017 830437 35. 06 W SMITHSON 4/14/2017 830459 40. 49 LISBETH TELLEZ 4/14/2017 830469 25.95 TAWNI TRAN 4/14/2017 830474 29. 64 NICHOLAS WILLIAMS 4/14/2017 8304 85 91.26 FREDERICK REBER 5/26/2017 831615 114.48 CLEMENT DOMINGUEZ 6/2/2017 831653 150.00 ABRAHAM GARRIDO 6/23/2017 832159 1,428.33 FREDERICK REBER 6/30/2017 832442 114.48 MARCIE EDWARDS 7/21/2017 832798 60.00 KELLY AIESI 7/28/2017 833134 7 5.00 SCHOOL JEFFERSON 8/11/2017 833378 15.00 JULIE ALEXANDER 8/11/2017 833462 16.08 GREEN AMERICAN 8/11/2017 833465 200.15 NICK ANDREOS 8/11/2017 833466 49.79 MARGARITA COURSEY 8/11/2017 833488 $100.46 IRMA JACKSON 8/11/2017 833513 $2 0.65 AMANDA JENNINGS 8/11/2017 833516 $49.91 ROBERT MEADOWS 8/11/2017 833532 $46.79 CAROL PARKER 8/11/2017 833540 $5 0.94 JOHN THOMAS 8/11/2017 833571 $97 .02 VERNON UNDERWOOD 8/11/2017 833572 $358.48 KIM VU 8/11/2017 833574 $15.33 DARICK ANDERSON 8/18/2017 833785 $30.43 LESTER ESTRADA 8/18/2017 833805 $90.09 TUBA KOC 8/18/2017 833821 $52.69 DUNG LE 8/18/2017 833822 $17.13 JONATHAN MCFAUL 8/18/2017 8338 31 $42.43 RACHEL MILLER 8/18/2017 833834 $ 40.16 ANTHONY NGUYEN 8/18/2017 833839 $41.54 MATTHEW SHAFFER 8/18/2017 83385 9 $35.99
THE PORFIRIO SANCHEZ
2007 TRUS 8/18/201 7 833867 $54.80 NICK ANDREOS 9/1/2017 834245 $169.88 DONALD DUKESHIRE 9/1/2017 83424 9 $29.89 RICHARD MOCKE 9/1/2017 834260 $24.76 STANLEY POOLE 9/1/2017 834261 $88.86 JASON RANDONO 9/1/2017 834263 $19.14 RUSSELL SHAFT 9/1/2017 834266 $44.25 GARY SORLEY 9/1/2017 834269 $4 8.76 DAO VU-HO 9/1/2017 834274 $24. 44 ANNA D YOCOM 9/1/2017 834279 $75.00
FRANK & GERTRUDE
DOYLE FOUNDAT 9/15/2017 834611 $67.84 CARLOS GONCALVEZ 9/15/2017 8346 13 $21.97 BEN HOWARD 9/15/2017 834616 $24. 69 JOE'S SUSHI 9/15/2017 834619 $98 .43 ANDREA RICHTER 9/15/2017 834637 $75.00 FRANCESCA PAVONE 9/22/2017 83484 9 $49.79 RICHARD SECORD 9/22/2017 834855 $70.49 RITA STRONG 9/22/2017 834858 $49 .08 KARRIE CUNNINGHAM 10/6/2017 835100 $ 41.18 SYSTEMS SMARTCOVER 10/20/2017 835465 $240.00 DONALD MILLER 11/3/2017 835906 $ 59.74 HIEN NGUYEN 11/3/2017 835908 $50 .58 KATHY WILLIAMS 11/3/2017 835951 $22.32 JOSEPH CALUZA 12/1/2017 836606 $ 21.25 TYLER HOUSTON 12/1/2017 836621 $ 34.54 NICOLE LEONARD 12/1/2017 836634 $37.97 POLLIE PENT 12/1/2017 836654 $46 .08 ANNA TEJEDA 12/1/2017 836667 $57 .72 KAZUKI KURISU 12/8/2017 836758 $ 58.00 SHELLA SORIANO 12/8/2017 836808 $58.00 AUTOPLEX 12/8/2017 836847 $172.36 PENN COLONIAL 12/22/2017 837079 $8 9.97
THE STACI A RUSSELL
TRUST 12/22/2017 837254 $63.51 JEFFREY BLACK 1/5/2018 837508 $39.50 ELIZABETH MARHOUL 1/5/2018 837528 $37.48 BRUCE TANAKA 1/5/2018 837541 $ 35.85
AINAHAU HAWAIIAN
CIVIC CLUB 1/12/2018 837548 $20. 00 ROBERT CHAVEZ 1/19/2018 837868 $ 37.52 KELSEY HUNTER 1/19/2018 837877 $ 45.37 ALICE FUSSELL 1/26/2018 838070 $220.78 ANNMARIE MCLARTY 1/26/2018 838078 $56.48 PROJECTS GP 2/9/2018 838454 $7 7.98 ROBERT NGO 2/9/2018 838466 $37 .49 BANNON O 2/9/2018 838468 $ 81.48 DANIEL BALLARD 3/2/2018 838973 $40.85 GREG DONALD 3/2/2018 838980 $2 3.36 HARBOUR TIRE PROS 3/2/2018 8389 84 $25.28 CRAIG HERNANDEZ 3/2/2018 83898 5 $39.39 4 SEASONS TEA 3/9/2018 839133 $45.00 TAMMY ELEY 3/23/2018 839353 $25. 00 TAI TSENG 3/30/2018 839637 $44.0 0 SASHA KLAEB 4/13/2018 840039 $33 .16 DUNG LE 4/13/2018 840043 $181.75 MORGAN MOREAU 4/13/2018 840046 $ 44.58 NIYA SUSHI 4/13/2018 840047 $63. 96 TAM RIBOLI 4/13/2018 840062 $30. 63
ERNIES PLUMBING &
ROOTER SERVI 4/27/2018 840305 $6 9.00 DAWN ANDERSON 4/27/2018 840429 $ 53.95 KEITH INGERTSON 4/27/2018 840445 $22.71 EDDIE LEE 4/27/2018 840447 $58.8 7 ARSHINDER RANA 4/27/2018 840454 $48.13 DENNIS RAPOZA 4/27/2018 840455 $ 57.81
SLS LAUNDRY
CREATIONS LLC 4/27/2018 840461 $ 17.28 MICHAEL BRAINIARD 5/11/2018 84082 2 $38.14 DONNIE HOBBIE 5/11/2018 840831 $ 31.89 MICHAEL VAUGHAN 5/11/2018 840845 $22.26
CAREMORE HEALTH
PLAN 6/22/2018 841780 $347.66 WISDOMOLOGY 6/22/2018 841965 $1 9.75 CHRIS BARNES 6/22/2018 841971 $4 2.95 RAPHAEL CUENCA 6/22/2018 841992 $25.05 GILDA FAJARDO 6/22/2018 841999 $ 52.58 JEANNIE FLINDT 6/22/2018 842000 $54.83 MICHAEL JUHASZ 6/22/2018 842020 $36.77 CHRISTOPHER LEFFLER 6/22/2018 842028 $53 .71 MICHELLE MOSER 6/22/2018 842036 $25.79 MINDY PHAM 6/22/2018 842048 $66.33 JACOB SHAW 6/22/2018 842067 $53.85 SHONNA SUCHY 6/22/2018 842073 $ 24.35 JON STACY 6/29/2018 842250 $67. 56 ALBERTO GONZALEZ 7/8/2016 619 008 $465.00 GARRETT CORLEY 2/3/2017 61976 4 $38.21 VICKI SLOMINSKI 3/17/2017 61984 6 $485.59 GRIFFIN CAMPS 9/1/2017 620178 $1,520.84 EMILIANO CLARA 4/27/2018 620927 $81.43 Published Huntington Beach Wave Jan. 6, 13, 2022 11509559
CLAIM FORM - UNCLAIMED FUNDS
Original Payee Name:
Claimant Name: ________________________________________ Phone #: _________________________ (if different)
Current Address:
DL#: SS#/TIN: Phone #:
(Individuals: please attach a copy of your driver’s license) Address when check was written:
Reason for original check issue (if known):
Original Check: Date: Amount:
In consideration thereof, it is agreed that the undersigned, the heirs, executors, successors or assigns of the undersigned, will indemnify and hold harmless the City of Huntington Beach, or as signs, from and against any a nd all claims, liability, loss, damage, expenses, counsel fees and costs arising through or by reason of any endorsement, presentation, negotiation, collection or any attempt at collection or negotiation of the Original Check or the Replacement Check by the undersigned, the employees, or agents of the undersigned. In the event the Original check shall be found, the undersigned agrees to deliver to cause the same to be delivered to the City of Huntington Beach for cancellation and to reimburse the City of Huntington Beach for all expenses incurred by reason of the issuance of the Replacement Check.
Authorized Signature: ________________________________________ Date: _________________________ Name (Print): ______________________________________ Title: __________________________________ Please mail back to: City of Huntington Beach
Attn: Finance Department – Unclaimed Funds
P.O. Box 190
Huntington Beach, CA 92648-0190
CITY OF HUNTINGTON BEACH
FINANCE DEPARTMENT
P.O. BOX 190
HUNTINGTON BEACH, CALIFORNIA 92648-0190
TELEPHONE: (714) 536-5200 FAX: (714) 536-5934
www.huntingtonbeachca.gov/unclaimedfunds
City of Huntington Beach Use Only
Finance
Confirmed item on outstanding check list Name/Date: __________________ Check if O/S at bank ______________________________________ Input & Processed claim Name/Date: ________________________________ Void check at bank _______________________________________ Replacement Check: Check # _________________ Check Date: __________ Authorize reissue of check _________________________________ In order to process a replacement check and claim these funds, the City of Huntington Beach Chief Financial Officer must receive this form