HomeMy WebLinkAbout2012-12-31 - $439.53 - Check Register 121 3 i.'09: 3"i KIT'I"PAS COUNI"! FY 2012
A P43:1. Vold (,.,hcCk
Fo.r. he 7und J Sub Fund 634 D.10 a=QUALMIE PASS PORE
r c�I H 1 2. 0 1 2 to 7;11_/1.2 0 L1.7_iL'
Tv,�,r T) c-,scrim i c,r; I Id P.fnliiifl.
TIaltsacc. )"Inownc
"hed" No. 35'1.230S2 .1 1 1.x 1.U SLInj,'I i El- 0041-5 K M-F ITAS ",OiMTS (-)S 407.53
N )v iDAF T 1.1.]210 11.1211] SN-CQ0A3.M.D-' E-ASS 407.63 41)'1.53
Check No. 347206492 12=208 SupaL i er Z)0 8 0 M!LES XEG,NTAN
I{71 11 C' 07 AP 1 1.21208 1 1 D8 ST.,IOQTJAI,M IL PASS P.1 R I, J.-, 32.C,0 32.10
---------------------- --------- ----
L3arch I.,ccal, Amount
---------------
Total invoi7,e5 Roins-,alced. 439.53
Tota.1 Holdbacks R4nst-atp.d c.0()
TOLPI Discounts C.00
Net 439.�3
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SNOQUALMIE PASS FIRE & RESCUE
PO BOX 99
SNOQUALMIE PASS WA 98068
RESOLUTION JZ
A RESOLUTION BY THE BOARD OF FIRE COMMISSIONERS OF KING AND
KITTITAS COUNTY FIRE PROTECTION DISTRICT NO 51, TO CANCEL
WARRANT NUMBER 391230352 DATED 1111212010 IN THE AMOUNT OF
Four Hundred Seven Dollars and THE
WARRANT WAS ISSUED PAYABLE TO Kltfts Cqqpty CQS. THE
WARRANT IS LOST AND HAS NOT BEEN CASHED. TO RE-ISSUE A NEW
WAIS RANTTO Kittitas CoUnly CDS.
WHEREAS, the Board of Fire Commissioners of King and Kittitas County Fire
Protection District No 51, Kittitas County Washington, do hereby resolve to
cancel Warrant Number 391230352 in the amount of j407.53 dated 1111212010
paid to Kitfitas County S. The Warrant has been lost. Resolve toreissue
new Warrant Kiftitas Coupty CIDS.
WHEREAS, THE ABOVE LISTED Warrant was issued to .Kith tas Cog toy C
and has been lost. A new Warrant need to be reissued to Kliftlitas CounbLqQS.
NOW THEREFORE, be it resolved by the Board of Fire Commissioners of King
and Kittitas County Fire District 51, to cancel Warrant Number 391230362 in the
amount of 1407.53 paid to Kiffitas Coul
Dated this <f` th Day of
2012
KING AND KITTITAS COUNTY FIRE DISTRICT 51
KITTITAS COUNTY, WASHINGTON
BY.
HAIPMAN/COMMISSIONDR___
BY:
COM . ISSN FR
By.
MWISSRONER
ATTEST:
SE9,RETARY TO THE BOARD
SNOQUALMIE PASS FIRE & RESCUE
PO BOX 99
SNOQUALMIE PASS WA 98068
September 4, 2012
ittitas County CDS
411 Ruby ST Suite
Ellensburg 9 926
The following Warrants have been issued to you and are still outstanding®
Please advise if the arrant(s) are lost so the Fire Commissioners can
issue a Resolution to cancel.
Warrant Number ®ate Issued Amount
__
_ _ _ ._.
391230352 1111212010 _ 07.53
_..�,_._ ___ _ _ __....__.._, , ....... _
If the Warrant is lost, please fill out the "Application for Duplicate
Instrument Affidavit so the above Warrant can be cancelled and a new
Warrant issued for replacement. Please return the Notarized Affidavit to
Snoqualrnie Pass Fire & Rescue, I they} can send the Affidavit along with a
Resolution by the Fire Commissioners to cancel the lost Warrant
391206492 and have a new Warrant issued.
Thank you,
Carol Tibits
Auditor
APPI_,ICATION 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,raking 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 `u�V"'I V1,/1,1 ' �, i%�: , being first duly sworn upon oath, depose and say that I
am the proper owned payee, or legal representative of such owner or payee of Kittitas County
original warrant number 391230352 dated 11/12/2010 in the amount of Four Hundred Seven
Dollars and Fifty Three Cents ($407.53) of which said instrument, payable to: Kittitas Coy ty
CDS and has been lost or destroyed and has not been cashed,
a 1r ,
'Al
{ r
Here
Sign Herl t4 r � a .
t
4 1"
Subscribed and sworn to before me this,-, `,IG day of/2 J 149,
t'
h No ry Publ' 'n d dor the Sta�e of Washington,
esiding at ,
T4
7
✓e �
A !9 ®�y
SNOQUAL.MIE PASS FIRE & RESCUE
PO BOX 99
UAL IEP ASS WA 98068
RESOLUTION
A RESOLUTION BY THE BOARD OF FIRE COMMISSIONERS OF KING AND
KITTITAS COUNTY FIRE PROTECTION DISTRICT NO 51, TO CANCEL
WARRANT NUMBER 391206492 DATED 12112/2008 IN THE AMOUNT OF
Thirty Two Dollars and hero.ggnts1(132.00 . THE E WARRANT WAS ISSUED
PAYABLE TO Keenan Miles. THE WARRANT IS LOST AND HAS NOT BEEN
CASHED. TO RE-ISSUE A NEW WARRANT TO Keenan Miles.
WHEREAS, the Board of Fire Commissioners of King and Kittitas County Fire
Protection District No 51, Kittitas County Washington, do hereby resolve to
cancel Warrant Number 391206492 in the amount of 112.00 dated 12112/2008
paid to Keenan Iles. The Warrant has been lost. Resolve to reissue new
Warrant Keenan Miles.
WHEREAS, THE ABOVE LISTED Warrant was issued to Keenan lies and has
been lost. Keenan Iles.
NOW THEREFORE, be it resolved by the Board of Fire Commissioners of King
and Kittitas County Fire District 51, to cancel Warrant Number 391206492 in the
amount of 132.00 paid to Keenan Iles.
i
Dated this t h Day of 2012
KING AND KITTITAS COUNTY FIRE DISTRICT 51
KITTITAS COUNTY, WASHINGTON
4
B Y:
CHAIR AN/COMMISSIONER
BY:
COMIv SSIONER
By:
�OMMTSSI(dNER
ATTEST:
SECRETARY TO THE BOARD
APPLICATION ' R 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 snaking application for its
issue to mile 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,aanount, 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 sarne has been lost or destroyed, and has not been paid..
AFFIDAVIT
STATE OF WASHINGTON, ) ss,
COUNTY OF K[TTITAS, )
I W , 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 warrant number 391206492 dated 12/12/2008 in the amount of Thin two dollars
($32.00) of which said instrument, payable to: Keenan Miles and has been lost or destroyed and
has not been cashed.
Sign Here
Subscribed and sworn to before ane this day of ) 2011.
Notary Public in and for the State of Washington,
Residing at '� �
ma�
C TA
Jun 11
gp,��� �a�re
4���"a m e��%
QUAL I PASS FIRE & RESCUE
PO BOX 99
SNOQUALMIE PASS WA 98068
September 4, 2012
Keenan Miles
PO BOX 99
no ualmie Pass WA 99068
The following Warrants have been issued to you and are still outstanding.
Please advise if the arrant(s) are lost so the Fire Commissioners can
issue a Resolution to ca ceL
-..-...-- ---------------
Warrant umber ®ate
Issued... . Amount
391206492 ; 12/1212008 32.0
If the arrant(s) are lost, please fill out the "Application for Duplicate
Instrument Affidavit so the above Warrant can be cancelled and a new
Warrant issued for replacement. Please return the Notarized Affidavit to
Snoqualmie Pass Fire & Rescue. I thea can send the Affidavit along with a
Resolution by the Fire Commissioners to cancel the lost Warrant
391206492 and have a new Warrant issued.
Thank you,
Carol Tibits
Auditor