REDACTED - FOR AGENDA ATTACHMENT - MORFUN LLC.PDF

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MARICOPA COUNTY

TREASURER’S OFFICE

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100

Phoenix, Arizona 85003
Phone: (602) 506-8511
Fax: (602) 506-1102

http://treasurer.maricopa.gov

To:

Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer’s Office y~

Maria Quitangon
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez (FZ
cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant

No

Amount

Dept/School

MORFUN LLC 952156

$652.87

Treasurer

Application for a Duplicate or Stale-Dated Warrant/Check

Affidavit/Claim Form

This application is for: oO Duplicate or [ stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

GARY Rk. VELCRUTH (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about _WVUY 76 J2  (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 $_ &5 a , ? 7 (3)
Signed: jer LZ Naor (4)
Print name: (required) GARY K. Neu Ro TY Cmoenfuw £e >

Note. Please attach a copy of the warrant/check if available and/or any other
evidence _that.a_warrant/check was originally issued.

bed and pn to before me this
Q ©

nT ERIC SORR SL

mT “yh i ires:

SIERRA YOUNGLOVE
Notary Public, State of Arizona’
Maricopa County
gonuniesion # 647532
y Commission Expires
June 07, 2027 (seal)

Warrant/Check Number ; c
(if known) (6) GFA £
Original Date of Issue :
(if known) (7) it | /23
Reason for original issue of Warrant/Check (8):
O Payroll

0 For Services or Goods furnished
&® Treasurer's refund/payment Tar Li€W KeEfu#Y

O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc
Revised 100518 A.R.S. 11-632 & 11-644
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Maricopa County Treasurer's Office 218-46-014 3 4/24/2024 11:17:50 AM

[BR 218-46-014 3 1 x
File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | ActTime A
2023. TAX PAYMENT 2023-10-23. MO A137 $297.28 N 2023-10-17 1 6:39:00 PM
2023. INFO STATEMENT 2023-08-26 i 12:00:00 At
2023 TAX BILL 2023-08-26 12:00:00 At
REFUND 20 1-10 - $65, : 12
2021 REDEMPTION PAYMENT 2022-10-26 = 0772-37195 $662.87 N 2022-10-22 6:30:00 PM
2022. TAX PAYMENT 2022-10-26  072-37195 $582.24 N 2022-10-22 F 6:30:00 PM
2021 BTX_IMPOUND 2022-08-22 099-00113 $636.64 N 9:34:00 AM
2022 = TAXBILL 2022-08-20 Y 12:00:00 At
2020 REFUND 2022-07-28 : $29.31 N 12:00:00 At v
< >
Parcel #: [218-46-014 Activity: [REFUND Act Date 11/10/22
Tax Year: [2021 Tran #: [-- Cal Act Time {i200 AM
Activity Detail | Address Detail |
CP #: [21002569 Check Date: [11/10/22
Buyer #: [18742 Check #: [952156
Fund 60 Refund Amount: $652.87
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Maricopa County Treasurer's Office

Refund ID 2022022995 CP_BUYER

& Refund ID 2022022995 CP_BUYER
File Help

ese)

| RefundAmount: [$652.87 “|

Requester: |CCARDWEB on 10/26/2022

Refund Reason: JcP Redemption refund

Status: [DISBURSED on 11/10/2022

Slip1D: [202200818

Address:

Check Request: [MAIL

Reference #: |cP 21002563

Impounds | Stub | Comments |

Source Fund | Linked |

Amount | Tax Year | Status

050 True $652.87 2021

Impound #1
Parcel/Roll [218-46-014 Dest fund: [so
READ| cpx: 21002569  Resot: [0
CP buyer # :[18742 Phase #: [0
Mortgagecode: [
Transaction #: foresris5

Impound T otal : 1

Case #: J

4/24/2024 11:19:16 AM