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40.4.-R.ig CLERK MARICOPA COUNTY tf tf • • 'A' 7016 !CCP OF -SUPER A C•OUN Yii-Q Department of Finance Y 301 West Jefferson, Ste 960 283 NOV 25 AN 49 Phoenix, Arizona 85003 beVu-41- INTEROFFICE MEMORANDUM Date: November 25, 2019 To: Clerk of the Board From: Walter Chang Department of Finance Subject: Affidavits — Replacement of Lost Warrants Please find attached 1 Affidavits for lost warrants to be included on the next available Board Agenda. • The attached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. • 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 Department of Finance, Suite 960. Thank you. Re: Fund: 100 / Dept: 560 / PUBLIC DEFENSE SERVICES / Company: Carlton Oliverson & Huss Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for 12 Duplicate or 0 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. Carlton Oliverson & Huss (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 31-Oct-2019 (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 $ 8,446.90 .(3) Signed: (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 day of 00214.4-44 20 /9. NOTARY PUBLIC BEATRICE LUGO Notary Public -Arizona Maricopa Cminty My commission expires: Commission # 550556 My Comm. Expires Jul ig, 2022 (seal) Warrant/Check Number 3010046839 (if known) (6) Original Date of Issue 31-Oct-2019 (if known) (7) Reason for original issue of Warrant/Check (8): 0 Payroll 0 For Services or Goods furnished El Treasurer's refund/payment 0 Other: CARLTON OLIVERSON Michelle Carlton 8631 South Priest Drive, Derek Oliverson & HUSS Suite 102, Jeremy Huss Your Arizona Legal Team Tempe, Arizona 85284 November 20, 2019 Maricopa County Board of Supervisors RE: Authorization to Sign To Whom It May Concern: I, Jeremy Huss, co-owner of Carlton Oliverson & Huss, authorize Derek Oliverson, my law partner and another co-owner of our firm, to execute an affidavit for Carlton Oliverson & Huss. Yours truly, Jeremy Huss, Co-Owner Carlton Oliverson & Huss Carlton Oliverson & Huss PLLC www.yourarizonalegalteam.com ' COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY WARRANT NUMBER PHOENIX, ARIZONA 3010046839 DATE 10-31-2019 91-2/1221 JPMorgan Chase Bank N.A Phoenix, AZ Eight Thousand Four Hundred Forty Six And 90/100 Dollars $8,446.90 PAY TO THE ORDER OF AMOUNT Canton Oliverson & Huss 1760 E Pecos Rd Ste 332 Void After Gilbert AZ 85295 365 Days For Questions - 602-506-1379 or email AP@MAILMARICOPA.GOV NOT NEGOTIABLE MARICOPA COUNTY DEPARTMENT OF FINANCE RETAIN THIS FOR PAYEE WARRANT NO. WARRANT DATE WARRANT AMOUNT YOUR RECORDS Carlton Oliverson & Huss 3010046839 10/31/2019 $8,446.90 INVOICE NUMBER DESCRIPTION PURCHASE ORDER NO. VOUCHER NO. AMOUNT PDS20-0598 CaselD: 181266 PRCPD1 D560 20SNE0000284 8,446.90 20SNED000284