ALL SUPPLEMENTAL ESCHEAT 11.07.18

This a. , "cation is for: -ioorite or LL Sta?e-Li;3ted (dvfinitions are on page 21
STATE OF ARIZONA Note: Number.; on this form correspond to
, „ • • — numb,--7,, on the- instruction sheet which is
-Pao.. 7' of this form_
eind first sworn, *on oath deposes and says:
On or about (date)(2) a warrant/check was issued to the
above named esc e': : r e amount as stated below, Such warrant/check was
either never received or ,was subseQuentiy inadveitently lost or destroyed and there rz
PC reasonable probabiity of it bend 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 ar untshowrt is due and owing:, and the applicant requests that a replacement
.7 in the sum F $ tchment
Note: P1es.Atradh a copy of the warrant/check if "c":A, dable and/a;
evidence that a tiC:arrant/check was onOria16-• issued.
See attachment
ainal Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
E Payroll
E For Services or Goods furnished
E Treasurers refund/payment
Other:

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350008625 10/08/14 ABEYTA VICKI $100.00
00350019532 02/03/15 ABEYTA VICKI $100.00
00350022322 03/05/15 ABEYTA VICKI $100.00
00350025447 04/09/15 ABEYTA VICKI $100.00
00350028438 05/12/15 ABEYTA VICKI $100.00
00350031035 06/09/15 ABEYTA VICKI $100.00
Total $600.00

Application for a Duplicate or Stale-Deed Warrant/ Check
Affidavit/Claim Form
This application is for: 0 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
Pape 2 of this form.
c_ve_40-WIALIA(1), being irst sworn, upon oath deposes and says:
Name/Claimant
On or about See attachment (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 See attachment -(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 :2 8 day of 201&_.
NOTARY PUBLIC 47. 11S1-LAWNAK FREEZE
Notary Public. State d Mama
My commission expires: IVARICOPACOUNTY I
My Comm. Expires May 21,2021.1
i2ak
Warrant/Check Number
of known) (6) See attachment
Original Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
E Payroll
E For Services or Goods furnished
• Treasurer's refund/payment
O Other:
ARIZONA FEDERAL CREDIT UNION VICTIM ID 20771

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350011448 11/10/14 ARIZONA FEDERAL CREDIT U $117.50

CANYON PAINT SUPPLY

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350028457 05/12/15 CANYON PAINT SUPPLY $14.86
00350018573 01/26/15 CANYON PAINT SUPPLY $508.00
00350022347 03/05/15 CANYON PAINT SUPPLY $520.00
Total 1,042.86 /

Application for a Duplicate or Stale-Dated Wm -rent/Check
Affidavit/Claim Form
This application is for: 0 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
page 2 of this form.
A1/1 VI (1), being first sworn, upon oath deposes and says:
Name/Clalmant
On or about See attachment (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 issu0 to him/her/ryi the sum of $ See attachment -(3)
Signed: (4)
Note: Please attach 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 -2D/ day of pktc:- 20
NOT1 uk,
Y PUBLIC
NOTARY PUBLIC
STATE OF ARIZONA
My commission expires: MaAc,opa 00Linti
'-'-`177Ai\iiE" SCOW
August 6, 2(21
.olow.s.,....1.1r • vaimokowoommaluisammEr.,
(arrant/Check Number
if known) (6 See attachment
Original Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
PayroU
-
D For Services or Goods furnished
O Treasurer's refund/payment
E Other:
FISH AMY VICTIM ID 23703

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350031079 06/09/15 FISH AMY $45.25
00350008683 10/08/14 FISH AMY $125.00
00350019585 02/03/15 FISH AMY $250.00
00350003265 08/11/14 FISH AMY $295.00
Total $715.25 s,

Application for a Duplicate or Stale-Datt.d Warrant/Check
Affidavit/Claim Fc
This application is for: El Duplicate or Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICORA numbers on the Instruction sheet which is
're-Art"( iple ,rf *"
rig r° (1), being first sworn, upon oath deposes and says:
ame aimant
5// V45" ta-A,d) feAlt,r
On or about See attachment (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 penaity 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
her in the sum of $ See attachment 12 vS--e .(3)
iJ
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
Gloria Gissella Orrillo
Notary Public
Man copa County, Arizona
My Comm. Expires 11-30719
Warrant/Check Number
(if knownL(5) See attachment 0034- 00 4. 49 y 1903s-c0a55-ii-i
Original Date of Issue 51171/5- a ce /
(if known) (7)
Reason for original issue of Warrant/Check (8):
E Payroll
For Services or Goods furnished Pt,A1
E Treasurer's refund/payment
E: Other:
HAWKES RADIATOR 1 VICTIM ID 23689

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350028498 05/12/15 HAWKES RADIATOR 1 $52.58
00350025514 04/09/15 HAWKES RADIATOR 1 $75.00
Total $127.58

KNAFELS ASSOCIATES INC

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350018618 01/26/15 KNAFELS ASSOCIATES INC $40.00
00350011523 11/10/14 KNAFELS ASSOCIATES INC $80.00
Total $120.00

/ -l
---
Application for a Duplicate ,or Stale-Dated Warrant/Check
Affidavit/ Claim Form
This applicatjon is for: 0 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
'";) oaae 2 of this form.
---.--=~ =~=w~/=rJ:=r-_PJ _ _ ((N._ _ c.J ____ (1), being first sworn, upon oath deposes and says:
Name/Cia1mant on behalf of LATIN UNLIMITED PROF SER
On or about See attachment (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 th1s daim is correct
and the amount shown is due and owin , and the applicant requests that a replacement
Note: Please att. 'Ch a copy of the warrant/check tf available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this l~fJ1
~~~
NOTARY PUBLIC
My commission expires:
'i - 2. 'r- .:Loll.
See attachment
Reason for original issue of Warrant/Check (8):
D Payroll
D For Services or Goods furnished
D Treasurer's refund/payment ---,----------~~=;;~:;;=;r=:.:..:.:"-!
D Other: ----------------------IHI~..J..L=o...-IJI.l-.l..l:L.
----~-- ··---·-- -
LA TIN UNLIMITED PROF SERVICES Victim ID 26695

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount x
00350028510 05/12/15 LATIN UNLIMITED PROF SER $182.18 '="/

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/ Claim Form
This application is for: 0 Duplicate or 0 Sta1e-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
\ oaae 2 of this form.
-~ . .. =G~ hN\.e-5 7'T:::==~ -- ,. _G ~_e- ...::;f-=-t_.t'-+ '11 __ (1), being first sworn, upon oath deposes and says:
Name/Ciarmant on behalf of NEW . i RIVER LANDSCAPE CENT
On or about See attachment 0 s/t~{t'S (date)(2) a warraht/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 cne 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
'7'/7, ¥[(. (3)
a e attach a copy of the Warrant/check if available and/or any other
evidence t at a warrant/check was originally issued
(5) Subscribed and sworn to before me this /3:- day of So~v..b~ 20li_.
Noorsara Shawa
Notary Public
My commission expires: Maricopa CMty, ArizOna
I r;_(os-[ 1-D'lo MyComm.~ 1~ I)
See attachment 0 0 3 S' ()
Reason for original issue of Warrant/Check (8):
D Payroll
mlFor Services or Goods furnished
D Treasurer's refund/payment ----------------r::::==::::::======---
0 Other: ------------------iH~.....o.!b'-~.._W . [E ~~ ,.,: i
I:
SEP 19 l~ J:cl ~I
NEW RIVER LANDSCAPE CENTERLLC

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350028519 05/12/15 NEW RIVER LANDSCAPE CENT $747.88

--- /
Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/ Claim Form
This application is for: 0 Duplicate or [2] 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
oaae 2 of this form.
----,;"=-:::-77"<1==--------(1), SOUNDS LIKE MUSIC INC being first sworn, upon oath deposes and says:
Name/Ciarmant
On or about See attachment (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 $-=Se ::..::e:....:::a~tt;:::.ac::::!;h~m!.!.:e:::..!.n!.::.t ______ .(3)
Signed: ~ L) ~ r ( ·!l (4)
Note: Please attach a copy of the warrant/check 1f available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this +'\"" day of Se~\6'\\'o<x= 20_1$_.
~ill\~ \?~NJ~ ~-~
iARYPUBuc ..., ...
My commission expires:
J0~\J . ll2 I ~Od-D (seal)
-- . -~ -- ·-- --- .. - ~ - ,....._ ... - -- ·-~ ---- ---- . ···--
Warrant/Check Number
(if known) (6) See attachment
Original Date of Issue
(if known) (7) ~
Reason for original issue of Warrant/Check (8): ~vt&[E~
l~y_ m
0 Payroll S[p 1 J 2018
0 For Services or Goods furnished
0 Treasurers I refund/payment-----------------
0 Other: ________________________ ___
SOUNDS LIKE MUSIC INC VICTIM ID 17150

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350028544 05/12/15 SOUNDS LIKE MUSIC INC $450.00

Applicz.:13:: a Dupliar.: Date A
fficlevit/Clalni Form
This application is for: 0 Cr;plicate or Stale-Dated (definitions are on pane 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.
4-3.7e,A:3• id! (1) being first sworn, upon oath deposes and says:
Nanne/Clatme
On or about See attachment (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, c -r. it . ''as 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/hr in the sum of $ See attachment .(3)
Signed: - ' ( —
ou Lev ,..) 6-z-oditrt_ v
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 /6' day of f941- 20
FREGI COHEN
Notary Public - California
Los Angeles County f.. _
Commission N 2233927 t
My Comm. Expires Apr 6, 2022 P
Warrant/Check Number
(if known) (6) See attachment
Original Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
O Payroll
o For Services or Goods furnished
O Treasurer's refund/payment
O Other:
SZIJARTO JASON VICTIM ID 22653

Summary of Unckf Funds
Warrant Number Warrant Date Vendor Name Amount
00350031123 06/09/15 SZIJARTO JASON $37.96
00350018656 01/26/15 SZIJARTO JASON $400.00
00350005771 09/08/14 SWART° JASON $500.00
Total 937.96

pplication for a Duplicate or Stale-Dated Warrant/Check
Affidavit/ Claim Form
This application is for: 0 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 she~t which is
. _ . . [..e.. oaae 2 of this form. .
5\J\\l om \ \ Oi\) \\-~R\\>ez\- (l\ being first sworn, upon oath deposes and says:
Name/Cla1man on behalf of SUNOVATIONGMBH CODALE WH ·
On or about See attachment (date)(Z) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warre?nt/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 issu d o him/ r in the sum of$ See attachment ~00 .(3)
Note: Please a ach a copy of he warrant/check if available and/or any other
evidence that a warrant/check WI originally issued
(5) Subscribed and sworn to bef _2_o ___ day of September 20~.
See attachment
Reason for original issue of Warrant/Check (8):
D Payroll OIE!mfEDW~~
0 For Serv ices or Goods furnished ~~ nrr n 9 '018 .
D Treasu rer,s refund/payment ~
By
0 Other: · - ~
SUNOVATIONGMBH CODALE WH VICTIM ID 24200

Summary of Unclaimed Funds
Warrant Number Warrant Date Vendor Name Amount
00350011558 11/10/14 SUNOVATIONGMBH CODALE WH $150.00
00350014361 12/09/14 SUNOVATIONGMBH CODALE WH $150.00
00350018653 01/26/15 SUNOVATIONGMBH CODALE WH $150.00
00350019629 02/03/15 SUNOVATIONGMBH CODALE WH $150.00
00350022440 03/05/15 SU NOVATIONG M BH CODALE WH $150.00
00350028549 05/12/15 SUNOVATIONGMBH CODALE WH $150.00
Total $900.00