You may wish to mail this certified mail, return receipt requested.
1234, Main Street
Boston, MA 02123
06 April, 2005
<Recipient Address Goes Here>
Re: <insert case name>
Case No. <case number>
Enclosed please find my check numbered <check number> made payable to <name of payee> in the amount of <$amount>. This payment is made to satisfy the outstanding fine in the above-referenced matter. I would appreciate it if you would provide me with a receipt for this payment, indicating that the matter is now resolved. A self-addressed, stamped return envelope is enclosed for your convenience.
Thank you for your assistance in this matter. If you have any questions regarding this payment, please do not hesitate to contact me.
encl: <List of enclosed items goes here>