REDACTED - FOR AGENDA ATTACHMENT - STEPHEN O. MURPHY #1030206.PDF

L
MARICOPA COUNTY

TREASURER’S OFFICE

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

Phone: (602) 506-8511

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 Er7

cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
MURPHY STEPHEN O 1030206 $69.56 | Treasurer

MA AY COPA Application for a Duplicate or Stale Dated

COUNTY array Sneck Affidavit/Claim Form
This application is for Duplicate or | stale-Dated (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
STEPHED iY, Mure (1), being first sworn, upon oath deposes and says:

Name/Claimant

On or about __ 2/0 Lay (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 in the sum of $ V9 ..5b . (3)

Signed: eplel Mii (4)

Print Name: (required) SrePrew 0. Wuerry
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 ne P to before me this_| 7 day of dSeftember 20.25,

NOTARY PUBLI

KEIVAN ROCHA
Notary Public - Arizona
Maricopa County
Commission # 641660
“ My Comm. Expires 12-15-2026 (seal)

My commission expires:
(2/15/26

Warrant/Check Numb
di Nel # /03020b
Original Date of Issue
(if known) (7) G { & la if
Reason for original issue of Warrant/Check (8):
O Payroll

1 For Services or Goods furnished

I 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

ARS. 11-632 & 11-644 verinec} al23}25

GE 173-32-197 6

File Help

Year | Description | Act Date | Tran Num | Amount | Images _| Pmt Date | Hat Code | Ac
2017 TAX PAYMENT 2024-09-17 RS -27961 $519.05 N 2018-04-23 F 7
2017 TAX PAYMENT 2024-09-17 RS -27961 $751.45 N 2017-10-19 F 7
2017 POST NEW TAX (RESOLUTION) 2024-03-17 RS -27961 $1,270.50 N 70
2017 CANCEL TAX 2024.09.17 RS -27961 $1,502.90 N 7
2017 RESTORE TAX 2024-09-17 RS -27961 $751.45 N 1 70
2017 RESTORE TAX 2024-09-17 RS -27961 $751.45 N F 7
2024 INFO STATEMENT 2024-08-25 N 12
2024 = TAXBILL 2024-08-24 Y 12
2016 REFUND 2024-08-08 $63.56 N 12

Parcel #: [173-32-197 Activity: JREFUND Act Date{03/08724

Tox Year: [2016 Tran#:[ - Act Timefi2.00 AM
Activity Detail | Addess Detail |

CP #: fo Check Date: 08708724
Buyer #: [0 SS Check #: ff030205.
Fund 26 ° ° = | RefundAmount ["—————s—=~S*«
" BS. Refund ID 2024069748 RESOLUTION - Oo
File Help
4\R)
RefundAmoun: [$69.56 Requester: [RESOLUTIONS on 8/6/2024
RefundReason: [Resolution has reduced taxes Status: [DISBURSED on 8/6/2024
Slip ID: 202400710
Addiess:| [MURPHY STEPHEN O Check Request |GASIMYAR GROUP

Reference #: |RES #03774

Impounds | Stub | Comments |

Source Fund | Linked |

Amount | Tax Year | Status

033 True $69.56 2016

READ*

Impound Total: 1

Impound #1
Parcel/Roll:|17332197 Dest fund:[026
ce#: [0 Resott: [3774
CPbwert:|0 -Phasett: [8000

Mortgage code: |

Transaction # : Jos402057
Case #: J