STAMPED & REDACTED AUTUMN ROMO.PDF
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Maricopa County Human Resources \ A Memo filet To: Cindy Goelz, Clerk of the Board & From: Zell Bullis Date: June6, 2022 Re: Replacement of Lost Payroll Warrants 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 Zell Bullis at ext. 60409 for any questions. Please route approved Affidavits back to County Payroll, Suite 400. Stale Dated Warrant Duplicate Warrant Thank you. Replacement Lost Warrant Form 1 04/08/2021 06/06/2022 -Romo,AutumnA MC1 - Maricopa County | 7945 -East NEX-NonExempt Terminated 05/10/2022 Reg/FT Company: MC1 Pay Group: NEX Period End 05/01/2022 Page: 1169 Line: 5 Off Cycle: N Separate Check # 0 Reprint: N Adjustment: N ~=Romo,Autumn / ( Paycheck View Name Romo,Autumn A Confirmed Check Check# Issue Date Earnings Taxes Deductions Net Pay 23131533 05/11/2022 1,205.24 180.04 149.57 875.63 - Regular and Overtime Earnings r Taxes an Reg Hours Reg Pay OT Hours OT Pay FED SSDisMLVEE (413 FED MedicareEE 17.47 30.50 503.56 FED Withholdng 59.28) 34.00 | * FED SS/Dis ER 74.73 * FED MedicareER 17.47 r OtherEarnings r Deductions : Code _ Hours Amounts Add to Gross 14 After-Tax 2.29 SVP 4.50 74.30 Y. 12 Before-Tax 147.28 SwOo 5.50 N BOF Nontaxable 16.04 LWO 2.00 N- * 90ER Nontaxable 0.53 VAC 4.00 66.04 ¥. * O1ER Nontaxable 0.26 ADP Enterprise HR screen print as of: 06/06/2022 09:07 AM