Extracted text (via ocr_local)
3308 characters
LERK ’ BOARD oF & SUPER VISO (no SOR'S \ MARICOPA COUNTY MARICOPA couNs Department of Finance Qewer 301 West Jefferson, Ste 960 “2 AUG17 AMI: 5¢ Phoenix, Arizona 85003 INTEROFFICE MEMORANDUM Date: August 17, 2020 To: Clerk of the Board From: Walter Chang Department of 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 506 - 8747 if you have any questions. Please return the approved Affidavits to my attention in the Department of Finance, Suite 960. Thank you. Re: Fund: 219 / Dept: 190/ County Attorney / Company : Guadalupe Leon Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: Duplicate or C] stale-Dated (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to COUNTY OF MARICOPA numbers on tne Instruction sheet which is Guadalupe Leon (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 92/28/2020 (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 warrant/cféek be issued to him/her open 19 (3) Signed: Woody J (4) Note. Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was aviginally issued. e this }) day of 2072 CONNIE FRITZ Noiery Public - State of Arizona MARICOPA COUNTY My commission expires: BSE) Commission # 858145 < _Expires August 17, 2023 (seal) Warrant/Check Kumber 13949954346 (if known) (6) Original Date of Issue 02/28/2020 (if known) (7) ee Reason for original issue of Warrant/Check (8): PROVED | os AUG 17 2020, PERK, BOARD OF SU ORS MARICOPA COL ivi C1 Payroll E C1 For Services or Goods furnished _ C1] Treasurer's refund/payment Other: Victim Compensation: VC2013033559-1 counryexrensewarrant TREASURER OF MARICOPA COUNTY — WARRANT NUMBER PHOENIX, ARIZONA 3010054346 DATE 02-28-2020 7 JPMorgan Chase Bank N.A 91-2/1221 Phoenix, AZ Two Hundred Eighty Five And 19/100 Dollars PAY TO THE ORDER OF Guadalupe Leon 301 W Jefferson 9th Floor PHOENIX AZ 85003 For Questions - 602-506-1379 or email AP@MAIL.MARICOPA.GOV MARICOPA COUNTY DEPARTMENT OF FINANCE $285.19 AMOUNT Void After 365 Days NOT NEGOTIABLE RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT YOUR RECORDS VICTIM WITNESS 3010054346 02/28/2020 $285.19 INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT 00000056598K VC2013033559-1-rqst4 GAX1D D190 200000028918 247.50/CA 200000028918 00000056598K VC2013033559-1-rgqst5 GAX1D D190 200000028918 37.69|CA 200000028918 Yard Pe ~ iS