STAMPED AND REDACTED - 3010236208 - JOSHUA FRY LAW PLLC.PDF
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To: Clerk of the Board From: Office of Budget & Finance, Accounts Payable Date: 04.28.26 Subject: Affidavit – JOSHUA FRY LAW PLLC Please find attached one Affidavit for a Duplicate warrant to be included on the next available Board Agenda. • The attached item has been researched to ensure the warrant in question has not been cashed or previously re-issued. • The original warrant is presumed lost. Please call Marcia Anderson at 506-7291 if you have any questions. Please return the approved Affidavit to my attention in the Office of Budget and Finance, 9th Floor. Thank you. Re: FUND 100- D560 PUBLIC DEFENSE SERVICES – PRCPD1 26RE03J63083 OPDS CACE PAYMENT Office of Budget & Finance 301 W. Jefferson St., 9th Floor Phoenix, Arizona 85003 P: 602-506-3561 F: 602-506-4451 Maricopa.gov Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/ Claim Form This application is for: 0 Dupllcate or D Stale-Dated (definitions are on page 2) STATE OF ARIZONA COUNTY OF MARICOPA Note: Numbers on this form correspond lo numbers on the Instruction sheet which Is paae 2 of this form. JOSHUA FRY LAW PLLC Neme/Clatment (1), being first sworn, upon oath deposes and says: On or about 12-Mar-2026 (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, m: 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 is ued to him/h r:.i the sum of $_5"", 7--'1_5..:..:.0;.::0;___ _____ . (3) Note: Please attac a copy of the warrantjc ee k if available and/or any other evidence that a warrant/check was originally Issued (5) Subscribed and sworn to before me this Z./ zl- day oP4'l cA J'j·J--/ NORYPUBLIC :JV ;z;issi<:m e:<£ires: ' l ] 2.22ip , Warrant/Check Number !If known' 151 Original Date of Issue /if known\ 17\ Commonwealth of Pennsylvania • Notary Seal KAV C BURDICK· Notary Public Cumberland County My Commission Expires July 7, 2026 Commission Number 1418361 3010236208 12-Mar-2026 Reason for original issue of Warrant/Check (8): □Payroll 2o?.,/c,, (seal) □For Services or Goods furnlshe...__ _____________ _ □Treasurer's refund/payment _______________ _ m Other: / original oheok preeumed lost In the mall FUND 100 • D660 PUBLIC DEFENSE SERVICES· PRCPD1 26RE03J63083 OPDS CACE Payment