STAMPED & REDACTED - FOR AGENDA ATTACHMENT - PAUL MUNOZ.PDF

18

s

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: 07.10.24

Subject: Affidavit — PAUL MUNOZ

Please find attached one Affidavit for a lost and/or stolen 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.

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 100 - GAXID 24*21442 —- D750 RISK MANAGEMENT —-WC2762751165519
MUNOZ

'STATEOF ARIZONA mS
es LNEY- OF MARICOPA

s Picte: “Namieaes oot this ommend io noon on
Instruction sheet whch le page 2 21 in TT 7

cs 0. being first SHORTY, Upon, oath deposes and says:

: {one a > warrant{ched (AAS seued ‘yo the,
‘ghave named personfentity in the amount as 8 below, | Such suarranticheck, vies
enther never receivert or was subsequently jniivertently lost or destroyed and Byere 5
é. probability. of His bamy found: or presevied For payment pr it was not
fed ior payment within one year ‘after time date of issuance, ;
“Therefore, under penalty of ‘penury: “daimant hereby: affiens that this. ciaim is correct:
‘and the amount shown is. due and ow!

ing, and the: applicant requests that a replacement

an wor ie before ime this

7/11/24

counry expense warrant TREASURER OF MARICOPA COUNTY

PHOENIX, ARIZONA

DATE
06-17-2024
Seven Hundred Fifty Nine And 83/100 Dollars
PAY TO THE ORDER OF
PAUL MUNOZ
Void After
365 Days

For Questions - 602-506-1379 ar email @MAIL.MARICOPA.GOV
MARICOPA COUNTY DEPARTMENT OF FINANCE

WARRANT NUMBER
3010185165

91-2/1221

$759.83

AMOUNT

NOT NEGOTIABLE

RETAIN THIS FOR | PAYEE

WARRANT NO. | WARRANT DATE

WARRANT AMOUNT

YOUR RECORDS
SETTLE 3010185165

36/17/2024

$759.83

INVOICE NUMBER | DESCRIPTION

PURCHASE ORDER NO. | VOUCHER NO.

AMOUNT

T24MUNO WC2762751165519 MUNOZ GAX1D D750
240000021443

240000021443

759.83) PU

to.

[[] Agency Status Wetrant number Issued date Paid date Amount

Warrant number 3573/25 165

Amount Payee Account

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4 Warrant header

General

| 3690185185

Warrent aumber:

Wotder

Issued date: 6/17/2024 12:D5;/09 ana

cat
tise f | Stopped ¥

Exception flag:

excavibin Peaser Jerre

eWed for p

ed for reconcile:
Registered

Care

Me: nt days interest: Q
Annual interest rate: B.00000

| 4 Warrant Lines

QO Amount Payee
759.83 PAUL MUNOZ

Pesting

Inooice:

INS DICE ch
Pasa date
OOK 13 am

Positive pay sent date 6/18/2024

Agency details

“veucher qumber

Agsney cal

Agency Ines orig:

“sy BOP mvciprnkuen

Agency dept nian

Account