STAMPED & REDACTED - DAVID A. CUTRER ESQ..PDF

MARICOPA COUNTY

Department of Finance
301 West Jefferson, Ninth Floor
Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM
Date: January 10, 2023
To: Clerk of the Board
From: Walter Chang

Department of Finance

Subject: Affidavits - Replacement of Lost Warrants

Please find attached 1 Affidavits for lost warrants to be included on the next available

Board Agenda.
e The attached items have been researched to ensure the warrant in question
have not been cashed or previously re-issued.

® The original warrants have a void/stale date/stop payment done.

Please call me at 506 - 8747 if you have any questions. Please return the approved

Affidavits to my attention in the Department of Finance, Ninth Floor.

Thank you.

Re: Fund: 100 / Dept: 560 -
OPDS - Contract Counsel /
Company : DAVID A
CUTRER ESQ

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form

This application is for: Duplicate or O stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA numbers on the Instruction sheet which is
baae 2 of this form.
DAVID A CUTRER ESQ (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 04-Nov-2022 (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 ey ‘the ie sum of $1, ,850.30 (3)
Signed: Gas ( (4)

Note. Wee attach a copy of the he warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

(5) Subscribed and sworn to before me this {Oday of Janay 202-3.
Cnn Lamasgdd

NOTARY PUBLIC

My commission 7 ane

 Warrant/Check Number 301 _—

(if known) (6)

& FR ADRIANA M CAMARGO

Notary Public - Arizona
Maricopa County
Commission # 633033

WS Comm. Expires Jui 26, 2026

Original Date of Issue
(if known) (7) 04-Nov-2022

Reason for original issue of Warrant/Check (8):

O Payroll
For Services or Goods furnished / CaselD: 169869 / Legal Services

|
O Treasurer's refund/payment
Other: / check presumed lost / fund : 100

1/12/2023

Law Offices of David Anthony Cutrer

Phone
David A. Cutrer (602)

E-mail

January 10, 2023
Dear Sir:

I, David A. Cutrer am a sole proprietorship. I am not an LLC, I am not a corporation.

Very truly yours,

IAC

LAW OFFICES OF DAVID ANTHONY CUTRER

* Phoenix, Arizona 85076-0448