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Home My WebLink About2013-05-16 - ($226.76) - Check Register (2) 23/05/16-16749 KITTITAS COUNTY FY 2013 May 16 2013 Page 2 AP411 Void Cneck Approval Register For the Fund / Sub Fund 636 01-0 FIRE DISTRICT #2 Sa.gnature: _ 1 / ,Signature: Batch 55452 GL Period 5 from 05/01/13 Lo 05/31/13 Bank GL Code 636 1011110 Date 05/16/1.3 Seeet Invoice Type Dated Due Description PO Inv. Amount Paid Ampunt Seq GI: Code Description Transaction Description L2ca2 Amount Check No, 36].260887 043113 Supplier 01681 WPIGHT, DARREN 127.21 1 04-2013PR I 040113 040113 APRIL PAYROLL 127.21 127,21 Check No. 361255608 02011.3 Supplier. D0610 LAWSCN, CBR.ISTOPHFR 32.32 1.01 2-2013 PR 1 02017,3 020113 ANNUAL VOLUNTEER PAY 32.32 32.32 Check No. 361252969 090412 Supplier D0610 LAWSON, CHRISTOPHER 67.23 201 9/4/2p12PR I 090412 090412 SEPTMEBETz PARYOLL 67.23 67.23 Batch Summary Local Amount Total Invoices Reinstated 226.76 Total Holdbacks Reinstated 0.00 Total Discounts 0.00 ----------------- Net 226.76 Check Count 3 L.> E:�t 13/05/16-16:49 KITTTTAS COUNTY FY 201.3 May I6 2013 Page 2. AP41.1 ** Inter Flied GL Transactions for Batch 95452 *- Fnd Sub Deacripti,on GL Cade Description Debit Credit 636 010 FIRE DISTRICT 42 MAINTENANCE 636 1011110 CASH CONTROL 225.'76 226.76 636 010 FIRE DISTRICT 42 MATNTENANCP 636 1021100 WARRANTS PAYABLE CONTROL 226.76 636 07.0 FIRE DISTRICT 42 MAINTENANCE 636 1021340 VOUCHERS PAYASI�E CONTROL 226.76 Total 453.52 453.52 Grand Total 453.52 453.5.2 aID Iti N a`j f� Ga N N h ta r u3 cn r G d ry m m 'D v J a m n � n � o a in N ly rr ;� in 1� ID r rn W 9 m N p, r r-I Q �t fn :n w F= fD N a C 4 t7 P C H O S r H `in � d � n z n x xr� b7 E'.0 a' p' n n � x n S P C z z o in m� o ro w d n w n m Q rt r• rt n1 0 8 rr th w a rz t� n x w Irl K m o, R N N N N Gl I rn N m o a� m rs ua p' m n Y,• b 0 o a a p O G R � I � I {� S O 01 01 ,1 W I IYI ; 61 0. 61 (11 H t31 (7 I ft I I� K 4 ; to ti j (/ j ( / 3 Q Q m ( 0 9 ( K \ , ( § / NJ } E ( , \ & S G \ \ � � / ¥ § ; » , , m § (T } ID \ } j § \ y \ \ ) ` 2 [ * p \ ( ` / / } m } \ \ \ ( KITTITAS COUNTY FIRE DISTRICT #2 Ellensburg, WA RESOLUTION 13-10 T® CANCEL AND REISSUE OUTSTANDING WARRANT WHEREAS, Kittitas County Warrant #0361260887 for $127.21 issued April 1, 2013 to Darren Wright, being lost and never being presented to the Kittitas County Fire District 2 General Fund 636-010 for payment is outstanding, and WHEREAS, Darren Wright has presented a properly executed Application for Duplicate Instrument Affidavit for the warrant, and now THEREFORE, BE IT RESOLVED, that the Board of Fire Commissioners, Kittitas County Fire District 2, by virtue of this resolution hereby declares Warrant #0361260887 cancelled and instructs the Kittitas County Auditor to reissue the warrant. Adopted this 14th day of May 2013, at a regularly scheduled meeting of the Board of Commissioners. --Board Chair Commissioner Attest to: Commissioner District Secretary Commissioner Commissioner J.- A cjg KITTITAS COUNTYFIRE DISTRICT 2 Application for Duplicate Instrument f d i , Reguirements Before Issuance of Duplicate instrument Before a duplicate instrument is issued, the issuing officer shall require the person raking application for its issue to file at the District Administrative office at 102 N. Pearl Street, Ellensburg, Washington, a written affidavit specifically alleging on oath that the individual is the proper owner, payee, or legal representative of such owner or payee of the original instruments giving the date of issue, the number, amount, and for what services of claim or purpose the original instrument or series of instruments of which it is a part was issued, and that the same has been lost or destroyed, and has not been paid. . m,__.. ..._.. I 'IT AFF l STATE OF WASHINGTON, County of KITTITAS j 1, Darren Wright, being first duly sworn upon oath, depose and say that I am the proper owner, payee, or legal representative of such owner or payee of Kittitas County Fire District#2 original Warrant Number 361260887, dated April 1, 2013, in the amount of One Hundred Twenty-seven and 21/100 dollars ($127.21) which said instrument was issued in payment for the April 2013 payroll and that the same has been lost or destroyed and has not been paid. Claimant ignature Subscribed and sworn to before me this day of �� Notary Public in and for the State of Washington, �o10 Oar� � ��,,�a t� Residing at -e 5 t au rvAp)�st 6 Y eg{ V S � W WAZ.%Outstanding Wa.rantslWriglitAftidavit04-02-11.klce KITTITAS COUNTY FIRE DISTRICT #2 Ellensburg, WA RESOLUTION 13- Su J Te 3-SUBJECT: CANCEL AND REISSUE OUTSTANDING WARRANT WHEREAS, Kittitas County Warrant #0361258608 for $32.32 issued February 1, 2013, to Chris Lawson, being lost and never being presented to the Kittitas County Fire District No. 2 General Fund 636-010 for payment is outstanding, and WHEREAS, Kittitas County Warrant #0361252969 for $67,23 issued September 4, 2012, to Chris Lawson, being lost and never being presented to the Kittitas County Fire District No, 2 General Fund 636-010 for payment is outstanding, and WHEREAS, Chris Lawson has presented properly executed Application for Duplicate Instrument Affidavits for the warrants, and now THEREFORE, BE IT RESOLVED, that the Board of Fire Commissioners, Kittitas County Fire District 2, by virtue of this resolution hereby declares Warrant #0361258608 and #0361252969 cancelled and instructs the Kittitas County Auditor to reissue both warrants. Adopted this 14th day of May 2013, at a regularly scheduled meeting of the Board of CoMrnicc;inners. Board Chair Commissioner Attest to: -A h, o nt Commissioner ALL District Secretary soon Commissioner "Arl GL KITTITAS COUNTY FIRE DISTRICT 2 Application for Duplicate Instrument Affidavit Requirements Before lssuangq_gLpygjjgg!eIr�str r �r�ts Before a duplicate instrument is issued, the issuing officer shall require the person making application for its issue to file at the District Administrative office at 102 N. Pearl Street, Ellensburg, Washington, a written affidavit specifically alleging on oath that the individual is the proper owner, payee, or legal representative of such owner or payee of the original instrument, giving the date of issue, the number, amount, and for what services of claim or purpose the original instrument or series of instruments of which it is a part was issued, and that the same has been lost or destroyed, and has not been paid. !T` STATE OF WASHINGTON, ss, County of KITTITAS 1, Chris Lawson, being first duly sworn upon oath, depose and say that I am the proper owner, payee, or legal representative of such owner or payee of Kittitas County Fire District #2 original Warrant Number 0361258608, dated February 1, 2013, in the amount of Thirty-two and 321100 dollars ($32.32)which said instrument was issued in payment for payroll hours and that the same has been lost or destroyed and has not been paid. Claimant Signature Subscribed and sworn to before me this )q'0�1 day of '1D I'S 4�-hlx rs Notary Public in and for the State of Washington, Residing at 7:10ulstandinp,WajTanTS\UwSon Affidavit 04-12-13.duc KITTITAS COUNTY FIREICS' Application for Duplicate Instrument IdWit _LRCW 41R8 Requirements Before Issua 2 s Before a duplicate instrument is issued, the issuing officer shall require the person making application for its issue to file at the District Administrative office; at 102 N. Pearl Street, Ellensburg, Washington, a written affidavit specifically alleging on oath that the individual is the proper owner, payee, or legal representative of such owner or payee of the original instrument, giving the date of issue, the number, amount, and for what services of claim or purpose the original instrument or series of instruments of which It is a part was issued, and that the same has been lost or destroyed, and has not been paid. AFFIDAVIT _ .... ... ......-........... .-.-_ _ – -_.............. STATE OF WASHINGTON, ) ss, County of KITTITAS ) 1, Chris Lawson, being first duly sworn upon oath, depose and say that I am the proper owner, payee, or legal representative of such owner or payee of Kittitas County Fire District #2 original Warrant Number 0361252969, dated September 4, 2012, in the amount of Sixty-seven and 23/100 dollars ($67.23) which said instrument was issued in payment for payroll hours and that the same has been lost or destroyed and has not been paid. Claimant Signature Subscribed and sworn to before me this)Q�l" day of IIV- 4� - —, 0 12'.Notary Public in and for the State of Washington, . Residing at -- r � f oiaJgLtG ' p� �e* °eea.:•-"•mow �" Z:AOwmandinR Wanrants`_Cawson Affidavit 04-I2-13(7).doc r . r FS�rQ Kittifas County Office Of The Treasurer Deanna Jo Panattoni, Treasurer 205 W 5th Avenue,Suite 102 Ohbu ,Wa 9826 Pho (509)962-7535 Fax(509) 933-821.2 eWarra is Outstanding Report 5/16/2013 As Of:05/16/2013 WarrantNumber SerialNumber Date Issued Amount Fund 635010 03612331.27 0.361233127 02/04/2011 $70.76 0361244724 0361244724 01/06/2012 $57.99 0361252969 0361252969 09/04/2012 $67-23 0361258596 0361258596 0.210112013 $13.85 0361258608 0361258608 02/01/2013 $32.32 0361259730 0361259730 03101.12013 $27.70 0361259742 0361259742 03/01/2013 $285.44 0361260868 0361260868 04/01/2013 $39.48 0361260877 0361260877 04/01/2013 $193.93 0361260887 0361260887 04/01/2013 $127.21 0361261/96 0361261196 04/12/2013 $50.00 0361261968 0361261968 05/01/2013 $144.76 0361261970 0361261970 05/01/2013 $287.92 0361261973 0361261973 05/01/2013 $4,85336 0361261977 0361261977 05/01/2013 $13.85 0361261978 0361261.978 05/01/2013 $311.45 036126/979 0361261979 05/01/2013 $17.54 0361261982 0361261982 05/01/2013 $669.32 0361261983 0361261983 05/01/201.3 $957.34 0361261984 0361261984 05/01/2013 $1,500.00 0361261985 0361261985 05101.12013 $120.05 0361261991 0361261991 05/01/2013 $191.92 0361261997 0361261997 05/01/2013 $1,500.00 0361262483 0361.262483 05/15/2013 $1,460.92 (c)2002 Cashtax Ali Rights Reserved www.balancedaction.cam