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MARICOPA COUNTY Department of Finance 301 West Jefferson, Ste 960 Phoenix, Arizona 85003 CLERK Stlitt litFoiIrrE; ihitr43;.9i" 2020 APR 23 PM 4: 14 i 16,‘,4 pea:qtr.-I oCt- INTEROFFICE MEMORANDUM Date: April 23, 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. • The attached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. • 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 : Dajarae Reese seal) VERONICA RAZO Notary Public - State of Arizona MARICOPA COUNTY Commission #553630 Expires November 8,2022 My commission p-xpires: / Oa/ Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: 0 Duplicate or 0 Stale-Dated (definitions are on page 2) STATE OF ARIZONA COUNTY OF MARICOPA Note: Numbers on this form correspond to numbers on the Instruction sheet which is paoe 2 of this form Dajarae Reese (1), being 'first sworn, upon oath deposes and says: Name/claimant ti.pu.C. d-420.43. On or about 01 Jan 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/check be issued to him/her in the sum of $ 17 ,397 -72 .(3) Signed: Az) (4) Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originalbf issued. (5) Subscribed and sworn to before me this I day of 14- 9 c 1 200-Z) . Vie roe\ tc ri) NOTARY PUBLIC Warrant/Check Number 13010056369 (If known) (6) Original Date of Issue (If known) (7) Reason for original issue of Warrant/Check (8): O Payroll O For Services or Goods furnished O Treasurer's refund/payment Other: Victim Compensation Check: 17760811 Req 2 DATE 614461144411gem- , B RD OF SUPERVISORS " RICOPA C UNTY TREASURER OF MARICOPA COUNTY WARRANT NUMBER PHOENIX, ARIZONA 3010056369 DATE 9i-01-2020 JPMorgan Chase Bank N.A Phoenix, AZ 91-2/1221 COUNTY EXPENSE WARRANT $17,394.72 Seventeen Thousand Three Hundred Ninety Four And 721100 Dollars PAY TO THE ORDER OF Dajarae Reese 301 W Jefferson 9th Floor PHOENIX AZ 85003 Vold Also 365 Days NOT NEGOTIABLE OARICOPA CO/JO/TV DEPARTMENT OF FINANCE tETATN TIES FOR COUR RECORDS PAYEE WARRANT NO_ WARRANT DATE WARRANT AMOUNT VICTIM WITNESS 3010056369 04/01/2020 $51,394.72 INVOICE NUMBER DESCRIPTION PURCHASE ORDER NO. VOUCHER NO. AMOUNT 10000057047K 1776081-1-rqs12 GAM D 0190 200000032314 200000032314 17,394.72