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Home My WebLink About2013-05-16 - $226.76 - Check Register 13/05/IG-16:49 KITTITAS COUNTY FY 2013 May 16 2013 Page 1 AP411 Void Check ,Approval Register For the Fund / Sub fund. 636 010 FIRE DISTRICT #2 signature: _,_.._ /�/ ..._ Signature: Hatch 85452 GL Period 5 from 05/01/13 to 05/37./13 [Bank GC, Code 636 1011110 Date 05/16/13 Sheet Invoice Type Dated Due Description PO Inv. Amount Paid Amount Seq GL Code Description Transaction Descript-ion Local Amount check No. 361260887 046113 Supp]ier_ 01681 WRIGHT, DARREN 127.21 1 64-2013PR I 046113 0403.13 APRIL PAYROLL 127,21. 327 21 --------------- Check No. 361258608 029713 Supplier D0G10 LAWSON, CHRISTOPHER 32.32 101 2-2013 PR 10201.13 020113 ANNUAL VOLUNTEER PAY 32.32 32.32 Check No. 367,252969 090412 Suppxier. 70616 LAWSON, CHRISTOPHPR 57.23 201 9/4/2012PR 1090412 090412 SEPTmEBFR PARYOLL 67.23 57.2.3 Batch Summary Local Amount Total Invoices Reinstated 226.76 Total Holdbacks Reinstated 0.00 Total uisrounts c,.GG ----------------- Net 226.76 Check Count 3 13/05/16-16:49 KTTI'TIAS COUN= FY 2013 May 16 2013 Page 2 AP411,1 ** In'ter Fund GL Transactions for Batch 85452 f* End Sub Description GL Code Description DebiL Credit 63G 010 FIVE DISTRICT �1,2 MAINTENANCE 636 1017_].].0 CASH CONTROL 226.76 226.76 635 010 FIRE iDISTRICT #2 MAINTENANCE 636 1021100 WARRANTS PAYABLE CONTROL 226.76 636 010 FIRE DISTRICT 42 MATNTE'NANCE 636 1021340 VOOCIIERS PAYABLE CONTROL 226.75 Total 453.52 453.52 Grand Total 453.52 453.52 G rp n K N N n m 'a zs o II. 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F' V] 4 �P eP N N n In W N N }S W Ql Ol N Ul In J J b w w m N KITTITAS COUNTY FIRE DISTRICT #2 Ellensburg, WA RESOLUTION 13-10 SUBJECT- 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 636010 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 10 day of May 2013, at a regularly scheduled meeting of the Board of Commissioners. —_Board Chair Commissioner Attest to: osent (14ufi�nan) Commissioner District Secretary Commissioner Commissioner 0 L) i KITTITAS COUNTY FIRE DISTRICT 2 Application for Duplicate Instrument Affidavit ec uirements Before llssuance cif Pu 1iq�str ar teats 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. AFFIDO I STATE OF WASHINGTON, ) ss, 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 t=ire District#2 original Warrant Number 361260887, dated April 1, 2013, in the amount of One Hundred Twenty-seven and 211100 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 t'�t'n day of MQ4 . 6 D Notary Public in and for the State of Washington, r,,O t%0TA,9p <e 01 7 Residing at e 5 Z:\Outstanding WamntslWrighi Affidavit 044)2-13.doc KITTITAS COUNTY FIRE DISTRICT #2 Ellensburg, WA RESOLUTION 13-13 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 C.ommissioners. I L Board Chair Commissioner Attest to: Commissioner District Secretary CUMMS—si—on—e—r— Commissioner KITTITAS COUNTY FIRE DISTRICT.2 Application for Duplicate Instrument N Requirements Before Issuance of DupficaLe Instruments 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 sof 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. _. .. .... . -i STATE OF WASHINGTON, } 5s, County sof KITTITAS ) I, 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 dumber 0361268608, dated February 1, 2013, in the amount sof 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 nye this _ day of Ara-_ ,a "�o Cs Notary Public in and for the State of Washington, 01 vq i Residing ate v an ® ' �Alo c 7:%Outstanding Wairants�Lawson Affidavit 04_12-1Idoe KITTITAS COUNTY FIRE DISTRICT Application for Duplicate Instrument Affidavit IRCWVV 43.0 Reauirements Before Issuance of Du��ru eats 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. ........... STATE CP WASHINGTON, County of KITTITAS ) I, 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 this1" day ofD0 I2l. l D lSs;o Notary Public in and for the State of Washington, ® ;i f,OTA y�•'ae 8� Residing at 7.,;10i7tst-anding Warrantsllawson Affidavit 04-(2-13(1)_ 0e ?s .Q Kitt1tas County Office Of The Treasurer `1 Dea rsa Jia Paz ttori9 Treasurer 205 W 5th Avenue,Suite 102 Ellensburg,Wa 98926 Phone(509)962-7535 F ( 09) 933-8212 e arrants Outstanding Report 5/16/2013 As Of.05/16/2013 WarrantNumber SerialNumber Date Issued Amount Fund 636010 0361233127 0361233127 02/04/2011 $70.76 0361244724 0361244724 01/06/2012 $57.99 0361252969 0361252969 09/04/2012 $67.23 0361258596 0361258596 02/01/2013 $13.85 0361258608 0361258608 02/01/2013 $32.32 0361.259730 0361.259730 03/011201.3 $27.70 0361259742 0361259742 03/01/2013 $285.44 0361260868 0361260868 04/01/2013 $39.48 036/260877 0361260877 04/01/2013 $193.93 0361260887 0361.260887 04/01/2013 $127.21 0361261196 036126/196 04/12/2013 $50.00 0361261968 0361261968 05/01/2013 $144.76 0361261970 0361261970 05/0112013 $287.92 036126197.3 0361261973 05/01/2013 $4,853.36 0361261977 0361261977 05/01/2013 $13-85 036126/978 0361261978 05/01/2013 $311.45 0361261979 0361261979 05/01/201.3 $17.54 0361261982 0361261982 05/01/2013 $669.32 0361261983 0361261983 05/01/201.3 $95734 0361261984 036126/984 05/0t/2D13 $1,5(}0.00 0361261985 0361261985 05/01/2013 $120.05 0361261991 0361261991 05/01/2013 $191.92 0361261997 0361261997 05/01120133 $1,500.00 0361.2624.83 0361262483 05/15/2013 $1,460.92 (c)2002 Cashtax All Rights Reserved www.balancedactir)n.com