STAMPED AND REDACTED - 3010213025 - WILLIAM P CROWLEY.PDF

To:        Clerk of the Board 
From:       Office of Budget & Finance, Accounts Payable 
Date:       3/19/2026 
Subject:  Affidavit ― Replacement of lost warrants 
 
Please find attached 1 Affidavit for a lost 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 Joyce Maurmann at 506-1343 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: Warrant #3010213025– William P Crowley 
Fund 234 ― D640 GAX1D 25*18324 - $5,939.70 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 I I I Duplicate or D Stale-Dated (definitions are on page 2)
STATE OF ARIZONA 
COUNTY OF MARICOPA 
.----------------------, 
Note: Numbers on this form correspond to the numbers 
on the Instruction sheet which is page 2 of this form 
_W_ill_ia_m_P_C_ro_w_l_e
..,.y __________ (1 ), being first sworn, upon oath deposes and says:
Name/Claimant 
on or about May 20, 2025 
{date) (2) a warrant/check was issued to the above named
person/entity in the amount 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
t
t presented for payment within one year 
after the date of issuance. 
Therefore, under penalty of perjury, claimant her 
y affirms that this claim is correct and the 
amount shown is due an 
wing, and the a 
licaht requests that a replacement warrant/check 
,939.70 
/ 
. (3) 
Signed:ɬɭɮɯɰɱɲɳ:::.....::ɴɵɶɷɸ-=-------(4) 
Print Name: (required) ɹɺ4-f-ɻɼ_.-ɽ+,,.rɾɿʀ-----­
Note: Please attach a copy of the warrant/c ec
ble and/or any other evidence that a
warrant/check was originally issued.
NOTARY PUBLIC J 
TIFFANY PATTERSHALL 
,1&,>;f: NOTARY PUBLIC -ARIZONA
Maricopa County 
Commission# 647467 
My commission expires: 
L\-·\\o·Q7 
Warrant/Check Number 
(if known) (6) 
Original Date of Issue
(if known) (7) 
3010213025 
May 20, 2025 
Reason for original issue of Warrant/Check (8): 
My Commission Expires 
April 16, 2027 
( seal) 
□Payroll _________________________ _
□For Services or Goods furnished _________________ _
□Treasurer's refund/payment __________________ _
IZ] Other: FY25 Escrow fees I D640 Fund 234 / GAX1O 26*18324
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\ 100518 Warrants Checks notice of claim.doc Revised 
100518 
AR.S.11-632&11-644