RONNEY LOKOT

Always on time, good on handlings knifes, work with fire handling as well, make sure food is ready, good food texture, always make sure everything good, from nailing a mean meals to experimenting new flavors.

• Name (s) if different than above:
• Daytime Phone: (509) 862-2100
• Current Mailing Address if different than above:
• Email Address: manneylokot18@gmail.com
• Last 4 Digits of SSN/Tax ID:

• You must submit all documents in the following list with this completed claim form. If we do not receive a response from you within ninety (90) days from the date of this claim form, your claim will automatically be dropped from our system, and a new claim would need to be filed. After review, additional documents may be requested.
• Address Link Individual: Provide evidence linking you to the address(s) listed below in section C. Property Information. Examples might include old statement, mail, DMV records, address history, etc. If proof is not available, provide written explanation confirming your time period of residency.
• Photo Identification: All signers should provide a copy of the front and back of their current photo identification, which may include your driver’s license or other government issued ID.
• SSN: A copy of your Social Security number or a document which shows this number, such as tax return, bank statement, pay stub, etc. (You are not legally required to provide your Social Security number, but we request that you do so voluntarily to assist us in determining whether you are the rightful owner of the account.)
• Address-Current: Provide evidence of your current mailing address, if it is not on your photo ID. Examples might include a utility bill or financial statement that has been received through the US Postal Service.
• Signature: Please provide all required signature(s) on the claim form in Section E.

• Reported Owner(s) and Address(es):
• RONNEY LOKOT
• 2808 S Assembly Rd Apt 68 Spokane WA 99224
• PAYEE
• Type of Property: ACCOUNTS PAYABLE
• Property ID / Last Activity Date: 6535768 11/30/2015
• Value: $43.82

• I declare under penalty of perjury and/or mail fraud that I have provided true and correct information regarding my claim and to the best of my knowledge I am entitled to the assets of this claim. Upon payment of this claim, I agree to indemnify Oregon's Unclaimed Property Program and hold it harmless for and from all claims, loss, costs, damages and expenses that Unclaimed Property may sustain by turning this asset over to me, or of its refusal to pay this asset or any part of it to any other person or persons.
• Signature of Claimant
• Date
• Additional Claimant Signature (if Applicable)

• Please return the completed claim form along with the documentation listed in Section B to our office at your earliest convenience.
• You may upload the claim form and documentation via our website at: https://unclaimed.oregon.gov/app/claim-doc-upload.
• You may mail the documentation to our office at the address listed below:
• OREGON STATE TREASURY
• UNCLAIMED PROPERTY PROGRAM
• 867 HAWTHORNE AVE SE
• SALEM, OR, 97301
• If you have any questions, please contact our Claims Department (503) 566-9445