STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ERLINDA SHERMAN.PDF

MAR! COPA
COUNTY

Office of Budget & Finance = To: Clerk of the Board
301 W. Jefferson St., 9 Floor

From: Office of Budget & Finance, Accounts Payable
Phoenix, Arizona 85003

Date: 11.06.24

Subject: Affidavit — ERLINDA SHERMAN
P: 602-506-3561

F: 602-506-4451

Please find attached one Affidavit for a duplicate warrant to be included on the next
Maricopa.gov available Board Agenda.

e The attached item has been researched to ensure the warrant in question has not
been cashed or previously re-issued.

e The original warrant is presumed lost.

Please call Marcia Bulanda at 506-7291 if you have any questions. Please return the
approved Affidavit to my attention in the Office of Budget and Finance, 9" Floor.

Thank you.

Re: FUND 572 - D790 ANIMAL CARE & CONTROL ~ GAX1D 25*3101 - ADOPTION REFUND

Application for a Duptieate or Stile pated Warrant/ Check

Affidavit / Claim Form

AT}, bein frst oe

(asap 4 wearraaiks

evict itt the “antount ag slated De etre,

eived cr way subsequently nadvertenty Jest or Chester!
cconuble gechabikty of ds being found oF presented far payne
ee sented for payment eaithin ave Year alter the data of ssuanee.

al, on Be

Theretore, under pernsily, of perjury, Caamant hereby alfiems that this clam KEL

veg) the amour showe is duc and cing, and the applicant requests &

64.00

eum al SOB eee

watt Bal /chegk be. ‘Soucd to bindlvér is She

mibcheck Number
jasseitsy ae

joy rigged isthe ot ‘WarranliCheck (8) ’ rayayza

Heasare

ef dhayroll
:

For Series of Goods farnebierh

srppreg's SEEN CE REDE sei.
HSE PAARL OAHE evounit Er a

TREASURER OF MARICOPA COUNTY WARRANT NUMBER

COUNTY EXPENS —. (RRANT
PHOENIX, ARIZONA 3010190747
Sixty Four And 00/400 Doliars
PAY TO THE ORDER OF
ERLINDA SHERMAN AMOUNT
Void After
365 Days

Por Questions - 602-506-1379 or email AP@MAIL.MARICOPA.GOV
MARICOPA COUNTY DEPARTMENT OF FINANCE

NOT NEGOTIABLE

j WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
$64.00

PURCHASE ORDER NO. {| VOUCHER NO. AMOUNT

RETAIN THIS FOR | PAYEE

YOUR RECORDS LL. — —— tt ont
RABIES ANIMAL CONTROL |___ 3019190747 08/21/2024

INVOICE NUMBER | DESCRIPTION

GAX1D D790 250000003101 | 64.00
250000003101

R24-676850 ADOPTION REFUND

&
Status Warrantnumber — Issued date Paid date Amount
+ Issued [3010190747 + . -

‘Marrant number: 2070020747

Amount Payee Account

8.00 ERLINDA SHERMAN P|