JULIE ANNE.PDF

MARICOPA COUNTY
Department of Finance
301 West Jefferson, Ste 960
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
c—
Date: July 17, 2019
To: Clerk of the Board •t7
From: Maria Meza
Department of Finance
Subject: Affidavit — Duplicate/Replacement of Lost Warrant
Please find attached Affidavit for lost warrant to be included on the next available Board
Agenda.
• The attached item/s have been researched to ensure the warrant in
question has not been cashed or previously re-issued.
• The original warrant has a void/stale date/stop payment done.
Please return the approved Affidavit to my attention Department of Finance, Suite 960.
If you have any questions you may contact me at 602-506-1336 or
maria.meza@maricopa.gov
Thank you.
Re: VS-2531 JULIE ANNE POEHLMANN-TYNAN
W#3010024710 $3,600.00
D560 PRCPDI 19CRED001027
Inv # PDS19-1229
Bank Account Check / EFT Amount Issue Date Record Date Status Document
1000 000003010024710 $3,600.00 01/18/2019 01/18/2019 Disbursed ABD180,WAR000080634,1

7/11/19
Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: 61 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
Dade 2 of this form.
VS-2531 JULIE ANNE POEHLMANN-TYNAN •4 ki) being first sworn, upon oath deposes and says:
Name/Claimant
On or about 18-Jan-2019 (dath)(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 $3,600.00 .(3)
Signed: Lt,u,t (4)
Note: Please attach a copy of tH "" :available and/or any other
evidence that a wan-anVcheck was originally issued.
(5) Subscribed and sworn to before me this day of 20 19 .
O OOOO .„• •
NOTARY PUBLIC U-afx- U21 (1714fil •
: : NOTA • •
My commission expires: -4,
lAU41-„)0/9
Warrant/Check Number 3010024710
(if known) (6)
Original Date of Issue 18-Jan-2019
(if known) (7)
Reason for original issue of Warrant/Check (8):
0 Payroll
For Services or Goods furnished Check not received by vendor
LI Treasurer's refund/payment
LI Other:
D560 Public Defense Services
PRCPD1 19CRED001027
Inv# PDS19-1229

Stop Payment Placed 7/17/19
3010024710
• Warrant header
General Posting
Warrant number 3010024710 Invoice:
Holder: MCT0000000107 Invoice date:
Issued date; 1/18/2019 12:C0:00 am Paid date:
Status Stopped Positive pay sent date 1/21/2019 09:00:25 am
Exception flag: LI
Agency details
Exception reason: None
Agency voucher number:
Queued for positive pay: Agency claim number:
Agency low orig:
Locked for reconcile: LI Agency PO number
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest:
Annual interest rate: 0.00000
• Warrant Lines
0 Amount Payee Account
3,600,00 Julie Anne Poehlmann-Tynan
Confirmation
CI Please confinn that you with to stop payment on Warrant numb.
Mr '301002471V; issued ors 'I/IS/2019 11-0100 ani, for the amount of
Note 'MOM? Bank f twill be applied, no do not Stop • warrant that you stgl