HomeMy WebLinkAbout2013-01-10 - ($115.22) - Check Register ?3/01/].0-14:00 KITTITA8 COUNTY FY 2013 January 7.0 2013 Page 1
AP411 Void Check Approval Register
For the Fund / Sub Fund 560 010 TV DISTRICT
Signature: _ _ ../__—/ Signature:
Batch 83515 CL Period 1 from 61/03./13 to 01/3.1/13 panic GL Code 660 10:x.1110 Date 01/10/13
Sheet Invoice Type Dated Due Description P() Inv, Amount Paid Amount
Seq GL Code Description Transaction. Description Local Amovnt
Check No. 601224548 0.51810 Supplier 00841 LIPS STORE 4.2.22
1 MAY-10 AP 1 051110 051610 FEES KITTITAS CO TV DIS7:RI.] T i. 42.22 42.22
Check No. 601254581 101212 Sunpl.ier 04236 SYMPLIFIED TEOCzIES LLC 73.GC
101 IC 2012AP 1100912 101212 ETES KITTITAS CO TV DISTRICT 1 73.00 73.00
Batch Summary Local Amount
------------- --_.._______.._----
Total Invoices Reinstated 115.22
Total Holdbacks Reinstated 0_OG
Total Discounts 0.00
Net 115.22
-----------------
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APPLIC I � i1I�I�ATE I I . I ,AVIS'
(RC(RCW 43.08)
Re uirernents Before Issuance of Oea licate Instruments
Before a duplicate instrument is issued the issuing officer shall require the person mating 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, amewit, and for what services of claian or purpose the original i.nstr ament 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 M. ] being first duly sworn upon oath, depose and say that l
arra the proper owner, payee, or legal representative of such owner or payee of Kittitas County
original warrant number_601224548__.._ dated Mav l8. 2010 ire the amount of
forty two and 2/100 dollars of which said instrument, Payable to:
Tile tJ j2 9 and has been lost or destroyed and has not been
cashed.
Sign dere� ��'
9
Subscribed and sworn to before me this I day of • " YlAj 12.
�--
���<ffi 1)0IJO` ,� Not y Plie in and for the State of
0'e Ie9ICli1� a r •! 'C- ,.r
41
KITTITAS COUNTY
Television District #1
RESOLUTION . 2012®002
A Resolution to Cancel Claims Lund Warrant
WHEREAS, warrant number 0601224548 Claims Fund was issued on 5/18/2010, in the
arnount of$42.22, and,
WHEREAS, the warrant number 0601224548, Claims Fund was issued to The UPS
Stare, in the amount $42.22, and this cheep needs to be canceled., as it was not cashed and there
is no balance due on the accout-it.
NOW, THEREFORE BE IT RESOLVED warrant number 0601224548 Claims Fund,
payable to The LIPS Stare, in the amount of$42.22, be canceled.
DA'Z'ED this 12 day of June, 2012.
Kittitas County Television District#1
,r $
Qdmmissioner °
f
Co over
ATTEST
r
o Commissio er
Secretary
_._
KITTITAS COUNTY
TV District
RESOLUTION NO. 2012-003
A Resolution to Cancel Claims Fund Warrant
WHEREAS, warrant number 601254581 Claims Fund was issued on October 9201
in the amount of $73.00 and,
WHEREAS,the warrant number 601254581 ,Claims Fund was issued to Symplified
Technologies LLC_, in the amount-0-3.00-1. and this check needs to be canceled, as it was
issued in error.
NOW, THEREFORE BE IT RESOLVED warrant number 601254581 Claims
Fund,payable to Symplified Techologies LLC_, in the amount of $73.00–,be canceled.
DATED this–11—day ofDecember, 2012 .
Kittitas County Television Improvement Board
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B6' d member "y
o d MOb6r
ATTEST
Board Member
oai/va
Secretarycr
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