STAMPED & REDACTED GRACIELA PEREZ.PDF
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MARICOPA COUNTY Office of Budget and Finance 301 West Jefferson Street Ste 960 , Phoenix, Arizona 85003 INTEROFFICE MEMORANDUM w Date: March 16, 2021 pa SO. ~ To: Clerk of the Board reo 1) CFs a 4 1 6 1 5 0 281 1114 2096 53 -1 5 1 6 1 5 1 281 1116 134 36 95.963806 From: 5 1 6 1 5 2 579 1115 144 37 95.864555 Walter 5 1 6 1 5 3 739 1114 141 47 96.372276 Chang 5 1 6 1 5 4 2138 1123 45 37 41.649086 f 5 1 6 1 5 5 2246 1110 68 57 0.000000 == 5 1 6 1 5 6 2349 1122 28 32 0.000000 3 4 1 6 1 6 0 581 1157 1849 82 -1 5 1 6 1 6 1 581 1172 126 37 96.329857 Office 5 1 6 1 6 2 725 1172 41 37 96.239845 of 5 1 6 1 6 3 782 1172 155 47 96.011200 Budget 5 1 6 1 6 4 954 1172 78 37 96.642296 and 5 1 6 1 6 5 1053 1172 171 36 96.756752 Finance 5 1 6 1 6 6 2139 1180 44 21 69.172981 = 5 1 6 1 6 7 2246 1176 68 34 38.136883 <2 5 1 6 1 6 8 2350 1157 38 82 55.852322 a 4 1 6 1 7 0 2135 1203 301 48 -1 5 1 6 1 7 1 2135 1204 46 34 50.209690 Cc 5 1 6 1 7 2 2286 1203 29 39 0.000000 rand 5 1 6 1 7 3 2396 1203 40 48 0.000000 o) 4 1 6 1 8 0 2285 1244 149 42 -1 5 1 6 1 8 1 2285 1249 97 37 0.862417 YY 5 1 6 1 8 2 2402 1244 32 30 52.944656 CO 4 1 6 1 9 0 279 1284 2127 55 -1 5 1 6 1 9 1 279 1284 192 55 96.428619 Subject: 5 1 6 1 9 2 578 1287 201 37 92.869324 Affidavits 5 1 6 1 9 3 794 1308 29 4 66.676155 — 5 1 6 1 9 4 841 1287 290 47 96.523468 Replacement 5 1 6 1 9 5 1148 1286 41 37 96.929871 of 5 1 6 1 9 6 1205 1287 89 36 96.521309 Lost 5 1 6 1 9 7 1309 1287 201 36 96.581093 Warrants 5 1 6 1 9 8 2350 1286 56 42 40.260853 co 4 1 6 1 10 0 2341 1402 43 45 -1 5 1 6 1 10 1 2341 1402 43 45 45.714870 & 2 1 7 0 0 0 271 1440 1964 30 -1 3 1 7 1 0 0 271 1440 1964 30 -1 4 1 7 1 1 0 271 1440 1964 30 -1 5 1 7 1 1 1 271 1440 1964 30 95.000000 2 1 8 0 0 0 281 1526 1947 39 -1 3 1 8 1 0 0 281 1526 1947 39 -1 4 1 8 1 1 0 281 1526 1947 39 -1 5 1 8 1 1 1 281 1529 148 36 96.475945 Please 5 1 8 1 1 2 450 1528 77 37 96.656929 find 5 1 8 1 1 3 552 1528 185 37 95.473175 attached 5 1 8 1 1 4 765 1528 14 36 95.591499 1 5 1 8 1 1 5 805 1527 203 37 95.833565 Affidavits 5 1 8 1 1 6 1030 1527 58 37 95.995110 for 5 1 8 1 1 7 1110 1527 74 37 95.995110 lost 5 1 8 1 1 8 1203 1528 189 36 96.203873 warrants 5 1 8 1 1 9 1413 1528 40 36 95.893311 to 5 1 8 1 1 10 1476 1527 51 36 96.656265 be 5 1 8 1 1 11 1552 1526 181 37 96.265083 included 5 1 8 1 1 12 1757 1536 51 27 96.028954 on 5 1 8 1 1 13 1830 1526 69 37 96.753716 the 5 1 8 1 1 14 1922 1528 91 35 96.300957 next 5 1 8 1 1 15 2033 1526 195 37 96.024445 available 2 1 9 0 0 0 280 1615 327 46 -1 3 1 9 1 0 0 280 1615 327 46 -1 4 1 9 1 1 0 280 1615 327 46 -1 5 1 9 1 1 1 280 1615 127 37 96.943710 Board 5 1 9 1 1 2 424 1615 183 46 96.410416 Agenda. 2 1 10 0 0 0 505 1788 1720 134 -1 3 1 10 1 0 0 505 1788 1720 134 -1 4 1 10 1 1 0 505 1788 1720 47 -1 5 1 10 1 1 1 505 1804 18 18 92.687988 e 5 1 10 1 1 2 578 1791 83 36 35.370598 The 5 1 10 1 1 3 676 1790 187 37 35.370598 attached 5 1 10 1 1 4 881 1790 115 37 96.336441 items 5 1 10 1 1 5 1012 1790 104 36 96.495171 have 5 1 10 1 1 6 1131 1790 105 36 96.395630 been 5 1 10 1 1 7 1254 1789 243 37 96.162048 researched 5 1 10 1 1 8 1512 1790 39 36 95.804787 to 5 1 10 1 1 9 1566 1799 151 27 96.550011 ensure 5 1 10 1 1 10 1731 1789 67 37 96.623276 the 5 1 10 1 1 11 1812 1790 166 35 96.492294 warrant 5 1 10 1 1 12 1993 1789 32 36 96.531586 in 5 1 10 1 1 13 2041 1788 184 47 96.693451 question 4 1 10 1 2 0 580 1875 1015 47 -1 5 1 10 1 2 1 580 1876 103 37 96.885506 have 5 1 10 1 2 2 702 1878 66 35 96.414467 not 5 1 10 1 2 3 785 1876 106 37 96.414467 been 5 1 10 1 2 4 910 1876 156 37 96.616150 cashed 5 1 10 1 2 5 1086 1885 42 27 96.616150 or 5 1 10 1 2 6 1144 1875 221 47 96.445915 previously 5 1 10 1 2 7 1383 1875 212 37 95.783272 re-issued. 2 1 11 0 0 0 504 1964 1490 48 -1 3 1 11 1 0 0 504 1964 1490 48 -1 4 1 11 1 1 0 504 1964 1490 48 -1 5 1 11 1 1 1 504 1980 18 17 93.139885 e 5 1 11 1 1 2 578 1966 82 37 94.462486 The 5 1 11 1 1 3 679 1966 156 46 94.462486 original 5 1 11 1 1 4 852 1967 191 35 96.207413 warrants 5 1 11 1 1 5 1061 1965 103 37 96.883324 have 5 1 11 1 1 6 1182 1975 24 27 90.261063 a 5 1 11 1 1 7 1222 1965 209 37 90.261063 void/stale 5 1 11 1 1 8 1448 1964 202 47 92.589211 date/stop 5 1 11 1 1 9 1669 1966 191 45 96.724945 payment 5 1 11 1 1 10 1875 1964 119 37 96.095100 done. 2 1 12 0 0 0 280 2136 1944 49 -1 3 1 12 1 0 0 280 2136 1944 49 -1 4 1 12 1 1 0 280 2136 1944 49 -1 5 1 12 1 1 1 280 2139 147 37 95.343712 Please 5 1 12 1 1 2 453 2139 70 37 95.723152 call 5 1 12 1 1 3 550 2149 65 26 96.588676 me 5 1 12 1 1 4 639 2140 39 35 95.674141 at 5 1 12 1 1 5 702 2139 78 36 92.919579 506 5 1 12 1 1 6 804 2160 15 4 92.919579 - 5 1 12 1 1 7 844 2139 108 36 96.786308 8747 5 1 12 1 1 8 978 2138 24 37 95.437241 if 5 1 12 1 1 9 1022 2148 76 37 95.437241 you 5 1 12 1 1 10 1125 2138 103 36 95.646339 have 5 1 12 1 1 11 1253 2147 77 37 96.378754 any 5 1 12 1 1 12 1353 2137 222 47 96.027412 questions. 5 1 12 1 1 13 1605 2137 149 36 96.253662 Please 5 1 12 1 1 14 1780 2138 125 36 96.253662 return 5 1 12 1 1 15 1930 2137 66 36 96.721786 the 5 1 12 1 1 16 2021 2136 203 47 96.645416 approved 2 1 13 0 0 0 276 2223 1632 49 -1 3 1 13 1 0 0 276 2223 1632 49 -1 4 1 13 1 1 0 276 2223 1632 49 -1 5 1 13 1 1 1 276 2225 225 38 96.713676 Affidavits 5 1 13 1 1 2 519 2227 40 35 96.757919 to 5 1 13 1 1 3 577 2235 63 37 96.888351 my 5 1 13 1 1 4 656 2225 186 37 96.682487 attention 5 1 13 1 1 5 864 2225 32 36 96.576393 in 5 1 13 1 1 6 914 2225 67 37 96.899994 the 5 1 13 1 1 7 999 2224 127 37 96.801071 Office 5 1 13 1 1 8 1143 2224 42 37 96.930794 of 5 1 13 1 1 9 1200 2224 154 47 96.464798 Budget 5 1 13 1 1 10 1370 2224 78 37 96.861458 and 5 1 13 1 1 11 1469 2223 173 37 92.343597 Finance 5 1 13 1 1 12 1662 2255 5 12 92.343597 , 5 1 13 1 1 13 1688 2223 111 37 96.192055 Suite 5 1 13 1 1 14 1817 2224 91 36 96.979729 960. 2 1 14 0 0 0 276 2398 243 47 -1 3 1 14 1 0 0 276 2398 243 47 -1 4 1 14 1 1 0 276 2398 243 47 -1 5 1 14 1 1 1 276 2398 138 37 96.787781 Thank 5 1 14 1 1 2 430 2408 89 37 96.440514 you. 2 1 15 0 0 0 269 2550 1963 30 -1 3 1 15 1 0 0 269 2550 1963 30 -1 4 1 15 1 1 0 269 2550 1963 30 -1 5 1 15 1 1 1 269 2550 1963 30 95.000000 2 1 16 0 0 0 301 2626 1277 40 -1 3 1 16 1 0 0 301 2626 1277 40 -1 4 1 16 1 1 0 301 2626 1277 40 -1 5 1 16 1 1 1 301 2627 56 31 92.908875 Re: 5 1 16 1 1 2 411 2627 194 31 90.523094 Fund:675 5 1 16 1 1 3 642 2626 7 31 91.162598 / 5 1 16 1 1 4 667 2626 92 40 96.159149 Dept: 5 1 16 1 1 5 779 2626 77 31 96.191956 Risk 5 1 16 1 1 6 871 2626 109 40 86.764618 Mgmt. 5 1 16 1 1 7 996 2626 11 31 86.764618 / 5 1 16 1 1 8 1022 2626 173 39 92.838379 Company 5 1 16 1 1 9 1212 2633 4 23 92.022568 : 5 1 16 1 1 10 1233 2627 208 29 95.716682 GRACIELA 5 1 16 1 1 11 1454 2627 124 29 96.326279 PEREZ 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 COUNTY OF MARICOPA numbers on the Instruction sheet which is paae 2 of this form. GRACIELA PEREZ (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 28-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 . ir /her | in the sum of $ 937.10 .(3) ie _ Signed’ Gasol A ban (4) (4 WA Nake Dlease attach a copy of the rant/check if available and/or any other evidence that a warrant/check was issued. originaly and sworn to before me this —C AG _day of MACH 2021. d Pl ANOTARY PUBLIC ee OFFICIAL SEAL t _. : L/ammma’®, ROLANDO ARELLANO j My commission expires: tel Piece Notary Publ State of Aizona j 4 |29 [2022 is MARICOPA COUNTY (seal) oy ‘Comm, #553708 Exp. Sept 29, 2022 ! [ Warrant/Check Number 13940078066 (if known) (6) Original g Date of Issue 28-Dec-2020 NE 5 1 35 1 2 5 1969 2382 275 45 96.837875 03/18/2021 2 1 36 0 0 0 306 2435 1252 13 -1 3 1 36 1 0 0 306 2435 1252 13 -1 4 1 36 1 1 0 306 2435 1252 13 -1 5 1 36 1 1 1 306 2435 1252 13 95.000000 2 1 37 0 0 0 334 2494 1121 72 -1 3 1 37 1 0 0 334 2494 1121 72 -1 4 1 37 1 1 0 334 2494 1121 72 -1 5 1 37 1 1 1 334 2519 156 39 96.437195 Reason 5 1 37 1 1 2 509 2516 61 41 96.992683 for 5 1 37 1 1 3 587 2515 157 51 96.962914 original 5 1 37 1 1 4 766 2516 106 39 96.945343 issue 5 1 37 1 1 5 890 2513 43 42 93.203201 of 5 1 37 1 1 6 948 2511 329 50 93.050613 Warrant/Check 5 1 37 1 1 7 1296 2510 75 51 0.000000 (8): 5 1 37 1 1 8 1453 2494 2 2 55.973976 | 2 1 38 0 0 0 1652 2445 756 190 -1 3 1 38 1 0 0 1652 2445 756 190 -1 4 1 38 1 1 0 1652 2445 756 190 -1 5 1 38 1 1 1 1652 2445 756 190 95.000000 2 1 39 0 0 0 411 2615 215 51 -1 3 1 39 1 0 0 411 2615 215 51 -1 4 1 39 1 1 0 411 2615 215 51 -1 5 1 39 1 1 1 411 2620 37 37 86.883453 O 5 1 39 1 1 2 486 2615 140 51 94.973595 Payroll 2 1 40 0 0 0 486 2646 1211 102 -1 3 1 40 1 0 0 411 2646 1286 103 -1 4 1 40 1 1 0 486 2646 1211 102 -1 5 1 40 1 1 1 486 2709 68 39 94.778168 For 5 1 40 1 1 2 571 2708 178 40 94.778168 Services 5 1 40 1 1 3 768 2717 43 29 96.425018 or 5 1 40 1 1 4 829 2705 134 41 93.289749 Goods 5 1 40 1 1 5 980 2683 246 62 86.879974 furnished_/ 5 1 40 1 1 6 1246 2682 253 43 92.142982 MSETTLE 5 1 40 1 1 7 1519 2681 88 42 97.009560 che 5 1 40 1 1 8 1593 2646 104 77 0.000000 2cks 2 1 41 0 0 0 1186 2740 983 11 -1 3 1 41 1 0 0 1186 2740 983 11 -1 4 1 41 1 1 0 1186 2740 983 11 -1 5 1 41 1 1 1 1186 2740 983 11 95.000000 2 1 42 0 0 0 411 2795 1232 136 -1 3 1 42 1 0 0 411 2795 1232 133 -1 4 1 42 1 1 0 411 2795 689 50 -1 5 1 42 1 1 1 411 2802 37 36 86.063164 O 5 1 42 1 1 2 482 2796 245 42 0.000000 Treasurer's 5 1 42 1 1 3 747 2795 353 50 91.776741 refund/payment 4 1 42 1 2 0 484 2861 1159 70 -1 5 1 42 1 2 1 484 2864 136 67 96.020981 Other: 5 1 42 1 2 2 666 2866 176 53 96.758011 original 5 1 42 1 2 3 863 2866 144 41 96.097122 check 5 1 42 1 2 4 1027 2863 242 54 96.212837 presumed 5 1 42 1 2 5 1292 2863 83 41 96.875221 lost 5 1 42 1 2 6 1394 2863 36 41 96.009682 in 5 1 42 1 2 7 1453 2863 72 41 96.338707 the 5 1 42 1 2 8 1546 2861 97 41 96.117973 mail 2 1 43 0 0 0 1115 2829 1065 12 -1 3 1 43 1 0 0 1115 2829 1065 12 -1 4 1 43 1 1 0 1115 2829 1065 12 -1 5 1 43 1 1 1 1115 2829 1065 12 95.000000 2 1 44 0 0 0 641 2917 1558 17 -1 3 1 44 1 0 0 641 2917 1558 17 -1 4 1 44 1 1 0 641 2917 1558 17 -1 5 1 44 1 1 1 641 2917 1558 17 95.000000 2 1 45 0 0 0 2329 1710 14 508 -1 3 1 45 1 0 0 2329 1710 14 508 -1 4 1 45 1 1 0 2329 1710 14 508 -1 5 1 45 1 1 1 2329 1710 14 508 95.000000 Dorene Stretar (COB) From: Walter Chang (FIN) Sent: Thursday, March 18, 2021 2:36 PM To: Dorene Stretar (COB) Ce: Walter Chang (FIN) Subject: FW: Check Reissue / GRACIELA PEREZ Importance: High Hello. Here is the email chain. Please print and attach with my affidavit. Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: Graciela Perez (MCSO) <G_ ~ Sent: Tuesday, March 16, 2021 6:16 PM To: Walter Chang (FIN) < Subject: RE: Check Reissue / GRACIELA PEREZ Thank you very much! From: Walter Chang (FIN) < ~ Sent: Tuesday, March 16, 2021 4:42 PM To: Graciela Perez (MCSO) <G_ Cc: Walter Chang (FIN) < a Subject: RE: Check Reissue / GRACIELA PEREZ Hi. | ran it up there right now. Now we wait. Thank you. From: Walter Chang (FIN) Sent: Monday, March 15, 2021 2:36 PM To: Graciela Perez (MCSO)<~ . Cc: Walter Chang (FIN) < “IN AccountsPayable < Beth Brown (FIN) <"- a (FIN) <. Finley (FIN) < oo Subject: FW: Check Reissue / GRACIELA PEREZ Importance: High Hello Ms. Perez. Please see the two pdf and mail the original affidavit to Maricopa County Office of Budget and Finance Accounts Payable Phoenix, AZ 85003 Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: Tracey Wright (RMD) < : Sent: Monday, March 15, 2021 10:15 AM To: FIN AccountsPayable < 7 Subject: Check Reissue Can you please start the affidavit process to re-issue the following check. The payee states that they have never received it. Disbursement Query Search Disbursement Document Vendor Cote Vendor Name Payot Mame Traveler 1D Check Amount Issued Date Cheth/EFT Number Check Status v ADDO WAROOO152014.1 MSETTLE GRACIELA PEREZ GRACIELA PEREZ $937.10 IV2R2020 ONNGOR0IDNTE0GG = Disbursed First Prew Ned Last Record Date: s082020 Total Discount Amount: £0.90 Disbursement Doc Type : Ac Total Penalty Amount: 20.00 Disbursement Der Code: Ap Total Interest Amount: <7.00 Disbursement Doc Dept: piso Total Backup Withholding Amount > <o 50 Disbursement Doc ID: ywarsooosa014 Total Contract Withholding Amount : 30.00 Payee Code : Total default Intercept Fee Amount ; 30.00 Payee Name! GRACIELA PEREZ Total Supplementary Intercept Fee Amount : 50.00 Payee Indicator : yy Total Retainage Amount: £0.90 Total Accounting Line Amount : 2937 40 Total Freight Amount: <9 90 Total Iniercept Amount: 29.00 Total Use Amount? 20.00 Issued Date: 12282030 Total Tax Amount: $0.00 CheckiEFT Number : Cancel/Reclass Reason : I< Check Satus > Deetursed Vendor Cotte: WSETTLE Cleared Date : Vendor Name | GRACIELA PEREZ Check Amount : £937 40 Traveler ID; Disineasemont Category : Top # Disbursement Detail Query -* Intercept Activity * Retainage Detail * Accrual Inguiny From: Travis McCullough (RMD) < Sent: Monday, March 15, 2021 9:54 AM To: Tracey Wright (RMD) < Subject: RE: Check info Thank you, she states she never received so can we start the process to get another check issued. Thank you Travis McCullough Workers’ Compensation Claims Adjuster Maricopa County Risk Management Phone: : LaF = General Questions Email: ~: - Claim Form Link: http://. Comments? Complaints? Take our claims survey! From: Tracey Wright (RMD) <:- - ~ Sent: Monday, March 15, 2021 9:43 AM To: Travis McCullough (RMD) <: Subject: RE: Check info | does not appear to have been deposited. From: Travis McCullough (RMD) <: Sent: Monday, March 15, 2021 9:19 AM To: Tracey Wright (RMD) <--- - - Subject: Check info Tracey, Can you see if check number 3010078066 for $937.10 for Graciela Perez has been deposited? Transaction date 12/30/2020. Thank you Travis McCullough Workers’ Compensation Claims Adjuster Maricopa County Risk Management ‘ | Phoenix, AZ 85004 Phone: | _. + | Fax: General Questions Email:* — Claim Form Link: ° Comments? Complaints? Take our claims survey!