STAMPED & REDACTED STEPHEN WHELIHAN.PDF

Maricopa County — Formal (2021-05-19)

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MARICOPA COUNTY OF SUPERVISOR'S
BOARD
Office of Budget and Finance =“ 00° 4 County
301 West Jefferson e021 MAY -3_ PM 3:09
Phoenix, Arizona 85003 i
INTEROFFICE MEMORANDUM
Date: May 3, 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 The attached 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:100 /Dept: Legal Advocate / Company: Stephen Whelihan

Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: Duplicate or LJ 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
paae 2 of this form.
.
slepnen Whelan (1), being first sworn, upon oath deposes and says:
ame/Claiman
On or about 22-Mar-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 ¢ 3,390.00 (3)
Signed: Mega. WoAAA. (4)
_
Note. Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
Won
5	1	26	1	1	2	743	1770	72	38	96.892448	and
5	1	26	1	1	3	833	1779	121	29	96.270256	sworn
5	1	26	1	1	4	955	1754	417	174	32.481583	ae
5	1	26	1	1	5	1373	1747	132	62	76.427368	23”
5	1	26	1	1	6	1550	1768	73	47	76.427368	day
5	1	26	1	1	7	1638	1768	41	37	96.724823	of
5	1	26	1	1	8	1691	1740	203	92	31.205816	Cprt
5	1	26	1	1	9	2019	1753	163	51	26.139656	202/,
2	1	27	0	0	0	1507	2002	628	166	-1	
3	1	27	1	0	0	1507	2002	628	166	-1	
4	1	27	1	1	0	1508	2002	396	41	-1	
5	1	27	1	1	1	1508	2009	171	34	92.772995	CHRISTIE
5	1	27	1	1	2	1690	2002	214	36	85.564537	FROEHLING
4	1	27	1	2	0	1509	2046	391	41	-1	
5	1	27	1	2	1	1509	2054	111	33	96.256653	Notary
5	1	27	1	2	2	1632	2049	107	30	93.100037	Public
5	1	27	1	2	3	1751	2061	11	8	93.058128	-
5	1	27	1	2	4	1771	2046	129	30	93.659088	Arizona
4	1	27	1	3	0	1507	2082	396	45	-1	
5	1	27	1	3	1	1507	2092	158	35	96.537354	Maricopa
5	1	27	1	3	2	1677	2089	56	29	93.230217	Co.
5	1	27	1	3	3	1744	2087	11	28	77.348717	/
5	1	27	1	3	4	1765	2082	138	33	96.748924	#598049
4	1	27	1	4	0	1510	2110	625	58	-1	
5	1	27	1	4	1	1510	2132	129	36	95.866936	Expires
5	1	27	1	4	2	1649	2124	179	36	78.839867	03/24/2028
5	1	27	1	4	3	2041	2110	94	46	95.740875	(seal)
2	1	28	0	0	0	422	2148	593	9	-1	
3	1	28	1	0	0	422	2148	593	9	-1	
4	1	28	1	1	0	422	2148	593	9	-1	
5	1	28	1	1	1	422	2148	593	9	95.000000	 
2	1	29	0	0	0	1311	1997	182	184	-1	
3	1	29	1	0	0	1311	1997	182	184	-1	
4	1	29	1	1	0	1311	1997	182	184	-1	
5	1	29	1	1	1	1311	1997	182	184	95.000000	 
2	1	30	0	0	0	353	2227	928	88	-1	
3	1	30	1	0	0	353	2227	928	88	-1	
4	1	30	1	1	0	353	2227	491	44	-1	
5	1	30	1	1	1	353	2227	311	44	91.917412	Warrant/Check
5	1	30	1	1	2	682	2227	162	37	96.639534	Number
4	1	30	1	2	0	519	2244	762	71	-1	
5	1	30	1	2	1	519	2281	156	34	64.962952	/Check
5	1	30	1	2	2	690	2281	43	33	96.140869	Nu
5	1	30	1	2	3	933	2244	348	48	96.170563	3010084861
2	1	31	0	0	0	329	2310	1204	8	-1	
3	1	31	1	0	0	329	2310	1204	8	-1	
4	1	31	1	1	0	329	2310	1204	8	-1	
5	1	31	1	1	1	329	2310	1204	8	95.000000	 
2	1	32	0	0	0	328	1725	9	694	-1	
3	1	32	1	0	0	328	1725	9	694	-1	
4	1	32	1	1	0	328	1725	9	694	-1	
5	1	32	1	1	1	328	1725	9	694	95.000000	 
2	1	33	0	0	0	353	2327	1829	93	-1	
3	1	33	1	0	0	353	2327	1829	90	-1	
4	1	33	1	1	0	353	2327	1829	47	-1	
5	1	33	1	1	1	353	2328	157	46	96.803207	Original
5	1	33	1	1	2	531	2329	93	36	96.488350	Date
5	1	33	1	1	3	641	2327	41	38	96.597313	of
5	1	33	1	1	4	696	2329	109	36	96.915749	Issue
5	1	33	1	1	5	1921	2340	261	32	96.159943	05/04/2021
4	1	33	1	2	0	518	2327	1555	93	-1	
5	1	33	1	2	1	518	2382	157	35	0.000000	(rans
5	1	33	1	2	2	690	2381	43	35	0.000000	cn
5	1	33	1	2	3	932	2327	361	93	80.665161	22-Mar-2021
5	1	33	1	2	4	1678	2389	4	7	73.294807	|
5	1	33	1	2	5	1975	2335	98	44	61.048962	[oa
2	1	34	0	0	0	916	2202	4	216	-1	
3	1	34	1	0	0	916	2202	4	216	-1	
4	1	34	1	1	0	916	2202	4	216	-1	
5	1	34	1	1	1	916	2202	4	216	95.000000	 
2	1	35	0	0	0	329	2412	1204	7	-1	
3	1	35	1	0	0	329	2412	1204	7	-1	
4	1	35	1	1	0	329	2412	1204	7	-1	
5	1	35	1	1	1	329	2412	1204	7	95.000000	 
2	1	36	0	0	0	356	2484	976	48	-1	
3	1	36	1	0	0	356	2484	976	48	-1	
4	1	36	1	1	0	356	2484	976	48	-1	
5	1	36	1	1	1	356	2488	147	36	96.932281	Reason
5	1	36	1	1	2	521	2486	58	37	96.560684	for
5	1	36	1	1	3	594	2485	147	47	96.003174	original
5	1	36	1	1	4	761	2487	101	36	96.003174	issue
5	1	36	1	1	5	879	2485	40	38	93.283493	of
5	1	36	1	1	6	933	2484	310	45	91.528564	Warrant/Check
5	1	36	1	1	7	1260	2484	72	47	96.546021	(8):
2	1	37	0	0	0	428	2580	1410	124	-1	
3	1	37	1	0	0	427	2580	1411	124	-1	
4	1	37	1	1	0	428	2580	202	48	-1	
5	1	37	1	1	1	428	2584	35	35	40.324249	C1
5	1	37	1	1	2	498	2580	132	48	89.207993	Payroll
4	1	37	1	2	0	498	2644	1340	60	-1	
5	1	37	1	2	1	498	2669	64	35	96.970009	For
5	1	37	1	2	2	578	2668	168	36	96.966766	Services
5	1	37	1	2	3	762	2675	42	29	96.988602	or
5	1	37	1	2	4	820	2665	126	38	93.284546	Goods
5	1	37	1	2	5	962	2645	231	57	69.469620	furnished_/
5	1	37	1	2	6	1210	2645	202	41	50.460072	3821SW
5	1	37	1	2	7	1427	2645	14	40	89.296333	/
5	1	37	1	2	8	1458	2645	139	40	90.166130	JWID:
5	1	37	1	2	9	1622	2644	216	40	92.136604	17-73979
2	1	38	0	0	0	1156	2701	924	8	-1	
3	1	38	1	0	0	1156	2701	924	8	-1	
4	1	38	1	1	0	1156	2701	924	8	-1	
5	1	38	1	1	1	1156	2701	924	8	95.000000	 
2	1	39	0	0	0	427	2751	1159	123	-1	
3	1	39	1	0	0	427	2751	1159	124	-1	
4	1	39	1	1	0	427	2751	646	46	-1	
5	1	39	1	1	1	427	2754	35	35	31.998434	1
5	1	39	1	1	2	494	2751	231	38	88.270477	Treasurer’s
5	1	39	1	1	3	744	2751	329	46	91.173759	refund/payment
4	1	39	1	2	0	496	2815	1090	59	-1	
5	1	39	1	2	1	496	2837	128	37	94.727234	Other:
5	1	39	1	2	2	668	2817	165	51	94.727234	Original
5	1	39	1	2	3	852	2816	136	41	96.673080	check
5	1	39	1	2	4	1006	2816	228	51	96.572884	presumed
5	1	39	1	2	5	1255	2816	81	39	96.333755	lost
5	1	39	1	2	6	1352	2816	35	39	96.321465	in
5	1	39	1	2	7	1406	2816	70	39	96.448479	the
5	1	39	1	2	8	1495	2815	91	40	93.693703	mail
2	1	40	0	0	0	1087	2787	1003	7	-1	
3	1	40	1	0	0	1087	2787	1003	7	-1	
4	1	40	1	1	0	1087	2787	1003	7	-1	
5	1	40	1	1	1	1087	2787	1003	7	95.000000	 
2	1	41	0	0	0	643	2871	1466	10	-1	
3	1	41	1	0	0	643	2871	1466	10	-1	
4	1	41	1	1	0	643	2871	1466	10	-1	
5	1	41	1	1	1	643	2871	1466	10	95.000000	 
2	1	42	0	0	0	2233	1720	14	477	-1	
3	1	42	1	0	0	2233	1720	14	477	-1	
4	1	42	1	1	0	2233	1720	14	477	-1	
5	1	42	1	1	1	2233	1720	14	477	95.000000
NOTARY PUBLIC
My commission expires:
YoO35
3p