REDACTED-FOR AGENDA ATTACHMENT-ANGELA AND RINO RONDINELLA-#1195343.PDF

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MARICOPA COUNTY

TREASURER’S OFFICE

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

Phone: (602) 506-8511
rer.maricopa.gov

To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer’s Office
Maria Quitangon M-
maria.quitangon@maricopa.gov
602-506-1958
Cathy Sanchez Cc
cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
ANGELA/RINO RONDINELLA 1195343 $92.18 | Treasurer

mary, COPA Application for a Duplicate or Stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for [_] Duplicate or be] 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
Kandinalla, Aree, Pins (1), being first sworn, upon oath deposes and says:

Name/Claimant

On or about G/2a@ | o\ (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 a warrant/check

be issues to 0 ph sum of $. 92. IS

Signed: KX GGL Wiz (4)

Print Name: - (required) Absels Basal nel inet Ging Londiaht,
Note: Please attach a copy of the warrant/check if available and/or any other evidence that a
warrant/check was originally issues.

(5) scree “lagl te to before me this 18 day of Sep 208s
MALU
NOTARY PUBLIC OFFICIAL SEAL
| MANMINDER SINGH HEER
Notary Public, rout wets
My commission expires: My Commission | Exes A
ug: 7
IE 7 id oe SANT ach
Warrant/Check Number La7>
1G known) (6) \ \\ S \
Original Date of Issue
(if known) (7) 8/2 G [ 2 at
Reason for original issue of Warrant/Check (8):
O Payroll

O For Services or Goods furnished
yd Treasurer's refund/payment

3 uther:

S:A\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc Revised
100518 VER FieD

ARS. 11-632 & 11-644 q)ry Jus

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HB 215-09-082 4 - x

File Help
Year_| Description | ActDate | TranNum_| Amount | Images _| PmtDate | HalfCode | Act
2022 RES IMPOUND 2024-11-19 RS -30315 $149.26 N 6:38
2022.) TAX PAYMENT 2024-11-19 RS -30315 $510.10 N 2023-04-24 F 6:36 |
2022. TAX PAYMENT 2024-11-19 RS -30315 $639.84 N 2022-10-25 F 6:38
2022 «~POSTNEWTAX (RESOLUTION) 2024-11-19 AS -30315 $1,149.94 N 6:3
2022 =CANCEL TAX 2024-11-19 RS -30315 $1,279.68 N 6:36
2022. RESTORE TAX 2024-11-19 RS -30315 $639.84 N 1 6:38
2022. RESTORE TAX 2024-11-19 RS -30315 $639.84 N F 6:36
2024 TAX PAYMENT 2024-11-01 MO -F614 $593.20 N 2024-10-31 1 3:0

REFUND 0 2.18 kh 2:

Parcel #: |215-09-082 Activity: [REFUND Act Date|08/26/24
Tax Year: [2021 Tran# | - Act Time/12:00 AM
Activity Detail | Address Detail |
CP #: [09 Check Date: [09/26/24
Buyer #: [9 Check #: [1195343
Fund: [26 Refund Amount: $92.18
&. Refund ID 2024234923 RESOLUTION = a)
File Help
4B
Refund Amount,  |$92.18 Requester, [RESOLUTIONS on 8/21/2024
Refund Reason: [Resolution has reduced taxes Status: |DISBURSED on 8/21/2024
Slip ID: {202400890
Address: [RONDINELLA ANGELA/RINO Check Request [GASIMYAR GROUP
Reference #: [RES #08715
Impounds | Stub | Comments |
Impound #1
Source Fund | Linked | Amount | Tax Year | Status Parcel/Roll a1 5-09-082 Dest fund: Jo26
033 True $92.18 2021 READ‘ CP Ht: Jo Reso#: [8715
CP buyer # fo Phase #: {3000
Mortgage code :
Transaction #:  |08402062
Impound Total : 1 Case #: