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Maria Ceaglske - COBX From: Maria Ceaglske - COBX Sent: Friday, July 28, 2017 2:21 PM To: Beth Brown - FINX Subject: Duplicate Warrant Affidavit Attachments: 072817 Finance-No Cover Sheet.pdf Ms. Brown, Our office received the attached affidavit/claim form for the following: Name of Claimant: Strategic Valuation Group PLC Amount of Request: $61,405.07 Warrant/check number: 380000572 Original date of issue: 9/10/2017 We need EITHER an interoffice memorandum stating the following items have been checked by you or a member of your staff (this may be sent via email) OR you may respond by marking the appropriate box for each item below: 1. Has this warrant been cashed? 2. Has a stop payment been placed on this warrant? 3. If a Stale-Dated Warrant, is this date within 2 years of issuance? n/a Your response to this matter is required so our office may process the affidavit in a timely manner. Thank you, Maria Ceaglske Maricopa County - Office of the Clerk of the Board of Supervisors 301 W. Jefferson Street, 10th Floor, Phoenix, AZ 85003 Phone: 602-506-3766 Email: ceaglskem@mail.maricopa.gov Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: 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 pacie 2 of this form. STRATEGIC VALUATION GROUP PLC (.) being first sworn, upon oath deposes and says: Name/Claimant On or about 10-Ju1-2017 (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 $61,405.07 .(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) Sub efore me this Za444 day of -.1.(57, 20(_. NOTA BLIC My commission expires: Warrant/Check Number 380000572 APP (if known) (6) Original Date of Issue 10-Jul-2017 DAT 4f (if known)_(7) immor r. NEIN -WV! , 0;7 'irPri Reason for original issue of Warrant/Check (8): RK, MARICOPA BOARD OF COUNTY SUPERVISORS 111 Payroll For Services or Goods furnished during the month of June, 2017 0 Treasurer's refund/payment Other: