REDACTED - FOR AGENDA _ DAVID WEINTRAUB.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

To:

From: Treasurer's Office

Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Mari .Gov

Maria Quitangon W%

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

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

Re: Stale Dated Warrant

Name Warrant

No

Amount | Dept/School

DAVID S/VICTORIA A WEUNTRAUB

958154

$617.00 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form

This application is for: | Duplicate or hd 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.
DRGAS,S « WENA TURVS (1), being first sworn, upon oath deposes and says:
Name/Claimant \ a1 \
On or about $ 23 (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/chedk’be issued ta hinyher'in'the sum org___—&“** - *° (3)
— dx Kise és

Oavio S- Were {earns

Print name: (required)

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

(5) Subscribed and sworn to before me this_<<-__day of Sanuary os.
NOTARY PUBLIC
My eee. expires: Hisipabtilraipe debs
MARICOPA COUNTY (seal)
Commission # 666864
Warrant/Check Number
(if known) (6) A5BIS4
Original Date of Issue
si (if known) (7) 5 |si) 23
Reason for original issue of Warrant/Check (8): 92 one eeenmereee ne nenmnere
O Payroll
O For Services or Goods furnished.
 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
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Maricopa County Treasurer's Office 303-53-069 7 1/23/2025 11:28:38 AM
pe a ee ee
FB] 303-53-069 7 - x
File Help

Year_| Description [ActDate | TranNum | _ Amount| Images _| PmtDate | Half Code | Act

2024 “TAX PAYMENT 2024-10-18  052-01270 $1,813.01 N 2024-10-17 1 6:3 |

2024 TAXBILL 2024-08-24 Y 12:(

2023. TAX PAYMENT 2024-04-24 054-16035 $1,772.89 N 2024-04-23 F 7:28

2023 TAX PAYMENT 2023-10-17 051-95142 $1,772.89 Y 2023-10-14 1 6X

2023 TAX BILL 2023-08- Y 12:(

2022. REFUND 2 5-31 N

2022 RES REFUND LETTER 2023-05-30 N 6:4:

2022 RES IMPOUND 2023-05-30 AS -04574 $617.00 N e+

2022 TAX PAYMENT 2023-05-30 RS -04574 $1,708.07 N 2023-03-27 F 64

Parcel #: [303-53-069 Activity: [REFUND Act Date|05/31/23
Tax Year: [2022 Tran #:[-- a Act Time i200 AM
Activity Detail | Address Detail |
| CP #: [0 Check Date: {05/31/23
Buyer #: jo Check #: [958154

| Fund: [26 Refund Amount: | $617.00

| Click icon for Disbursements Inquiry. -----> eal

| ay

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Maricopa County Treasurer's Office Refund ID 2023009630 RESOLUTION 1/23/2025
11:30:09 AM

-- =
| B% Refund ID 2023009630 RESOLUTION = Oo x

File Help

|B)
| Refund Amount: [$617.00 Requester, [RESOLUTIONS on 5/30/2023
| Refund Reason [Resolution has reduced taxes Status: [DISBURSED on 5/30/2023

| Slip iD; [202300248

Address: ORIAA Check Request, [RESO DESK
| Reference #: [RES # 04574

Impounds | Stub | Comments |

= a
Source Fund | Linked | Amount] Tax Year | Statue|  Pateel/Roall:|303-53-069 Dest fund :1026
099 True $6700 2022 READ] py. [0 Reson: fara

CP buyer #:/0 Phase #: [80

Mortgage code: [
Transaction # : RS 04574

i} |
| |

Impound Total : 1 Case #: J |
|

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