SIGNED & REDACTED - TYLER RUSSELL.PDF

BOARD OF SUPERWISOR™ .
HARICOPA
5	1	1	1	2	2	832	289	172	39	59.667542	COUNTY
5	1	1	1	2	3	1524	286	308	57	96.228882	Maricopa
5	1	1	1	2	4	1855	284	236	58	96.059967	County
4	1	1	1	3	0	560	353	1577	88	-1	
5	1	1	1	3	1	560	389	71	52	31.779518	101
5	1	1	1	3	2	649	391	78	48	72.097824	FEB
5	1	1	1	3	3	753	390	46	46	72.097824	15
5	1	1	1	3	4	843	385	52	46	63.200783	PM
5	1	1	1	3	5	923	382	103	49	62.547729	3:1!
5	1	1	1	3	6	1525	353	234	48	96.213303	Human
5	1	1	1	3	7	1784	353	353	47	95.843155	Resources
2	1	2	0	0	0	205	651	631	146	-1	
3	1	2	1	0	0	205	651	631	146	-1	
4	1	2	1	1	0	205	651	631	146	-1	
5	1	2	1	1	1	205	651	631	146	60.138779	Memo
2	1	3	0	0	0	255	950	1148	63	-1	
3	1	3	1	0	0	255	950	1148	63	-1	
4	1	3	1	1	0	255	950	1148	63	-1	
5	1	3	1	1	1	255	952	101	49	96.547775	To:
5	1	3	1	1	2	504	952	162	61	93.014297	Cindy
5	1	3	1	1	3	687	951	178	58	92.067703	Goelz,
5	1	3	1	1	4	890	951	149	49	96.515076	Clerk
5	1	3	1	1	5	1059	950	56	49	96.784424	of
5	1	3	1	1	6	1129	950	88	49	96.701324	the
5	1	3	1	1	7	1240	950	163	49	96.654778	Board
2	1	4	0	0	0	258	1116	772	180	-1	
3	1	4	1	0	0	258	1116	772	180	-1	
4	1	4	1	1	0	258	1116	647	62	-1	
5	1	4	1	1	1	258	1117	189	49	96.068222	From:
5	1	4	1	1	2	520	1116	199	50	96.256828	Debbie
5	1	4	1	1	3	742	1116	163	62	96.308113	Upton
4	1	4	1	2	0	258	1234	772	62	-1	
5	1	4	1	2	1	258	1235	175	49	87.902405	Date:
5	1	4	1	2	2	520	1234	252	62	87.902405	February
5	1	4	1	2	3	796	1234	78	58	95.928261	16,
5	1	4	1	2	4	898	1234	132	49	95.928261	2021
2	1	5	0	0	0	258	1350	1347	71	-1	
3	1	5	1	0	0	258	1350	1347	71	-1	
4	1	5	1	1	0	258	1350	1347	71	-1	
5	1	5	1	1	1	258	1350	104	71	96.660782	Re:
5	1	5	1	1	2	527	1354	376	61	96.469574	Replacement
5	1	5	1	1	3	922	1352	55	49	96.902527	of
5	1	5	1	1	4	996	1352	119	49	96.607063	Lost
5	1	5	1	1	5	1137	1352	188	62	96.698769	Payroll
5	1	5	1	1	6	1345	1351	260	49	96.606644	Warrants
2	1	6	0	0	0	246	1475	1925	17	-1	
3	1	6	1	0	0	246	1475	1925	17	-1	
4	1	6	1	1	0	246	1475	1925	17	-1	
5	1	6	1	1	1	246	1475	1925	17	95.000000	 
2	1	7	0	0	0	258	1565	1777	62	-1	
3	1	7	1	0	0	258	1565	1777	62	-1	
4	1	7	1	1	0	258	1565	1777	62	-1	
5	1	7	1	1	1	258	1569	191	49	95.635490	Please
5	1	7	1	1	2	469	1569	100	48	95.635490	find
5	1	7	1	1	3	591	1568	242	49	92.819946	attached
5	1	7	1	1	4	945	1567	22	49	51.490673	_1__
5	1	7	1	1	5	1066	1567	427	49	60.410942	Affidavit/Notice
5	1	7	1	1	6	1514	1566	56	49	93.271591	of
5	1	7	1	1	7	1586	1565	236	62	90.766243	Claim(s)
5	1	7	1	1	8	1841	1565	77	49	96.976158	for
5	1	7	1	1	9	1937	1565	98	49	96.976158	lost
2	1	8	0	0	0	257	1641	1852	66	-1	
3	1	8	1	0	0	257	1641	1852	66	-1	
4	1	8	1	1	0	257	1641	1852	66	-1	
5	1	8	1	1	1	257	1645	181	62	96.627975	payroll
5	1	8	1	1	2	459	1645	245	49	96.754135	warrants
5	1	8	1	1	3	724	1644	76	49	96.837517	for
5	1	8	1	1	4	820	1644	243	48	96.300400	inclusion
5	1	8	1	1	5	1086	1656	68	36	96.300400	on
5	1	8	1	1	6	1174	1643	88	49	96.676636	the
5	1	8	1	1	7	1285	1644	118	47	96.366135	next
5	1	8	1	1	8	1421	1642	251	49	96.697090	available
5	1	8	1	1	9	1696	1642	163	49	96.833321	Board
5	1	8	1	1	10	1882	1641	227	62	96.327644	agenda.
2	1	9	0	0	0	253	1763	1797	218	-1	
3	1	9	1	0	0	253	1763	1797	218	-1	
4	1	9	1	1	0	254	1763	1766	65	-1	
5	1	9	1	1	1	254	1768	108	48	96.856079	The
5	1	9	1	1	2	383	1766	243	50	95.875801	attached
5	1	9	1	1	3	650	1766	191	62	96.440384	item(s)
5	1	9	1	1	4	863	1766	136	48	96.587967	have
5	1	9	1	1	5	1021	1765	139	49	96.644920	been
5	1	9	1	1	6	1184	1765	315	49	96.133858	researched
5	1	9	1	1	7	1520	1766	52	47	96.133858	to
5	1	9	1	1	8	1593	1777	194	36	96.320915	ensure
5	1	9	1	1	9	1807	1764	107	49	96.533333	that
5	1	9	1	1	10	1931	1763	89	50	96.222160	the
4	1	9	1	2	0	253	1840	1747	65	-1	
5	1	9	1	2	1	253	1843	287	62	91.979141	warrant(s)
5	1	9	1	2	2	563	1843	43	49	96.444092	in
5	1	9	1	2	3	628	1843	238	61	96.151825	question
5	1	9	1	2	4	891	1842	136	49	96.691818	have
5	1	9	1	2	5	1049	1843	88	48	96.453758	not
5	1	9	1	2	6	1158	1841	136	49	96.600113	been
5	1	9	1	2	7	1315	1841	204	48	96.845947	cashed
5	1	9	1	2	8	1541	1854	58	35	96.355515	or
5	1	9	1	2	9	1618	1840	286	62	93.299606	previously
5	1	9	1	2	10	1927	1852	73	37	92.956726	re-
4	1	9	1	3	0	257	1917	1793	64	-1	
5	1	9	1	3	1	257	1920	194	50	95.007004	issued.
5	1	9	1	3	2	493	1920	109	49	95.007004	The
5	1	9	1	3	3	623	1919	201	62	93.014786	original
5	1	9	1	3	4	844	1918	289	62	91.660919	warrant(s)
5	1	9	1	3	5	1156	1918	135	49	96.827538	have
5	1	9	1	3	6	1312	1918	102	49	96.847870	had
5	1	9	1	3	7	1436	1930	32	37	95.150154	a
5	1	9	1	3	8	1489	1918	119	61	95.150154	stop
5	1	9	1	3	9	1631	1918	245	61	96.358528	payment
5	1	9	1	3	10	1895	1917	155	48	96.246300	done.
2	1	10	0	0	0	256	2039	1769	141	-1	
3	1	10	1	0	0	256	2039	1769	141	-1	
4	1	10	1	1	0	258	2039	1767	63	-1	
5	1	10	1	1	1	258	2043	190	49	96.361977	Please
5	1	10	1	1	2	470	2042	91	49	96.561012	call
5	1	10	1	1	3	586	2041	209	49	93.282608	Debbie
5	1	10	1	1	4	818	2041	56	49	90.757103	U.
5	1	10	1	1	5	897	2042	52	48	96.898979	at
5	1	10	1	1	6	968	2042	97	48	95.409637	ext.
5	1	10	1	1	7	1090	2041	176	49	96.775581	66329
5	1	10	1	1	8	1286	2040	75	49	96.391701	for
5	1	10	1	1	9	1378	2053	102	49	96.875320	any
5	1	10	1	1	10	1500	2039	287	63	96.932121	questions.
5	1	10	1	1	11	1831	2039	194	49	96.965919	Please
4	1	10	1	2	0	256	2116	1688	64	-1	
5	1	10	1	2	1	256	2120	142	48	96.652168	route
5	1	10	1	2	2	418	2118	265	62	96.716637	approved
5	1	10	1	2	3	701	2118	260	49	96.761803	Affidavits
5	1	10	1	2	4	984	2117	135	49	96.558121	back
5	1	10	1	2	5	1137	2118	52	48	96.797714	to
5	1	10	1	2	6	1210	2116	200	62	96.603027	County
5	1	10	1	2	7	1433	2116	204	62	96.515259	Payroll,
5	1	10	1	2	8	1662	2116	143	49	95.995811	Suite
5	1	10	1	2	9	1825	2116	119	48	96.185379	220.
2	1	11	0	0	0	1239	2243	693	211	-1	
3	1	11	1	0	0	1239	2243	693	211	-1	
4	1	11	1	1	0	1239	2243	693	211	-1	
5	1	11	1	1	1	1239	2329	30	125	95.000000	 
5	1	11	1	1	2	1277	2243	655	86	95.000000	 
2	1	12	0	0	0	255	2362	581	51	-1	
3	1	12	1	0	0	255	2362	581	51	-1	
4	1	12	1	1	0	255	2362	581	51	-1	
5	1	12	1	1	1	255	2364	143	49	94.777534	Stale
5	1	12	1	1	2	421	2363	165	49	95.903679	Dated
5	1	12	1	1	3	607	2362	229	49	96.726265	Warrant
2	1	13	0	0	0	1255	2329	677	179	-1	
3	1	13	1	0	0	1255	2329	677	179	-1	
4	1	13	1	1	0	1255	2329	677	179	-1	
5	1	13	1	1	1	1255	2329	677	179	95.000000	  
2	1	14	0	0	0	1269	2360	510	63	-1	
3	1	14	1	0	0	1269	2360	510	63	-1	
4	1	14	1	1	0	1269	2360	510	63	-1	
5	1	14	1	1	1	1269	2361	261	62	95.799927	Duplicate
5	1	14	1	1	2	1549	2360	230	50	96.440552	Warrant
2	1	15	0	0	0	253	2609	313	61	-1	
3	1	15	1	0	0	253	2609	313	61	-1	
4	1	15	1	1	0	253	2609	313	61	-1	
5	1	15	1	1	1	253	2609	178	49	96.101471	Thank
5	1	15	1	1	2	449	2621	117	49	96.878830	you.
2	1	16	0	0	0	366	2916	1796	40	-1	
3	1	16	1	0	0	366	2916	1796	40	-1	
4	1	16	1	1	0	366	2916	1796	40	-1	
5	1	16	1	1	1	366	2920	209	36	96.726425	Replacement
5	1	16	1	1	2	586	2920	65	28	96.536484	Lost
5	1	16	1	1	3	659	2919	127	29	96.432968	Warrant
5	1	16	1	1	4	797	2918	78	29	96.860664	Form
5	1	16	1	1	5	1257	2917	11	29	96.292610	1
5	1	16	1	1	6	1986	2916	176	29	95.518982	02/25/2015
2	1	17	0	0	0	1652	3069	685	210	-1	
3	1	17	1	0	0	1652	3069	687	206	-1	
4	1	17	1	1	0	1654	3069	429	81	-1	
5	1	17	1	1	1	1654	3069	208	80	78.035545	Dept.
5	1	17	1	1	2	1907	3086	176	64	62.803009	000
4	1	17	1	2	0	1652	3108	685	171	-1	
5	1	17	1	2	1	1652	3108	364	171	57.365898	Superior
5	1	17	1	2	2	2064	3136	273	106	51.208870	Curt
2	1	18	0	0	0	2530	32	19	3266	-1	
3	1	18	1	0	0	2530	32	19	3266	-1	
4	1	18	1	1	0	2530	32	19	3266	-1	
5	1	18	1	1	1	2530	32	19	3266	95.000000

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit /Claim Form
This application is for: [1 Duplicate or L] Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
Instruction sheet which is page 2 of this form.
COUNTY OF MARICOPA
“Ay lee (Qvsse\\ (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about _t- 3-202\ (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 $ 1215. %O (3)
Signed: FE (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) cribed and sworn to before me this_ (2. day of Fempuary 20_21.
_ =f
a E-Ztces2
GU
NOTARY PUBLIC
OFFICIAL SEAL
DENNIS R. FREY
My commission expires: Notary Public - State of Arizona
OF L 25) / 2/ My Comm. Expires Sep 25, 2021 {(seal)
Warrant/Check Number
23045144
(it known) (6)
Original Date of Issue
a - 3-202
(if known) (7)
Reason for original issue of Warrant/Check (8):
GY Payroll 02/17/2021
. :
O For Services or Goods furnished
O Treasurer’s refund/payment
1 Other:
C:\Users\williamse\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\HTTDL74G\Warrants Checks notice
of claim.doc
Revised April 2015 A.R.S. 11-632 & 11-644

ADP Enterprise HR screen print as of: 02/16/2021 07:33 AM