REDACTED - FOR AGENDA ATTACHMENT - MELANIE S. AND DAVID L. PHELPS #1166080.PDF

v
MARICOPA COUNTY

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

Phone: (602) 506-8511

http://treasurer.maricopa.gov
TREASURER’S OFFICE
To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov
From: Treasurer’s Office
Katelyn Hale
katelyn.hale@maricopa.gov
602-506-3357
Cathy Sanchez
cathy.sanchez@marisepa-gov
602-506-7881
Re: Stale Dated Warrant
Name Warrant Amount | Dept/School
No
PHELPS MELANIE S/DAVID L 1166080 $255.74 | Treasurer

\
MA R) COPA Application for a Duplicate or Stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for Lt Duplicate or [A stsle:Deted (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to the numbers
COUNTY OF MARICOPA on the Instruction sheet which is page 2 of this form
& ‘ he \ ps i lelan se S: | aud L. (1), being first swron, upon oath deposes and says:
Name/Claimant
On or about Jaslay (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 owing, and the applicant requests that a replacement warrant/check
be issues to him/her inthe sum of $ o SS. T7¢Y _. (3)

signed | lanie & . Chel ps (4)
Print Name: (required) _Wielanic S. Phe lps

Note: Please attach a copy of the warrant/check if available and/or any other evidence that a
warrant/check was originally issues.

(5) Subscribed and sworn to before me this _II"*"_day of Yeetember 2026 _.
AlySCce Wag ney Wires a

NOTARY PUBLIC

ALYSSA WAGNER
Notary Public - Arizona
Maricopa County

My commission expires: q we Commission # 667125
SEE wy Comm, Expires May 19, 2028
May NO, 202% ein

Warrant/Check Number

(if known) (6) Wee OBO
Original Date of Issue 8

(if known) (7) | a. i ag

Reason for original issue of Warrant/Check (8):
1 Payroll

CO For Services or Goods furnished

(Y Treasurer's refund/payment
O Other:

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc Revised
100518
A.R.S. 11-632 & 11-644 _

BB 216-12-032 7 - ss
File Help

Yeat_| Description | ActDate | TranNum | Amount | Images | PmtDate | HalfCode | Act
2021 TAX PAYMENT 2024-11-12 AS -26476 $761.65 N 2021-1022 F 63
2021 POST NEW TAX(RESOLUTION) 2024-11-12 RS 26476 $1,167.02 N 63:
2021 CANCEL TAX 2024-11-12 AS -26476 $1,523.30 N 63; |
2021 RESTORE TAX 2024-11-12 RS -26476 $761.65 N 1 63
2021 RESTORE TAX 2024-11-12 RS -26476 $761.65 N F 6%
2024 + TAX PAYMENT 2024-11-01 MO -F909 $575.99 N 2024-10-31 1 91;
2024 INFO STATEMENT 2024-08-25 N 12
Y

2024 TAX BILL 12

REFL

Parcel #: [21612032 Activity: [REFUND Act Date:08722/24
Tex Year: [2020 0°°—~—OS Trent Act Time {12:00 AM

Activity Detal | Addiess Detai |

CP #: o Check Date: 08/22/24
Buyer #: [0S Check #: [1765080
Fund: [26 Refund Amount: | $255.74
3. Refund ID 2024205918 RESOLUTION - o xX
File Help
ee
Refund Amount: |$295.74 Requester. [RESOLUTIONS on 8/20/2024
Refund Reason [Resolution has reduced taxes, Status: [DISBURSED on 8/20/2024
Sip ID: [202400861
Address: [PHELPS MELANIE S/DAVID L Check Request; |ASIMYAR GROUP
( Reference #: |RES #08101

Impounds | stub | Comments |

Impound #1
Source Fund | Linked | Amount | Tax Year_| Status Paceliol 21612082 Dest fund : 028
033 True $255.74 2020 READ} cpy: [0 Reso#: [8101
CP buyer # :|0 Phase #: }4000

Mortgage code: [
Transaction #: [08402061
Impound Total : 1 Case #: I