STAMPED & REDACTED RAWINSON D FERNANDO.PDF

MARICOPA COUNTY s0nRD OF SUPERVISOR
CS
5	1	3	1	1	6	2091	282	66	112	15.979748	Te
5	1	3	1	1	7	2187	278	60	120	30.771980	ol
5	1	3	1	1	8	2326	360	54	24	0.000000	_
4	1	3	1	2	0	719	377	1617	65	-1	
5	1	3	1	2	1	719	387	87	42	95.923637	301
5	1	3	1	2	2	832	386	139	43	95.941467	West
5	1	3	1	2	3	988	386	257	43	95.941467	Jefferson
5	1	3	1	2	4	1554	384	70	45	65.595436	2621
5	1	3	1	2	5	1646	381	139	46	4.496117	JUR-I
5	1	3	1	2	6	1838	378	116	45	46.722065	PHI2:
5	1	3	1	2	7	1975	377	53	42	94.640228	33
5	1	3	1	2	8	2149	377	187	65	4.606800	Qawws
2	1	4	0	0	0	721	453	646	52	-1	
3	1	4	1	0	0	721	453	646	52	-1	
4	1	4	1	1	0	721	453	646	52	-1	
5	1	4	1	1	1	721	453	236	52	96.067993	Phoenix,
5	1	4	1	1	2	978	453	211	43	95.921204	Arizona
5	1	4	1	1	3	1209	453	158	42	96.261002	85003
2	1	5	0	0	0	307	210	353	331	-1	
3	1	5	1	0	0	307	210	353	331	-1	
4	1	5	1	1	0	307	210	353	331	-1	
5	1	5	1	1	1	307	210	353	331	95.000000	 
2	1	6	0	0	0	275	537	1996	17	-1	
3	1	6	1	0	0	275	537	1996	17	-1	
4	1	6	1	1	0	275	537	1996	17	-1	
5	1	6	1	1	1	275	537	1996	17	95.000000	 
2	1	7	0	0	0	895	721	718	38	-1	
3	1	7	1	0	0	895	721	718	38	-1	
4	1	7	1	1	0	895	721	718	38	-1	
5	1	7	1	1	1	895	722	328	37	90.945251	INTEROFFICE
5	1	7	1	1	2	1241	721	372	37	96.199348	MEMORANDUM
2	1	8	0	0	0	891	761	725	10	-1	
3	1	8	1	0	0	891	761	725	10	-1	
4	1	8	1	1	0	891	761	725	10	-1	
5	1	8	1	1	1	891	761	725	10	95.000000	 
2	1	9	0	0	0	279	893	699	280	-1	
3	1	9	1	0	0	279	893	699	280	-1	
4	1	9	1	1	0	281	893	593	53	-1	
5	1	9	1	1	1	281	893	117	53	96.665138	Date:
5	1	9	1	1	2	594	896	104	37	96.413559	June
5	1	9	1	1	3	719	896	32	44	94.920380	1,
5	1	9	1	1	4	771	896	103	36	94.920380	2021
4	1	9	1	2	0	279	1010	699	39	-1	
5	1	9	1	2	1	279	1012	73	37	96.728165	To:
5	1	9	1	2	2	581	1011	112	37	96.475792	Clerk
5	1	9	1	2	3	710	1011	42	37	96.787125	of
5	1	9	1	2	4	764	1011	68	37	96.376045	the
5	1	9	1	2	5	853	1010	125	37	96.376045	Board
4	1	9	1	3	0	280	1126	601	47	-1	
5	1	9	1	3	1	280	1128	135	36	96.844955	From:
5	1	9	1	3	2	579	1126	144	37	96.531975	Walter
5	1	9	1	3	3	739	1126	142	47	96.932907	Chang
2	1	10	0	0	0	581	1183	643	47	-1	
3	1	10	1	0	0	581	1183	643	47	-1	
4	1	10	1	1	0	581	1183	643	47	-1	
5	1	10	1	1	1	581	1184	125	37	96.668320	Office
5	1	10	1	1	2	725	1184	41	36	96.522949	of
5	1	10	1	1	3	782	1183	155	47	96.588913	Budget
5	1	10	1	1	4	954	1183	77	37	96.774551	and
5	1	10	1	1	5	1052	1183	172	37	96.891449	Finance
2	1	11	0	0	0	279	1296	1230	55	-1	
3	1	11	1	0	0	279	1296	1230	55	-1	
4	1	11	1	1	0	279	1296	1230	55	-1	
5	1	11	1	1	1	279	1296	191	55	96.790421	Subject:
5	1	11	1	1	2	578	1299	200	37	91.715042	Affidavits
5	1	11	1	1	3	794	1320	29	4	71.018417	—
5	1	11	1	1	4	841	1298	289	47	96.594696	Replacement
5	1	11	1	1	5	1147	1298	42	36	96.671631	of
5	1	11	1	1	6	1204	1298	91	36	96.671631	Lost
5	1	11	1	1	7	1310	1298	199	36	96.582489	Warrants
2	1	12	0	0	0	270	1456	1963	21	-1	
3	1	12	1	0	0	270	1456	1963	21	-1	
4	1	12	1	1	0	270	1456	1963	21	-1	
5	1	12	1	1	1	270	1456	1963	21	95.000000	 
2	1	13	0	0	0	280	1536	1946	41	-1	
3	1	13	1	0	0	280	1536	1946	41	-1	
4	1	13	1	1	0	280	1536	1946	41	-1	
5	1	13	1	1	1	280	1541	148	36	96.035057	Please
5	1	13	1	1	2	450	1540	77	37	96.400169	find
5	1	13	1	1	3	552	1540	185	37	96.400002	attached
5	1	13	1	1	4	764	1539	14	37	96.835167	1
5	1	13	1	1	5	806	1539	202	37	96.493080	Affidavits
5	1	13	1	1	6	1029	1539	59	36	95.829895	for
5	1	13	1	1	7	1109	1538	74	37	96.254982	lost
5	1	13	1	1	8	1203	1539	189	36	96.190086	warrants
5	1	13	1	1	9	1413	1539	40	36	96.980507	to
5	1	13	1	1	10	1476	1538	51	36	96.112396	be
5	1	13	1	1	11	1551	1537	180	37	96.098953	included
5	1	13	1	1	12	1756	1547	50	26	96.377998	on
5	1	13	1	1	13	1829	1537	68	36	96.377998	the
5	1	13	1	1	14	1920	1538	92	35	96.444443	next
5	1	13	1	1	15	2033	1536	193	37	96.769524	available
2	1	14	0	0	0	280	1627	1944	307	-1	
3	1	14	1	0	0	280	1627	1944	307	-1	
4	1	14	1	1	0	280	1627	327	46	-1	
5	1	14	1	1	1	280	1627	127	37	96.681084	Board
5	1	14	1	1	2	424	1627	183	46	96.329628	Agenda.
4	1	14	1	2	0	504	1799	1720	46	-1	
5	1	14	1	2	1	504	1816	19	18	92.347801	e
5	1	14	1	2	2	578	1802	83	37	37.433071	The
5	1	14	1	2	3	676	1802	188	37	37.433071	attached
5	1	14	1	2	4	882	1802	113	36	96.532967	items
5	1	14	1	2	5	1012	1801	103	37	96.554893	have
5	1	14	1	2	6	1130	1801	106	37	96.142616	been
5	1	14	1	2	7	1254	1800	243	37	96.454971	researched
5	1	14	1	2	8	1512	1801	38	36	96.454971	to
5	1	14	1	2	9	1565	1809	151	27	96.492256	ensure
5	1	14	1	2	10	1729	1799	68	37	96.551018	the
5	1	14	1	2	11	1810	1800	166	36	96.388046	warrant
5	1	14	1	2	12	1992	1799	32	36	96.388046	in
5	1	14	1	2	13	2040	1799	184	46	96.576683	question
4	1	14	1	3	0	581	1886	1013	48	-1	
5	1	14	1	3	1	581	1888	103	37	96.958397	have
5	1	14	1	3	2	702	1889	66	36	96.407120	not
5	1	14	1	3	3	785	1888	106	36	96.197479	been
5	1	14	1	3	4	911	1887	154	37	96.334694	cashed
5	1	14	1	3	5	1085	1897	42	27	96.482727	or
5	1	14	1	3	6	1144	1886	222	48	96.063553	previously
5	1	14	1	3	7	1384	1886	210	37	96.769974	re-issued.
2	1	15	0	0	0	504	1974	1489	50	-1	
3	1	15	1	0	0	504	1974	1489	50	-1	
4	1	15	1	1	0	504	1974	1489	50	-1	
5	1	15	1	1	1	504	1992	18	17	93.145027	e
5	1	15	1	1	2	578	1978	83	36	91.903389	The
5	1	15	1	1	3	679	1977	157	47	96.204430	original
5	1	15	1	1	4	853	1978	189	36	96.567505	warrants
5	1	15	1	1	5	1061	1977	102	36	96.653893	have
5	1	15	1	1	6	1182	1986	23	27	92.815201	a
5	1	15	1	1	7	1222	1976	209	37	92.327980	void/stale
5	1	15	1	1	8	1448	1975	201	47	91.358429	date/stop
5	1	15	1	1	9	1668	1976	191	46	96.306519	payment
5	1	15	1	1	10	1874	1974	119	37	95.872536	done.
2	1	16	0	0	0	278	2147	1809	108	-1	
3	1	16	1	0	0	278	2147	1809	108	-1	
4	1	16	1	1	0	280	2147	1807	49	-1	
5	1	16	1	1	1	280	2151	147	37	96.659348	Please
5	1	16	1	1	2	446	2151	70	36	96.379257	call
5	1	16	1	1	3	536	2161	64	26	96.642212	me
5	1	16	1	1	4	619	2152	38	35	96.258347	at
5	1	16	1	1	5	673	2150	208	37	96.258347	506-8747
5	1	16	1	1	6	900	2150	24	36	96.627052	if
5	1	16	1	1	7	937	2159	76	37	96.415031	you
5	1	16	1	1	8	1034	2149	102	37	96.502350	have
5	1	16	1	1	9	1154	2159	77	37	96.324020	any
5	1	16	1	1	10	1247	2148	222	47	96.336922	questions.
5	1	16	1	1	11	1491	2148	147	36	96.813576	Please
5	1	16	1	1	12	1657	2149	125	35	96.453476	return
5	1	16	1	1	13	1800	2147	67	37	96.766953	the
5	1	16	1	1	14	1885	2147	202	47	96.221130	approved
4	1	16	1	2	0	278	2206	1344	49	-1	
5	1	16	1	2	1	278	2208	193	38	96.254524	affidavits
5	1	16	1	2	2	487	2209	41	36	96.499062	to
5	1	16	1	2	3	547	2218	63	37	96.874039	my
5	1	16	1	2	4	626	2208	186	37	96.613602	attention
5	1	16	1	2	5	834	2207	32	37	96.167625	in
5	1	16	1	2	6	884	2207	67	37	96.167625	the
5	1	16	1	2	7	969	2207	127	37	96.954529	Office
5	1	16	1	2	8	1112	2206	41	37	96.751106	of
5	1	16	1	2	9	1169	2206	155	47	96.681396	Budget
5	1	16	1	2	10	1341	2206	77	37	96.929710	and
5	1	16	1	2	11	1440	2206	182	36	96.466606	Finance.
2	1	17	0	0	0	276	2439	243	47	-1	
3	1	17	1	0	0	276	2439	243	47	-1	
4	1	17	1	1	0	276	2439	243	47	-1	
5	1	17	1	1	1	276	2439	138	37	96.613808	Thank
5	1	17	1	1	2	429	2448	90	38	96.641624	you.
2	1	18	0	0	0	268	2595	1963	21	-1	
3	1	18	1	0	0	268	2595	1963	21	-1	
4	1	18	1	1	0	268	2595	1963	21	-1	
5	1	18	1	1	1	268	2595	1963	21	95.000000	 
2	1	19	0	0	0	301	2664	1533	42	-1	
3	1	19	1	0	0	301	2664	1533	42	-1	
4	1	19	1	1	0	301	2664	1533	42	-1	
5	1	19	1	1	1	301	2668	69	31	91.374557	Re:
5	1	19	1	1	2	445	2667	111	31	41.391712	Fund:
5	1	19	1	1	3	573	2667	66	31	41.391712	200
5	1	19	1	1	4	675	2667	131	39	91.382996	/Dept:
5	1	19	1	1	5	825	2666	129	31	67.426170	Human
5	1	19	1	1	6	970	2666	154	31	67.426170	Services
5	1	19	1	1	7	1161	2665	11	31	91.108070	/
5	1	19	1	1	8	1210	2665	174	39	91.977158	Company
5	1	19	1	1	9	1400	2672	4	23	89.909340	:
5	1	19	1	1	10	1424	2664	176	31	89.909340	Rawinson
5	1	19	1	1	11	1618	2664	24	30	92.863007	D
5	1	19	1	1	12	1658	2664	176	31	96.571480	Fernando
Office of Budget andFinance

| PCO
Application for a Duplicate or Stale-Dated Warrant/ Check Pb, oF :
ARIZONA
h i]
ae Bs
Affidavit/Claim Form 0) UNS
This application is for: Duplicate or L] 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
page 2 of this form.
RAWINSON D FERNANDO
(1), being first sworn, upon oath deposes and says:
Name/Claimant
On. or about 93-Dec-2020 (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 $ 3,000.00 (3)
Signed: front 1 Ohew wy = (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 ok th day of Dax 20 al .
NOTARY PUBLIC Shor McMahen
“\ be 5 tuna zone
M y commission expires: a7 7 ‘ti Comm. epee ta91-2004
Co No. 595854
ly 2 \- doef jon fecal)
Warrant/Check Number jag A ae
3010076013
ae
Original Date of Issue
Reason for original issue of Warrant/Check (8):
QO Payroll
/ COVID rental payments
x For Services or Goods furnished
C1 Treasurer's refund/payment
/ Original check presumed lost in the mail
a Other:

Maps
RAWISON FERNANDO MD
Your electricity bill |
Bill date: May 19, 2021 - (YOUR ACCOUNT NUMBER:
BM FOR SERVICE AT:
Summary of what you owe
i Questions?
Amount oO due on your last bill - $96.70 6.
(> Lig ; In to My Acoount ae aeacam
© Payment made, thank you --$96.70 ©. Callus at eS rGST
_
© . — ~E a Easy ptiayer'e ways to Bay pa .
AutoPay discount : -$0.48
OQ Your ; . You want options that work for your business. We're here to
palgieaa forward $0.48
eee bon _. -help.-Check.out all.your payment options and pick the one
Your new charges (details on following pages) that works best for you, Some of the payment methods
include online, the APS app, by phone and in person at retail
© Cost of electricity (includes taxes and fees) — $155.11 stores. Pick your way to pay at aps.com/ways2pay.
:
© Total amount due $154.63
We will debit your checking or savings account for $154.63
on June 2, 2021.
. When paying in person, please
Page 1 of 3 See page-2 for'more information. “bring the-bottom portion of your bill. ae
Your account number Bill date
< aps’ May 19, 2021
Mailing address or phone number change?
Please call 602-371-6767 or 800-253-9407.
# 000006281 I=0110000000 - You do not need to mail a payment.
6281 1 AV 0.395 automatically deducted from your
RAWISON FERNANDO MD checking or savings account.
DBA RAWISON FERNANDO MD
AZ

RE: Previous email have wrong warrant. correct is 3010076013.
FIN AccountsPayable <
Thu 5/27/2021 41:31 AM
To: Rawinson Fernando <: >}; Erica Woodington (HSD) < >; FIN AccountsPayable <
Ce; Laurie Ontiveros (HSD) < >; Joyce Maurmann (FIN) < >; Beth Brown (FIN) <
Hello Rawinson. | sent you email right now.
Thank you,
Walter Chang
Maricopa County Office of Budget and Finance
‘ From: Rawinson Fernando «
Sent: Thursday, May 27, 2021 11:15 AM
,
To: Erica Woodington (HSD) <. >; FIN AccountsPayable < », Walter Chang (FIN)
<Waiter.Chang@Maricopa.Gov>
Ce: Laurie Ontiveros (HSD) < ; Joyce Maurmann (FIN) <, >; Beth Brown (FIN) < >
.
Subject: Previous email have wrong warrant. correct is 3010076013.
Warrant 3010076013.
Application 21-143761-01
Carbajal,Samuel
Rawinson & Leticia Fernando owner of the house az 85323. The payment for the
rent for November and December 2020 for 85323 house was not received
by me, my wife or any of my accounts.
Please process the payment as soon as you receive this email as it has been six months and still have not received a
single cent.
Thank you so much, have a nice day.
Rawinson D Fernando
AZ.
From: Erica Woodington (HSD) <
Sent: Thursday, May 27, 2021 11:04 AM
To: FIN AccountsPayable < >; Rawinson Fernando <_ . +>: Walter Chang (FIN) <
Cc: Laurie Ontiveros (HSD) <, >; Joyce Maurmann (FIN) +; Beth Brown (FIN) <
Walter Chang (FIN) ~
Subject: RE: Affidavit Request for Warrant 3010081179 / Application 21-143761-01 CARBAJAL, SAMUEL
Hello,
My apologies. The correct warrant number is 3010076013.
Thank you,

Hello,
My apologies. The correct warrant number is 3010076013.
Thank you,
Erica Woodington
Community Services Division
Maricopa County Human Services Department
Floor, Phoenix, AZ 85004
HUMAN SERVICES Cell Phone: (602
DEPARTMENT Email:
From: FIN AccountsPayable <
Sent: Thursday, May 27, 2021 11:03 AM
To: Rawinson Fernando < | rica Woodington (HSD) < >; Walter
_
Chang (FIN) ~
Cc: FIN AccountsPayable <' >; Laurie Ontiveros (HSD)
>; Joyce Maurmann (FIN) <. >; Beth Brown (FIN)
_
; Walter Chang (FIN) <
Subject: RE: Affidavit Request for Warrant 3010081179 / Application 21-143761-01 CARBAJAL, SAMUEL
Hello Erica
,
Are you sure the check number is correct -| get this on my
pc for SOUTHWEST GAS INC:

& Witpsu'/azdordostame.cone - CGI Advantage - Intemet Explorer
CGI Advantage
Welcome, WALTER CHANG
fener imiioM Consolidation Object Payee Cancellation Additia
Document Name:
Record Date: 02/03/2021
Budget F¥: 2021
Fiscal Year: 3034
lll
Period: 4
Vendor “Total Lines: 1 Vende
—
Accounting Total Lines: 5 Accou
Posting Total Lines: 3 Postin
—
[A Edit ||) Copy|| Copy Forward| | [3 Discard |
3

Good morning Mrs. Fernando,
Thank you for contacting us regarding your inquiry about the missing payment for Samuel Carbajal. Please
send an email directly to our finance office at . They will be able to assist
in getting the check resent if it has come back to their office or to reissue a new check if you have never
received it. Please reference the client name, warrant number, and application number in your email to them:
Warrant number 3010081179 and Application 21-143761-01.
Thank you,
Erica Woodington
Community Services Division
Maricopa County Human Services Department
‘Floor, Phoenix, AZ 85004
HUMAN SERVICES Cell Phone: (602)
DEPARTMENT Email: