Extracted text (via pymupdf_layout)
2923 characters
Maricopa County Human Resources Fran McCarroll, Clerk of the Board Frorami Linda GreinkeSt Date: September 26, 2019 Re: Replacement of Lost Payroll Warrants Please find attached 1 Affidavit/Notice of Claim(s) for lost payroll warrants for inclusion on the next available Board agenda. The attached item(s) have been researched to ensure that the warrant(s) in question have not been cashed or previously re- issued. The original warrant(s) have had a stop payment done. Please call Linda at ext. 63770 for any questions. Please route approved Affidavits back to County Payroll, Suite 220. Stale Dated Warrant Duplicate Warrant Thank you. Replacement Lost Warrant Form 1 0212512015 Payroll & Employee Records Division 301 Westiefferson Street Suite 220 Phoenix, AZ 85003-2143 DATE: 9/26/19 Phone: 602-506-3519 Records Payroll Fax: Fax: 602-372-0277 602-506-5509 TO: Eileen Williams www.maricopa.gov FROM: Linda Greinke RE: Stop Payment on Warrant Please place a stop payment on the Warrant listed below. It has been determined that the Warrant is outstanding as of this date: Warrant Number: 22675226 Issue Date: 09/18/2019 Payable to: Claudia Escobar Amount: _$1061.48 Reason for Stop Payment: never received Attach a print screen of the paycheck view. ()2i) XILA/J—Q Authorized Signature — Payroll Specialist Date Stopped 61(2411 pi Stopped by Transaction Number 015053 (5 Time Stopped 3"52—Pr1 APPROVED AFFIDAVIT/NOTICE OF CLAIM DAT- SEP 4_2019 E STATE OF ARIZONA MARICOPA COUNTY COUNTY OF MARICOPA C aud ick 'e5cobar BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 2 6441 day of el-ernioer , 20 M , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of C3e , said claim being in the sum of OnQ iiI00"X-1.08 5 X - on Q and (-1N00 Dollars ($ 1 . ) in payment of which the Board of Supervisors caused the Warrant No. 226152.24 to be issued on e?\-eyrt6eir 1041, 20 19 , drawn on the Payroll Clearing Account fund. Affiant further says that although he/she was informed and believes that the above mentioned warrant was regularly issued, the same has never been received, or has been lost. Under penalty of perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No.22. 6/ 62 26 In the sum of $X1. 46 Dated: 5eplerriber 25 141, 20 cl Signed: Affian ***A $12.00 fee for the stop payment and reissuance of the waiiintlitil be deducted from the replacement check.*** Subscribed and sworn to before me this LA TOYA KNIGHT Notary Public, State of Arizona My commission expires: Maricopa County Commission # 569036 tc, ?-0?-3 My August Commission 15, 2023 Expires 'Otlit/4 UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: Name: Ciaucli N\ scobaç Telephone Number Address: Employee ID # Address: 01/31/2013