REDACTED - FOR AGENDA ATTACHMENT - WILLIAM PAUL SHIELD JR. #971956.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
http://treasurer.maricopa.gov

To: Clerk of the Board

clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer's Office
Maria Quitangon h~

maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez ( Gc z

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

Re: Stale Dated Warrant

No

Name Warrant Amount | Dept/School

WILLIAM PAUL SHIELD JR 971956 $2,133.27 | Treasurer

MICHELE ANN MONTAGNE

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form

This application is for: 5) Duplicate or fe Stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
William Paul Shield Jr (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about January 19, 2024 (date)(2) a warrant/check was issued to the

above named person/entity in the amount as 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 issued PEL in the sum pf $2,133.27 stay
Signed: i) LMA Hn. (4)

Print name: (required) William Paul Shield’ Jr

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

(5) ee and sworn to before me this ued day of Fobrua ry 20S:
NOTARY PUBLIC ANN HELMS
Notary Public, oon Michigan
My commission expires: My Commission Expires sd r
1243) /3024 Acting inthe County of Lode oe (sesi)
Warrant/Check Number
(if known) (6) 971956
Original Date of Issue
Se enV January 19, 2024
Reason for original issue of Warrant/Check (8):
O Payroll
CO For Services or Goods furnished.
f@ 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
yessyle D
413/28

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Maricopa County Treasurer's Office 219-14-230 1 1/31/2025 12:03:35 PM

|B 219-14-230 1 - x
| File Help
| | Year | Description | ActDate | TranNum | Amount| Images | PmtDate | Half Code | Act
| | 2023" REFUND 2024-0415  - $2,122.71 N 12 |
| | 2023 RES REFUND LETTER 2024-04-12 N 7:0
| | 2023 RES IMPOUND 2024-04-12 AS -56592 $2,122.71 N 6:5¢
2023 TAX PAYMENT 2024-04-12 RS -56582 $4,565.14 N 2023-12-27 F 6:5
2023 ~POSTNEWTAX(RESOLUTION) 2024-04-12 AS -56582 $4,565.14 N 6:5¢
2023 CANCEL TAX 2024-04-12 RS -56582 $6,619.02 N 6:58
| | 2023 RESTORE TAX 2024-04-12 AS -56582 $6,619.02 N F 6:5
2023 _ RESOLUTION REPRINT Y

REFUND

222

Parcel #: [219-14-230 ActDate{oi/i9/24
Tax Year: [2022 Tran #:[- fal Act Time {2:00 AM
Activity Detail | Address Detail |
CP #: jo Check Date: 1] 719/24
| Buyer #: jo Check #: | 971956
Fund: [26 Refund Amount: | $2,133.27

Click icon for Disbursements Inquiry. -----> al

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Maricopa County Treasurer's Office Refund ID 2024005971 RESOLUTION 1/31/2025
12:11:56 PM

B} Refund ID 2024005971 RESOLUTION = o x |
File Help _ _ a
ey

|Relund Amount: [8213327 Requester, [RESOLUTIONS on 1/18/2024

| Refund Reason: [Resolution has reduced taxes Status: [DISBURSED on 1/18/2024

Slip iD; [202400075

| Adtess: (WILLIAM PAUL SFIELD A Check Request: [NOPC GROUP | |

Reference #: [RES # 56405 | |

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1

Impounds | stub | Comments |

| Impound #1
| [Soscofund ] Unkea] Meuneiiaves Ton Parcel/Roll:|219-14-230 Dest fund : 1026 |
| 033 True $2,133.27 2022 REAL cpr: fo Reso#: [56405 |

CP buyer #:{0 Phase #: [181
Mortgage code: |

Transaction # : JRS 56405 |
Impound Total : 1 Case #: I