HomeMy WebLinkAbout2015-06-24 - ($86.39) - Pre-Check Dora Van Epps
From: Kathy.markwelI@co.kittitas.wa.us
Sent: Wednesday,June 24, 2015 3:29 PM
To: _Auditor's Accounting
Subject: Warrant Issue Notice
Warrant Issue Notice
To: auditorsaccountinatccDco.kittitas.wa.us
From: Kathy Markwell
Funds approved: Yes
Hold warrant issue: No
Funds will be 6/24/2015
available:
Available funds $656,190.18
amount:
Original request
To: Treasurer's Accounting
From: Dora Van Epps
Fund: 641010 Fire District#7 Maintenance
Action: Warrant Issue
Warrant issue date: 6/24/2015
Unaudited amount: $86.39
Approval needed by: $6/24/2015 5:00:00 PM
Notes: Reissue of warrant(reference voided 411284859)
Dora Van Epps, 6/24/2015 3:16:34 PM
Notice:All email sent to this address will be received by the Kittitas County
email system and may be subject to public disclosure under Chapter 42.56
RCW and to archiving and review.
messageid:38eb45916c6dcbdac24bb8719d004al4
1
06-24-15 641010 FIRE 7 $86.39
411290581 411290581 06242015 641010 8639
Page 1
APPLICATION FOR DUPLICATE INSTRUMENT AFFIDAVIT
(RCW 43.08)
Requirements Before Issuance of Duplicate Instruments
Before a duplicate instrument is issued the issuing officer shall require the person making application for its
issue to file in his office a written affidavit specifically alleging on oath that he 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 )
I, �AM g-r St.M& 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 original check number g11-P ''1@6 7' dated / .20 1S , in the amount of
cents ($2011 of which said instrument, payable to
V74i�s V016 Fr&-t ,G was issued in payment for services or wages and that the same
has been lost or destroyed has not been cashed.
Sign Here� � ,title
4
City,Slate,Zip
50q-
lane f
3
Subscribed and sworn to before me this day of mQ.y ,20L5 //i
�flr��WA��,
Notary Public in And for he State of Washington,
Residing at -E V Su r
If the lost warrant is found,it needs to be returned to the Auditor's office and if the
warrant is cashed you are responsible for reimbursement to the County as this
becomes a duplicate payment.
Vendor Number Date Reissue New Warrant#
f) (') ?�� ?q-/ S— 11 2!� y I
15/06/24-15:02 KITTITAS COUNTY FY 2015 June 24 2015 Page: 1
AP466 Pre-Check Writing Report
For all A.P. GL Code
For all Holdback GL Code
Currency: LOCAL
Take all discounts: N
Report Sequence by Name: Y
Clear Invoices that net to zero: N
Direct Deposits Only: N
E-Paybles Only N
Supplier Supplier
Code Name / Address
Invoice Invoice Due Discount Invoice Discount Net
Type Number Batch Date Date Date Amount To be taken To be paid
05038 KITTITAS VALLEY FIRE & RESCUE
PO BOX 218
ELLENSBURG WA 98926
INVOICE 01-2015 AP
94779 01/14/15 01/20/15 01/20/15 86.39 .00 86.39
Fund 641 FIRE DISTRICT #7 86.39
Check 1 Supplier Total: 86.39 .00 86.39
Chc Regular To Issue 1 Check 1 Fund / Sub Fund 86.39 .00 86.39
Direct Dep. To Issue 0 Check 0 Fund / Sub Fund .00 .00 .00
Total Payments 1 Check 1 Fund / Sub Fund 86.39 _00 86.39
Note: more Check may be required due to voids or multiple addresses per Supplier
15/06/24-15:02 KITTITAS COUNTY FY 2015 June 24 2015 Page: 2
AP466 Pre-Check Writing Report
For all A.P. GL Code
For all Holdback GL Code
Currency: LOCAL
Take all discounts: N
Report Sequence by Name: Y
Clear Invoices that net to zero: N
Direct Deposits Only: N
E-Paybles Only N
Invoice Expense Fund Distribution Summary
Fund 641 FIRE DISTRICT #7 86.39
-------------
Total Invoice Expense Distribution: 86.39
.)
W 01 O
z M m M m M O m M
C;
W m m m m
rn
m
P4
1
41
[.' O O O
C 0 O O O
0 O
O U o 0 0
N
�i Q
x
u
v
Lf) U N M M M O M
H N
O 1 0 l0 l0 w O w S4
N Si N m m W
U 1J
� N
b
G �
h
x
U
U1
U
W
O
ro
d
w
41
ro
e
H
0
w
+a �
m \
e
� N
) \
0
O
k
N
if
ro
s, A
�n v
� u a
O
N H b r H
b n
O m W
w o tD
u
U
N N
N O W
� z a
N
U n
U
U U m
d
m W
m v a
E U m w 3
H [.'
fD H O H
x a N
7
0 z
o z
asw
x a
U F O
v H a W w
� F
U F
H
x
W
M
0
0
o ro
H v
H
H m N
H N 41
+
6 W I,
N Id
w b
w N a
H
Ln N U k
O a -.i N
m ro O
H o a a
to Ln11, U of x U rl
Ifl a U H b f. H O
H r.4 a Gl U 0 F
N
m
bl
b
P4
yl m m W W
-H m m r r
ro
Ul
Sl W W r r
U H H
N N
H H
O m
N m m W W
m m r r
a al
N
O
h
7
A
N
11
N
A
W
O
°x °a 1 e w
0 0
rd O O E
E U U ro
W a a
(d \ ao
E w q 0 a w
En
4J 0 P4
o 0 a V W
* 4.) N v x ]
Lnw A m q a
Ai w q
o ma b
N -rl H N
bl r H
aO1 a
z°
O A
U ?C U o o O
U 41 H o w
v m ro m
H H H
O O
E R'� $4 Ai
V H H H
x A au to w ID
H
X
U
U1
U U U U
FW W FWF
H H H
r r r
:W a ft
H E+ F
U U U
o z a Ha
-I E H E
11 fn fn Vl
-a a a a
W
N H H H
U) A W W b+
H
� O o
N H U) H H
Vl O O O
10
O w l0
Lnv
H QI W IO w w