STAMPED & REDACTED ROCIO CARDENAS.PDF

Maricopa County — Formal (2022-11-02)

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Maricopa County
Human Resources

Memo

To: Juanita Garza, Clerk of the Board

From: Monica Reyes
Date: October 13, 2022
Re: Replacement of Lost Payroll Warrants

© Hd €1 190 222

ce

Please find attached _ 1 _ Affidavit/Notice of Claim(s) for lost
payroll warrants for inclusion on the next available Board agenda.

The attached item(s) have been researched to ensure that the
warrant(s) in question have not been cashed or previously re-
issued. The original warrant(s) have had a stop payment done.

Please call Monica at ext. 68051 for any questions. Please route
approved Affidavits back to County Payroll, 8" Floor.

~~ Stale Dated Warrant Duplicate Warrant” | ~

Thank you.

Replacement Lost Warrant Form 02/25/2015

STATE OF. ARIZONA

COUNTY OF MARICOPA —

2 Lo.
TOGO CARDENAS

: ~~ Name/Clalmant s

On or about ols

above named Soest, in the an

either never received or was sub

no reasonable probability of its being found o

presented for payment |

Therefore, under penalty of perjury, claima

: ae the amount shown is. due and owing, and th

in one year after the c

10/14/2022

~f Paycheck View—f-4

Name Cardenas,Rocio E Confirmed Advice |
Checka Issue Date Earnings Taxes Deductions Net Pay
3803078 09/28/2022 1,846.85 232.83 167.11 1,446.91 |
- Regularand Overtime Earnings ay 7 ~ Taxes ——— a SS
RegHours —_ Reg Pay OT Hours OT Pay _ FED SSDisMLVEE 114.52
FED MedicareEE 26.78
_— att88 FED Withholdng 69.54 |
22.50 614.02 * FED SS/Dis ER 114.52) |
* FED MedicareER 26.78 |
7: Other Earnings r Deductions
Code Hours Amounts Add to Gross; 82 After-Tax 11.79
HOL 8.00 214.32 Y 18 Before-Tax 155.32
LWO 1.00 N * 57 Nontaxable 14.81
SCK 0.50 13.40 Y * 90ER Nontaxable 0.78
SH2 29.75 22.31 Y * O1ER Nontaxable 0.39

ADP Enterprise HR screen print as of: 10/13/2022 07:37 AM