HomeMy WebLinkAbout2026-08-03 - ($193.00) - Void Approval KITTITAS COUNTY FIRE DISTRICT#2
Ellensburg, WA
RESOLUTION 26-20
SUBJECT* CANCEL AND REISSUE WARRANT
WHEREAS, Kittitas County Warrant #361407622 for $193.00 issued May 1, 2025, to
Scott Ciraulo, being lost and never being presented to the Kittitas County
Fire District No. 2 GEN Fund 636-010 for payment is outstanding, and
WHEREAS, Scott Ciraulo, 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 No. 2, by virtue of this resolution hereby declares Warrant
#361407622 and instructs the Kittitas County Fire District No. 2 Financial
Services Manager to reissue the warrant.
Adopted this 9th day of June 2026, at a regular meeting of the Board of Fire Commissioners.
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Board Chair
---Commissioner
Attest to: `
Commissioner
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KITTITAS COUNTY FIRE DISTRICT 2
Application for Duplicate Instrument Affidavit
(RC,W 43.08
Reauirements 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 at the District Administrative office at 400 E
Mountain View, 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 )
I,_CIRAULOSCOTT, 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 361407622, dated May 01, 2025, in the
amount of One hundred ninety three and 00/100 dollars ($193.00)which said instrument
was issued in payment for stipend, and that the same has been lost or destroyed and has
not been paid
Claimant Signature
Subscribed and sworn to before me this day o , -%-m
M
RIDE tNot tic in and for the State of Washington,
licin ton20 1295 , siding at � ` `ug 13, 2026