STAMPED AND REDACTED - 3010239095 - PIMA COUNTY CONSOLIDATED JUSTICE.PDF

To:        Clerk of the Board 
From:       Office of Budget & Finance, Accounts Payable 
Date:       6/12/2026 
Subject:  Affidavit ― Replacement of lost warrants 
 
Please find attached 1 Affidavit for a lost warrant to be included on the next available 
Board Agenda. 
 
• The attached item has been researched to ensure the warrant in question has not 
been cashed or previously re-issued.  
• The original warrant is presumed lost. 
 
Please call Joyce Maurmann at 506-1343 if you have any questions. Please return the 
approved Affidavit to my attention in the Office of Budget and Finance, 9th Floor. 
 
Thank you. 
 
 
 
Re: Warrant #3010239095/PIMA COUNTY CONSOLIDATED JUSTICE 
Fund 760 ― D500 GAXIF 260000024207 
 
 
 
 
 
 
 
 
 
 
Office of Budget & Finance 
301 W. Jefferson St., 9th Floor 
Phoenix, Arizona 85003 
 
 
P: 602-506-3561 
F: 602-506-4451 
 
Maricopa.gov

Application for a Duplicate or Stale-Dated Warrant/Check 
Affidavit/Claim Form 
This application is for: 0 Duplicate or D Stale-Dated (definitions are on page 2)
STA TE OF ARIZONA 
Note: Numbers on this form correspond to 
COUNTY OF MARICOPA 
numbers on the Instruction sheet which is 
oaae 2 of this form. 
PIMA COUNTY CONSOLIDATED JUSTICE (1), being first sworn, upon oath deposes and says:
Name/Claimant 
On or about 17-Apr-2026 
(date)(2) a warrant/check was issued to the 
above named person/entity in the amount as stated below. 
Such warrant/check was 
either never received or was subsequently inadvertently lost or destroyed and there is 
no reasonable probability of its being found or presented for payment, or it was not 
presented for payment within one year after the date of issuance. 
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct 
and the amount shown is due and owing, and the applicant requests that a replacement 
warrant/check be issued to him/her in the sum of$ 500.00 
.(3) 
SigneQlO,:frp 
-----(4-) -
Note: Please attach a copy of the warrant/check if available and/or any other 
evidence that a warrant/check was originally issued. 
(5) Subscribed and sworn to before me this
vVltN.Je ll 
]3cxu Ma_
NOTARY J»UBUC 
My commission expires: 
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10 day of "::I Z: CJ.e.. 
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- -- - -
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,:J.''"" !',l 
MARYELLEN BOWMAN 
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Pima County 
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Commission II 639732 
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Notary Public • Arizona 
• ,.,, • 
My Comm. Expires Dec 16, 2026 
Warrant/Check Number 
000003010239095
Of known) (6) 
Original Date of Issue 
17-Apr-2026
(If known) (7) 
Reason for original issue of Warrant/Check (8): 
□Payroll
20 
:(seal) 
□For Services or Goods furnished. _______________ _
□Treasurer's refund/payment ________________ _
0 Other: Jail bond payment/O500/Fund 760