STAMPED AND REDACTED - 3010230192 - NEIL HEINRICH.PDF

To:        Clerk of the Board 
From:       Office of Budget & Finance, Accounts Payable 
Date:       3/17/2026 
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 #3010230192 – Neil Heinrich 
Fund 241 ― D300 GAX1D 26*9151 - $150.00 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Office of Budget & Finance 
301 W. Jefferson St., 9th Floor 
Phoenix, Arizona 85003 
 
 
P: 602-506-3561 
F: 602-506-4451 
 
Maricopa.gov

•
l
MARlCOPA 
COUNTY 
Application for a Duplicate or Stale Dated 
Warrant/Check Affidavit/Claim Form 
This application is for I✓ I Ouplicate 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 
_N_e_il_H_e_in_r_ic.,,h,--..,.,,,...,...--,---------'(1 ), being first sworn, upon oath deposes and says:
Name/Claimant 
on or about Dec 29, 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 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 ow·ng, and the applicant requests that a replacement warrant/check 
be issu-e 
m of $150.00 
. (3)
Note: Please attach a copy of the warrant/check if available and/or any other evidence that a 
warrant/check was originally issued. 
MyQcommission expires:
l Rl' ) J,, Q ,oatp 
Warrant/Check Number 
{if known) {6) 
before me this 
3010230192 
j dayof CA) 
MARILYN A RUFO 
,a; 
Notary Publtc • Arizona 
_ ! 
Maricopa Counly 
  
CommtS!1on # 6-40174 
• 19f1 • 
My Comm. Expires Dec 27, 2026 
Original Date of Issue 
{if known) (7) 
Dec 29, 2025 
Reason for original issue of Warrant/Check (8): 
20lj. 
(seal) 
□
Payroll _________________________ _
□For Services or Goods furnished __________________ _
□Treasurer's refund/payment ___________________ _
[Z] Other: Parks & Rec refund/D300- Fund 241/GAX1D 26*9151 
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\ 100518 Warranls Checks notice of claim.doc Revised 
100518 
A.RS. 11-632 & 11-644