REDACTED FOR AGENDA ATTACHMENT -JIMMY O'QUINN.PDF

MARICOPA COUNTY

Office of Budget and Finance
301 West Jefferson

Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM

Date: September 22, 2022
To: Clerk of the Board
From: Walter Chang

Office of Budget and Finance

Subject: Affidavits — Replacement of Lost Warrants

Please find attached 1 Affidavits for lost warrants to be included on the next available

Board Agenda.
e The attached items have been researched to ensure the warrant in question
have not been cashed or previously re-issued.

e The original warrants have a void/stale date/stop payment done.

Please call me at if you have any questions. Please return the approved
affidavits to my attention in the Office of Budget and Finance.

Thank you.

Re: Fund: 716 / Dept: 190/
County Attorney and
Check Enforcement/
Company :
Oquinn Jimmy

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

This application is for: 4 Duplicate or Stale-Dated (definitibins are on page 2)

STATE OF ARIZONA
COUNTY OF MARICOPA

O'Quinn Jimmy

Name/Claimant

Note: Numbers on this form cofrespond to
numbers on the instruction sheet which is
page 2 of this form.

(1), being first sworn, upon oath deposes and says:

On or about 12-May-2021 (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

fe

wartant/check bg issued to him/her in the sum of $__/ FOR (3)
.. LL@
Signed: 7 BL Se . (4)

Z

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

(5) 2 and sworn to befgre me this lhe day of Hf VG6EUST 0 Ao

NOTARY PUBLIC
. Wily, RALPH JOSEPH MORRISSEY
My commissioryexpires: 3 % Notary Public, State of Texas
re Es QF BaF omm, Expires 07-18-2023 jf (seal)
TT 7 Notary ID 128679107
Warrant/Check Number
(if known) (6)

Original Date of Issue
(if known) (7)

Reason for original issue of Warrant/Check (8):
O Payroil
(1 For Services or Goods furnished

CO) Treasurer's refund/payment

Other: See attached - Victim ID 25009

issue
Date

5/12/2021
6/7/2021
7/8/2021
9/23/2021
10/4/2021
12/8/2021
1/28/2022
3/4/2022
4/5/2022

5/4/2022.

Amount
$100.00
$100.00
$100.00
$200.00
$200.00
$100.00
$200.00
$100.00
$200.00
$200.00
$200.00

$1,700.00

Warrant#
3010088432
3010090167
3010092725
3010098699
3010099566
3010104529
3010108577
3010111397
3010114044
3010116435
3010121709

Payee Name

Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy
Oquinn Jimmy

Re-Issue-Payee Name
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn
Gail O'Quinn

Please reissue all checks to the surviving spouse of Jimmy
O’Quinn

Checks should be made payable to: Gail O’Quinn

Mail these and any future checks to:

Gail O’Quinn

ia POUM, EXPENSE WARRANT, "TREASURER C OF MARICOPA, COUNTY.

» WARRANT. NUMBER

—— pate ne
ie =p 05-12-2021 61-2/4224 5
EO, 5
One Hundred And 00/100 Dollars &
PAY TO THE ORDER OF naa :
OQUINN JIMMY SMGUNT Pi

wt, bok —- 5

2 Void After CHAIRMAN é

() 365 Days 2

\ oy “UT or pO ay

bo | verso Chee

NobT a

\

—|

JS DOCUMENT CONTAINS ATRUS WATERMARK < HOLD 10 LIGHT 10: WiEW <a =
Q

[WARRANT | * FREASYRER OF MARICOPA COUNTY: ’ WARRANT NUMBER

DATE
NG- 072021 91-2221
L
One Hundred And 00/100 Dollars a
$100.00
PAY TO THE ORDER OF
AMOUNT _
OQUINN JIMMY pew L
. Void After ¥ “CHAIRMAN

yeeke 365 Days

NOT NEGOTIABLE

WARRANT. NUMBER
3010092725.

(THe BOCHME mie WATEARAHE <HOEC Tg 2 LIGHT TD.

TREASURER, OF MARICOPA COUNTY .

: PHOENIX ARIZONA

DATE

07-08-2021 91-2/1224

1

ee, Z
Ofte Hundred And 00/100 Dollars , ie

__: $100.00 :
PAY TO THE ORDER OF |. AMOUNT | 3
OQUINN JIMMY ww), EGE 3
am Void After CHAIRMAN a

oe 365 Days

Zz

IEF FINANCIAL OFFICER

bh no a

VED.
Two Hundred And 00/100 Dollars

PAY TO THE ORDER OF
OQUINN JIMMY

98 Neng

DATE
09-23-2021

Void After
365 Days

91-2/1224

$200.00

_ AMOUNT

tw, LLL

° CHAIRMAN

Giner FINANCIAL Ormicen

oN
— xf
ap!
OUND
Two Hundred And 00/100 Dollars

4

PAY TO THE ORDER OF
OQUINN JIMMY

10-04-2021

Void After
365 Days

91-2/1224

$200.00

. AMOUNT

ba Le

“CHAIRMAN

Mier rinanciac orrtcen

One Hundred And 00/100 Dollars

PAY TO THE ORDER OF
OQUINN JIMMY

TREASURER OF MARI

WARRANT} NUMBER

PHOENIX, ARIZON 30104 045

DATE

12-08-2021 91-2/1221
¢
6
$100.00
_AMOUNT
: tif Cogesss
Vold After a

72° CHAIRMAN t

Seay EOE.
Faemnneroucanorcon

18 Neng

"fe 7
ae

01-28-2022

91-2/1221
Two Hundred And 00/100 Dollars ,
$200.00
PAY TO THE ORDER OF
OQUINN JIMMY AMOUNT
20 ch.

Void After HATRMAN

cy 365 Days 2

fans een een FHS DUCRMENE CONTAINS A FRUE WATERMARK <NOLD TO LIGHT Foul

{SE WARRANT. FREASHRER OF. MARICOPA COUNTY WARRANT. NUMBER N
: : PHOENIX, ARIZONA: : ae 8010111307) |
DATE
Boer 91-2/1221
One Hundred And 00/100 Dollars |
$100.00
~-PAY TO THE ORDER OF AMOUNT
OQUINN JIMMY =
Void After # CHAIRMAN

yee 366 Days LE

PAu: WRT ERMAN R= Hees tee Clisler 6 Fy ety cemeer

WARRANT, NUMBER

Hi GUM BCRP CsI E ANS i

TREASURER OF.MARIGOPA COUNTS,

PHO! IX, ARIZONA:

ms ZONK DATE
ie it Oa05:2022, 91-2/1221
Ses |
|
Two Hundred And 00/100 Dollars f
|
$200.00 |
PAY TO THE ORDER OF i
AMOUNT i
OQUINN JIMMY l
wim, Void After ae ~
. () . 365 Days LB pi
For Questions - - or email NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE :
RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
CHECK ENFORCEMENT 3010114044 04/05/2022 $200,00
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO, | VOUCHER NO. AMOUNT i
00000910556K SMITH, DEWAYNE-3051 GAXIF D190 220000014772 200.00} CE
220000014772
00000910556K |Vendor PID: 25009 ! GAXIF D190 220000014772 0.00) CE

220000014772

EAs We MER ENE St OE EAL INGS Fi EUR ASAE CAA DUIRES Me PED EEE Be eH erm Se
TREASPRER OF. MARIGOPA. COUNTY. WARRANT.NUMBER _..
<8 PHOENIX, ARIZONA 3010116435". |
pie . eS
ATIZON DATE
\ a raed 91-2/1221
COON SS
Two Hundred And 00/100 Dollars
PAY TO THE ORDER OF $200.00
R
QUINN JIMMY : oe
7 ete, Void After BQO CA
gute 365 Days ma > a
For Questions - or email NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE
RETAIN THIS FOR | PAYEE WARRANT NO, | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS 2
CHECK ENFORCEMENT 3010116435 05/04/2022 $200.00
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO, AMOUNT
00000910619K SMITH, DEWAYNE-3051 GAXIF D190 220000016370 200.00
220000016370

00000910619K '|Vendor PID: 25009 GAXIF D190 |220000016370 0.00

220000016370

CE

cE

COM celtier te tee Tee Eero SRR COU pers

PHOENIXARIZONA

07-08-2022

91-2/4221
Two Hundred And 00/100 Dollars {
$200.00
PAY TO THE ORDER OF
AMOUNT
OQUINN JIMMY 7 call.
Void After . Sacre ees ~
itl Meng. 365 D on
= owe Byes —
For Questions - or email . NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE
RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS :
CHECK ENFORCEMENT 3010121709 07/08/2022 $200.00
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
00000910807K SMITH, DEWAYNE-3051 GAXIF D190 230000000342 200,00|CE
: 230000000342
00000910807K .{ Vendor PID: 25009 GAXIF D190 230000000342 0,.00)CE

230000000342