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MARICOPA COUNTY Department of Finance 301 West Jefferson, Ste 960 Phoenix, Arizona 85003 Li ' 2112i1 FEB 25 PM 2: 26 INTEROFFICE MEMORANDUM Date: February 25, 2020 To: Clerk of the Board From: Maria Meza Department of Finance Subject: Affidavit — Warrant Reissue Please find attached Affidavit to be included on the next available Board Agenda. • The attached item/s have been researched to ensure the warrant in question has not been cashed or previously re-issued. • The original warrant has a void/stale date/stop payment. Please return the approved Affidavit to my attention, Department of Finance, Suite 960. If you have any questions you may contact me at 602-506-1336 or maria.meza@maricopa.gov Thank you. Re: MVICTIM KACIE MORROW W#3010048605 11/25/19 D190 GAX1D 20-17908 INV: 00000055456K VC2018000166-1-rqst5 & rqst6 day of PCIOV (A\N\I \21,0\l/\\\Ot w,LIIII I::10, 2- . \4\\" /4/N ° \‘‘ 44\ ° 1\ 88A\NI 19 2.2.1 6. 1 131311 --10 / if/ vvi<r:dx- 11 11 111110\\\\\ K BtARD br- MARICOPA COLIN Y Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: b' Duplicate or D 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 paae 2 of this form. Kacie Morrow Name/Claimant On or about 25-Nov-2019 (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 $ 1,372.32 -(3) Signed: (4) Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. (1), being first sworn, upon oath deposes and says: (5) Subscribed and sworn to before me this NOTAR)6BLIC My commission expires: (- - Warrant/Check Number (if known) (6) Original Date of Issue (if known) (7) Reason for original issue of Warrant/Check (8): 0 Payroll El For Services or Goods furnished 3010048605 25-Nov-2019 LI Treasurer's refund/payment Other: Victim Compensation Check: VC2018000166-1 Req 5 & 6 AMOUNT PAY TO THE ORDER OF Kacie Morrow 301 W Jefferson 9th Floor PHOENIX AZ 85003 Void After 365 Days WARRANT NUMBER 3010048605 COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY PHOENIX, ARIZONA DATE 11-25-2019 JPMorgan Chase Bank N.A Phoenix, AZ 91-2/1221 One Thousand Three Hundred Seventy Two And 321100 Dollars $1,372.32 For Questions - 602-506-1379 or email AP@MAILMARICOPA.GOV NOT NEGOTIABLE MARICOPA COUNTY DEPARTMENT OF FINANCE RETAIN THIS FOR YOUR RECORDS PAYEE WARRANT NO. WARRANT DATE WARRANT AMOUNT VICTIM WITNESS 3010048605 11/25/2019 $1,372.32 INVOICE NUMBER DESCRIPTION PURCHASE ORDER NO. VOUCHER NO. AMOUNT 00000055456K 00000055456K VC2018000166-1-rqst5 VC2018000166-1-rqst6 GAX1D D190 200000017908 GAX1D D190 200000017908 200000017908 200000017908 1,125.00 247.32 Warrant (1 - mad) - Warrant number: 3010048605, Stopped, Warrant number: 301004861 Warrant I•I•I :47 L zr., Warrant Status Print Attachments Maintain New Status Setup Attachments 3010048605 AI Warrant lieadev General Warrant number: Holder: Issued date: Status: Exception flag: Exception reason: None Queued for positive pay: E Locked for reconcile: Li Registered Date registered: No of days interest 0 Annual interest rate 0.00000 A Warrant Lines 0 Amount Payee 1,372.32 Ka cie Morrc, ,, Posting Invoice: Invoice date Paid date Positive pay sent date 11/26/2019 0900:04 am Agency details Agency voucher number. Agency claim number: Agency low orig: Agency PO number: Agency sub fund: Agency dept num: .Lcccurii: 3010048605 MCT0000000107 11/25/2019 12.:000D am Stopped 1-1 Conf irmation 0 Please confirm that you wish to stop payment on Warrant number: 3010046605; issued on: '11/2512019 12400:00 am', for the amount of 1,372327' Note Bank fees will be applied, so do not Stop a warrant that you still possess. Yes No DashBoard Page 1 of 1 Warrant Number - 3010048605 Status Account # Paid Date Issued Date Registered Date Payee Amount Interest Claim # Sub Fund Dept # PO # LowOrig Voucher Issued 11/25/2019 Kacie Morrow $1372.32 $0.00 https://treasurer.maricopa.gov/AgencyWeb/Dashboard 2/25/2020