STAMPED & REDACTED - FOR AGENDA ATTACHMENT - DAMARCUS WOODS.PDF
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oS amEeat MAR: COPA COUNTY Office of Budget & Finance 301 W. Jefferson St., 9" Floor Phoenix, Arizona 85003 P: 602-506-3561 F: 602-506-4451 Maricopa.gov To: Clerk of the Board From: — Office of Budget & Finance, Accounts Payable Date: 07.30.24 Subject: Affidavit - DAMARCUS WOODS Please find attached one Affidavit for a duplicate warrant to be included on the next available Board Agenda. e The attached item has been researched to ensure the warrant in question has not been cashed or previously re-issued. « 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 100 - D560 Public Defender - PRCPD1 24JTJA003983 — CASE ID: 256153 Application for a Duplicate or Stale-Dated Warrant/ Check Affidavit/ Claim Form This application is for: Ea Duplicate or [7] State-Dated (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond fo numbers on the COUNTY OF MARICOPA Instruction sheet which is page 2 of this form. DAMARCUS WOODS (1), being first sworn, upon oath deposes and says: Name/Ciaimant On or about 09-07-2024 __. (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 last 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 warrart/check_be issued to him/her im the gum of $ 1 0008.00 3) Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. 20.0" (5) Subsprbed and pron to. before me this 37) day of o e SOTARY PUBLIC Notary Pubic State of Arizona is nicopa County nn Armstong 1 andes My commision expires: aos va Warrant/Check Number 3010186964 __. (if known) (6) —— Original Date of Issue cate’ 09-07-2024 7/30/24 Reason for original issue of Warrant/Check (8): ; - QO Payrol! For Services or Goods furnished C1 Treasurer's refund/payment _ oh Other: FUND 100 - 0560 PUBLIC DEFENDER- PRGPD1 24JTJA009983 - CASE ID: 256453 S:\PROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Warrants Checks notice of daim - Copy.doc Revised April 2015 ARS, 14-632 & 11-644 COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY WARRANT NUMBER PHOENIX, ARIZONA 3010186964 DATE 07-09-2024 94-2/1224 Ten Thousand And 606/100 Dollars $10,000.00 PAY TO THE ORDER OF AMOUNT DAMARCUS WOODS Void After 365 Days For Questions - 602-506-1379 or email AP@MAIL MARICOPA.GOV NOT NEGOTIABLE MARICOPA COUNTY DEPARTMENT OF FINANCE RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT | YOUR RECORDS DAMARCUS WOODS 3010186964 07/09/2024 $10,000.00 INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT 1055 CaselD: 256153 PRCPD1 D560 24 3T JAN03983 10,000.60 24JTJA003983 [_] Agency - Status Warrant number — lseued date Paid date Amount ~ Issued 3070186564 “301016964 | a Warrantnumber, S332) ibubs Amount Payee Account