REDACTED JOHN T BARTON & PATRICIA BARTON.PDF

MARICOPA COUNTY
Department of Finance |
301 West Jefferson, Ste 960 |
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: April 30, 2021
To: Clerk of the Board
From: Beth Brown CLERK BOAR -
SUPERVISORS
Department of Finance
Subject: Affidavit — Notice of Claim
Please find attached Affidavit for stale dated warrant to be included on the next
available Board Agenda.
The attached item has been researched to ensure that warrant in question
has not been cashed or previously re-issued.
The original warrant has a void/stale date/stop payment done.
Please call me at 506-1329 if you have any questions. Please return the approved
Affidavit to my attention in the Department of Finance, Suite 960.
Thank you.
Re: JOHN T BARTON & PATRICIA BARTON
The payee mailed the original copy of this affidavit April 8 but | haven’t received the original
copy yet. Hopefully this copy will be acceptable for approval.

Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/ Claim Form
This application is for: LI Duplicate or Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
numbers on the Instruotlon sheet which Is
COUNTY OF MARICOPA
pace 2 of thls form.
JOHN T BARTON & PATRICIA BARTON (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 13-Jan-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 belng 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 ¢ 42.77 (3)
Signed: ON rede. Paxntela) @.. BSantinn (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) and swornfo before me this aay of Por \\__ 20 DA,
Oi c
hoe
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ee ex 1 2 PRS E Maricopa County
WV, Wie) ; gy =e Fy Commits 0Mis 545184
a 4 q ADE y Comm. Expires May 27. 2072 5	1	29	1	1	13	1822	2059	88	49	95.569244	(seal)
4	1	29	1	2	0	285	2100	446	109	-1	
5	1	29	1	2	1	285	2100	338	109	29.531317	moan
5	1	29	1	2	2	583	2100	148	101	29.397072	—
4	1	29	1	3	0	435	2183	567	63	-1	
5	1	29	1	3	1	435	2217	31	29	74.324402	(if.
5	1	29	1	3	2	475	2217	106	29	76.040016	Known)
5	1	29	1	3	3	591	2216	41	29	96.612679	(6)
5	1	29	1	3	4	809	2183	193	44	96.816986	902288
4	1	29	1	4	0	289	2259	408	36	-1	
5	1	29	1	4	1	289	2259	142	36	92.847122	Original
5	1	29	1	4	2	446	2261	89	33	96.691566	Date
5	1	29	1	4	3	549	2260	37	34	96.691566	of
5	1	29	1	4	4	599	2260	98	34	96.588692	Issue
2	1	30	0	0	0	1996	1696	20	656	-1	
3	1	30	1	0	0	1996	1696	20	656	-1	
4	1	30	1	1	0	1996	1696	20	656	-1	
5	1	30	1	1	1	1996	1696	20	656	95.000000	 
2	1	31	0	0	0	1991	2146	7	206	-1	
3	1	31	1	0	0	1991	2146	7	206	-1	
4	1	31	1	1	0	1991	2146	7	206	-1	
5	1	31	1	1	1	1991	2146	7	206	95.000000	 
2	1	32	0	0	0	268	2326	1729	30	-1	
3	1	32	1	0	0	268	2326	1729	30	-1	
4	1	32	1	1	0	268	2326	1729	30	-1	
5	1	32	1	1	1	268	2326	1729	30	95.000000	 
2	1	33	0	0	0	294	2402	1530	356	-1	
3	1	33	1	0	0	294	2402	1530	356	-1	
4	1	33	1	1	0	294	2402	879	48	-1	
5	1	33	1	1	1	294	2405	132	34	96.994873	Reason
5	1	33	1	1	2	441	2403	53	34	96.927872	for
5	1	33	1	1	3	509	2402	133	43	96.872154	original
5	1	33	1	1	4	658	2403	94	34	96.471901	issue
5	1	33	1	1	5	764	2402	36	35	93.283417	of
5	1	33	1	1	6	811	2402	284	44	73.724464	Watrant/Check
5	1	33	1	1	7	1107	2404	66	46	95.189735	(8):
4	1	33	1	2	0	358	2489	185	45	-1	
5	1	33	1	2	1	358	2492	35	32	48.852463	1
5	1	33	1	2	2	421	2489	122	45	96.118484	Payroll
4	1	33	1	3	0	359	2564	655	38	-1	
5	1	33	1	3	1	359	2567	34	34	42.930115	1
5	1	33	1	3	2	422	2566	60	35	96.585030	For
5	1	33	1	3	3	495	2566	153	36	96.520103	Services
5	1	33	1	3	4	661	2575	38	26	96.697166	or
5	1	33	1	3	5	712	2565	114	37	96.697166	Goods
5	1	33	1	3	6	840	2564	174	38	57.604221	furnished
4	1	33	1	4	0	419	2626	1405	63	-1	
5	1	33	1	4	1	419	2644	211	35	11.030083	Treasurer's
5	1	33	1	4	2	645	2644	298	45	92.419838	refund/payment
5	1	33	1	4	3	964	2626	82	38	93.087181	See
5	1	33	1	4	4	1062	2628	233	40	88.731773	aitachment
5	1	33	1	4	5	1308	2630	57	40	97.016609	for
5	1	33	1	4	6	1378	2632	292	48	96.281013	disbursement
5	1	33	1	4	7	1684	2640	140	43	94.858299	details
4	1	33	1	5	0	360	2721	179	37	-1	
5	1	33	1	5	1	360	2721	35	35	20.212559	1
5	1	33	1	5	2	421	2721	118	37	95.697868	Other:
2	1	34	0	0	0	1015	2594	850	33	-1	
3	1	34	1	0	0	1015	2594	850	33	-1	
4	1	34	1	1	0	1015	2594	850	33	-1	
5	1	34	1	1	1	1015	2594	850	33	95.000000	 
2	1	35	0	0	0	953	2668	921	39	-1	
3	1	35	1	0	0	953	2668	921	39	-1	
4	1	35	1	1	0	953	2668	921	39	-1	
5	1	35	1	1	1	953	2668	921	39	95.000000	 
2	1	36	0	0	0	555	2742	1334	41	-1	
3	1	36	1	0	0	555	2742	1334	41	-1	
4	1	36	1	1	0	555	2742	1334	41	-1	
5	1	36	1	1	1	555	2742	1334	41	95.000000	 
2	1	37	0	0	0	484	3238	852	12	-1	
3	1	37	1	0	0	484	3238	852	12	-1	
4	1	37	1	1	0	484	3238	852	12	-1	
5	1	37	1	1	1	484	3238	852	12	95.000000	 
2	1	38	0	0	0	2283	340	8	768	-1	
3	1	38	1	0	0	2283	340	8	768	-1	
4	1	38	1	1	0	2283	340	8	768	-1	
5	1	38	1	1	1	2283	340	8	768	95.000000	 
2	1	39	0	0	0	2342	38	180	3208	-1	
3	1	39	1	0	0	2342	38	180	3208	-1	
4	1	39	1	1	0	2342	38	180	3208	-1	
5	1	39	1	1	1	2342	38	180	3208	95.000000

Printed on 3/19/2021
WViaricopa County Treasurer
Refund Details
Refund ID: 2020000875
Request Date: 01/10/2020 Payee: JOHN T BARTON &
Refund Amount: $42.77 PATRICIA A BARTON
Refund Status: DISBURSED
Refund Type: RESOLUTION ALPINE CA 91901
Requester: RESOLUTIONS
Refund Reason: Resolution has reduced taxes
174-20-085 RS 31088
Stub Information:
Resolution has reduced taxes
PARCEL 17420085 TAX YEAR 2019
,
PHASE: 00051, RES NUM; 31088

Maricopa County Treasurer's Office 174-20-085 0 3/19/2021 12:23:52 PM
fea) 174-20-085 0 — _ x
File Help
Year | Description | Act Date | Tran Num i Amount | Images | Pmt Date | Half Code | Sct ~
2020 TSX PAYMENT 2020-12-30 O0F5-49507 $1,182.64 N 2020-12-29 ~F Bt ES
2020 «TAX BILL 2020-08-22 ¥ 12
‘12019 “RES REFUND LETTER 2020-01-10 - “ , N 6:37
2019 RES IMPOUND 2020-01-10 AS -31088 $42.77 N 6:3t
2019 TAX PAYHENT 2020-01-10 RS -31088 $1254.26 N 2019-11-08 =F B:3t
2019 POST NEW TAX (RESOLUTION) 2020-01-10 AS -31088 $1254.26 N 6:3E
213 CANCEL Tax 2020-01-10 AS -31088 $1.296.50 N 6:3¢
20139 RESTORE TAX 2020-01-10 AS -31088 $1296.50 N F 6:3 v
>
Parcel #: [74-20-0385 Activijz REFUND Act Date [01/13/20
i __
Tax Year 01S Tran T= | ActTimefiz008M
Activity Detail Address Detail |
Buyer#: [0
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