STAMPED & REDACTED HUBERT G HYLTON.PDF
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OS Office of Budget and Finance meee. 301 West Jefferson dual HAY 26 PH 3:36 Phoenix, Arizona 85003 INTEROFFICE MEMORANDUM Date: May 26, 2021 To: Clerk of the Board From: Walter Chang Office of Budget and 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 Theattached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. e 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 Office of Budget and Finance. Thank you. Re: Fund: 219 /Dept: County Attorney / Company : Hubert Hylton Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: Duplicate or [) stale-Dated (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the Instruction sheet which is COUNTY OF MARICOPA paae 2 of this form. Hubert G Hylton (1), being first sworn, upon oath deposes and says: ~ Name/Claimant On or about 26-Jan-2021 (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 ¢ 4,000.00 (3) Signed: H uB £A1 GS Tos (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) on to before me this_ 20” day of Afeic 20-4[ . epee NOTARY PUBLIC | 7 S22U"EB=0 WE GIAW ESO — LAMA ¢ CO. don My commission expires: _ wo Upnt wre"femen _|3010080266 9. Original riginal Date of of Issue Issue 16. Jan-2021 Date 05/26/2021 ~ Reason for original issue of Warrant/Check (8): C1 Payroll C For Services or Goods furnished C) Treasurer's refund/payment Victim Compensation Check \ESequk- | Rep Zz Other: Do nosk Mail COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY WARRANT NUMBER PHOENIX, ARIZONA 3010080266 RICOD Sz Re 5 1 18 1 3 3 465 295 28 27 24.717436 ¥ 4 1 18 1 4 0 304 347 1664 44 -1 5 1 18 1 4 1 304 358 3 31 95.408096 | 5 1 18 1 4 2 368 370 72 21 69.795486 Bers 5 1 18 1 4 3 1401 347 145 24 93.565491 01-26-2021 4 1 18 1 5 0 325 356 1736 91 -1 5 1 18 1 5 1 325 359 125 88 44.786201 ene 5 1 18 1 5 2 1658 382 133 26 0.000000 denkRLA 5 1 18 1 5 3 1923 356 138 26 90.732414 91-2/1221 4 1 18 1 6 0 304 421 1269 66 -1 5 1 18 1 6 1 304 424 179 63 41.100998 COUNTS 5 1 18 1 6 2 1403 422 119 27 95.786888 Phoenix, 5 1 18 1 6 3 1534 421 39 24 95.786888 AZ 4 1 18 1 7 0 321 527 664 35 -1 5 1 18 1 7 1 321 533 88 29 96.803345 Four 5 1 18 1 7 2 420 530 187 32 96.308105 Thousand 5 1 18 1 7 3 632 529 75 30 95.616745 And 5 1 18 1 7 4 721 528 119 30 95.616745 00/100 5 1 18 1 7 5 855 527 130 30 96.120094 Dollars 4 1 18 1 8 0 1906 591 175 38 -1 5 1 18 1 8 1 1906 591 175 38 96.017433 $4,000.00 4 1 18 1 9 0 407 644 1673 38 -1 5 1 18 1 9 1 407 649 77 30 95.582695 PAY 5 1 18 1 9 2 495 649 55 30 95.582695 TO 5 1 18 1 9 3 562 646 78 32 96.662048 THE 5 1 18 1 9 4 653 645 144 31 95.905807 ORDER 5 1 18 1 9 5 808 644 53 30 96.828560 OF 5 1 18 1 9 6 1906 651 174 31 96.371742 AMOUNT 4 1 18 1 10 0 407 694 259 39 -1 5 1 18 1 10 1 407 696 127 31 96.675980 Hubert 5 1 18 1 10 2 547 694 119 39 96.403114 Hylton 4 1 18 1 11 0 1403 757 140 26 -1 5 1 18 1 11 1 1403 758 61 25 95.866959 Void 5 1 18 1 11 2 1476 757 67 25 96.325722 After 4 1 18 1 12 0 408 782 1129 42 -1 5 1 18 1 12 1 408 784 177 32 96.318954 PHOENIX 5 1 18 1 12 2 618 783 52 31 96.244308 AZ 5 1 18 1 12 3 705 782 108 31 94.966194 85003 5 1 18 1 12 4 1405 794 51 24 96.912170 365 5 1 18 1 12 5 1467 794 70 30 96.898064 Days 4 1 18 1 13 0 129 1164 2202 48 -1 5 1 18 1 13 1 129 1184 46 23 96.963188 For 5 1 18 1 13 2 183 1182 128 30 93.220718 Questions 5 1 18 1 13 3 321 1194 9 4 89.339050 - 5 1 18 1 13 4 340 1181 53 23 86.830818 602- 5 1 18 1 13 5 538 1187 25 15 96.787209 or 5 1 18 1 13 6 573 1178 68 24 96.225273 email 5 1 18 1 13 7 805 1174 249 25 36.571426 MARICOPA.GOV 5 1 18 1 13 8 1966 1167 87 30 96.816887 NOT 5 1 18 1 13 9 2064 1164 267 32 96.381950 NEGOTIABLE 4 1 18 1 14 0 129 1212 730 31 -1 5 1 18 1 14 1 129 1218 170 25 96.160980 MARICOPA 5 1 18 1 14 2 310 1217 132 23 96.248940 COUNTY 5 1 18 1 14 3 451 1214 215 25 96.678131 DEPARTMENT 5 1 18 1 14 4 674 1214 39 23 96.765343 OF 5 1 18 1 14 5 722 1212 137 24 96.479843 FINANCE 4 1 18 1 15 0 127 1267 2190 46 -1 5 1 18 1 15 1 127 1286 116 23 96.616348 RETAIN 5 1 18 1 15 2 253 1285 70 23 95.847687 THIS 5 1 18 1 15 3 332 1284 64 22 95.847687 FOR 5 1 18 1 15 4 405 1280 19 44 96.090729 | 5 1 18 1 15 5 430 1287 111 26 95.343643 PAYEE 5 1 18 1 15 6 1375 1276 176 25 95.473373 WARRANT 5 1 18 1 15 7 1562 1275 56 24 94.264687 NO. 5 1 18 1 15 8 1639 1263 23 43 96.266640 | 5 1 18 1 15 9 1663 1272 179 26 96.371368 WARRANT 5 1 18 1 15 10 1851 1271 93 25 94.571617 DATE 5 1 18 1 15 11 1958 1263 19 43 94.320778 | 5 1 18 1 15 12 1974 1269 179 25 95.000656 WARRANT 5 1 18 1 15 13 2162 1267 155 25 96.059937 AMOUNT 4 1 18 1 16 0 127 1319 247 26 -1 5 1 18 1 16 1 127 1322 88 23 95.505341 YOUR 5 1 18 1 16 2 226 1319 148 25 95.505341 RECORDS 4 1 18 1 17 0 422 1341 1801 45 -1 5 1 18 1 17 1 422 1360 136 26 95.544937 VICTIM 5 1 18 1 17 2 569 1358 161 27 95.544937 WITNESS 5 1 18 1 17 3 1407 1347 177 28 96.526276 3010080266 5 1 18 1 17 4 1725 1345 160 26 96.761887 01/26/2021 5 1 18 1 17 5 2081 1341 142 31 96.524902 $4,000.00 4 1 18 1 18 0 138 1385 2180 59 -1 5 1 18 1 18 1 138 1417 159 27 95.836128 INVOICE 5 1 18 1 18 2 307 1415 160 26 96.611664 NUMBER 5 1 18 1 18 3 478 1406 23 44 95.864983 | 5 1 18 1 18 4 516 1411 249 28 96.906288 DESCRIPTION 5 1 18 1 18 5 1328 1403 195 27 96.309303 PURCHASE 5 1 18 1 18 6 1534 1401 128 26 96.083031 ORDER 5 1 18 1 18 7 1672 1401 62 25 94.812469 NO. 5 1 18 1 18 8 1749 1392 19 44 96.870636 | 5 1 18 1 18 9 1766 1398 184 27 96.406944 VOUCHER 5 1 18 1 18 10 1959 1397 61 26 96.618874 NO. 5 1 18 1 18 11 2150 1385 168 45 95.456833 AMOUNT 4 1 18 1 19 0 132 1494 2202 51 -1 5 1 18 1 19 1 132 1515 247 29 91.228195 00000060001K 5 1 18 1 19 2 501 1511 258 34 80.157433 1858448-1-rqst3 5 1 18 1 19 3 1322 1503 105 27 90.078995 GAXIF 5 1 18 1 19 4 1440 1502 81 27 96.731071 D190 5 1 18 1 19 5 1764 1497 237 29 96.194313 210000010283 5 1 18 1 19 6 2196 1494 138 33 96.783722 4,000.00 4 1 18 1 20 0 1321 1542 236 29 -1 5 1 18 1 20 1 1321 1542 236 29 96.072029 210000010283 2 1 19 0 0 0 542 1675 526 134 -1 3 1 19 1 0 0 542 1675 526 134 -1 4 1 19 1 1 0 542 1675 526 134 -1 5 1 19 1 1 1 542 1675 303 120 69.511124 FUND! 5 1 19 1 1 2 886 1678 182 131 37.119400 2\4 2 1 20 0 0 0 486 1393 18 1734 -1 3 1 20 1 0 0 486 1393 18 1734 -1 4 1 20 1 1 0 486 1393 18 1734 -1 5 1 20 1 1 1 486 1393 18 1734 95.000000 2 1 21 0 0 0 119 1397 20 1735 -1 3 1 21 1 0 0 119 1397 20 1735 -1 4 1 21 1 1 0 119 1397 20 1735 -1 5 1 21 1 1 1 119 1397 20 1735 95.000000 2 1 22 0 0 0 2046 1375 20 1733 -1 3 1 22 1 0 0 2046 1375 20 1733 -1 4 1 22 1 1 0 2046 1375 20 1733 -1 5 1 22 1 1 1 2046 1375 20 1733 95.000000 2 1 23 0 0 0 1752 1378 19 1734 -1 3 1 23 1 0 0 1752 1378 19 1734 -1 4 1 23 1 1 0 1752 1378 19 1734 -1 5 1 23 1 1 1 1752 1378 19 1734 95.000000 2 1 24 0 0 0 1309 1383 18 1734 -1 3 1 24 1 0 0 1309 1383 18 1734 -1 4 1 24 1 1 0 1309 1383 18 1734 -1 5 1 24 1 1 1 1309 1383 18 1734 95.000000 2 1 25 0 0 0 2351 1493 49 26 -1 3 1 25 1 0 0 2351 1493 49 26 -1 4 1 25 1 1 0 2351 1493 49 26 -1 5 1 25 1 1 1 2351 1493 49 26 96.333717 CA 2 1 26 0 0 0 2337 1246 21 1859 -1 3 1 26 1 0 0 2337 1246 21 1859 -1 4 1 26 1 1 0 2337 1246 21 1859 -1 5 1 26 1 1 1 2337 1246 21 1859 95.000000 2 1 27 0 0 0 135 3097 2221 36 -1 3 1 27 1 0 0 135 3097 2221 36 -1 4 1 27 1 1 0 135 3097 2221 36 -1 5 1 27 1 1 1 135 3097 2221 36 95.000000 2 1 28 0 0 0 2531 56 19 3242 -1 3 1 28 1 0 0 2531 56 19 3242 -1 4 1 28 1 1 0 2531 56 19 3242 -1 5 1 28 1 1 1 2531 56 19 3242 95.000000