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DAFR3671 – Sample agency warrants, including warrants distributed to OAG and Treasury Operations

DAFR3671 000 USAS 01                                         USAS OPERATIONS CONTROL                                       *****************AGCY NUMBER    000 
                                                        DAILY WARRANT TRANSMITTAL REPORT                                               
 MM/DD/YY (14.33) CYCLE 7157  *************************************************************************************************************************   PAGE     1

 AGENCY    030 AGENCY NAME
 *******************************************************************************************************************************************************************
                                                                                                                                CERTIFICATION 
 
                                                                                                                    *READ THE STATEMENT BELOW BEFORE SIGNING* 
                                                                                                            _____ 
 ---------- WARRANT TYPE ----------                    BEGINNING             ENDING         WARR 
 CODE          TITLE                                  WARRANT NO          WARRANT NO       COUNT            TOTAL          SIGNATURE                      DATE 
 ************************************************************************************************************************************
002  SPECIAL PULLS - WIRE TRANSFERS                     XXXXXXXX1    -     XXXXXXXX1           1        100,000.00
010  HELD WARRANTS - PAYROLL                            XXXXXXXX3    -     XXXXXXXX6           4          8,250.00
012  HELD WARRANTS - BILLS                              XXXXXXXX8    -     XXXXXXX22          15         15,755.55
020  JUDGMENTS/SETTLEMENTS                              XXXXXXX27    -     XXXXXXX27           1         10,000.00
030  MISCELLANEOUS CLAIMS - PAYROLL                     XXXXXXX28    -     XXXXXXX28           1            500.00
032  MISCELLANEOUS CLAIMS - BILLS                       XXXXXXX29    -     XXXXXXX29           1            700.00
034  MISCELLANEOUS CLAIMS - IRS                         XXXXXXX30    -     XXXXXXX30           1              8.75
036  MISCELLANEOUS CLAIMS - ERS                         XXXXXXX31    -     XXXXXXX31           1             10.00
038  MISCELLANEOUS CLAIMS - TRS                         XXXXXXX32    -     XXXXXXX32           1              9.00
040  TRS WARRANTS                                       XXXXXXX33    -     XXXXXXX39           7             95.16
045  ERS WARRANTS                                       XXXXXXX40    -     XXXXXXX42           3             57.00
100  PAYROLLS                                           XXXXXXX44    -     XXXXXXX47           4          8,555.10   _________________________        ___________
110  OTHER PAYROLL DEDUCTIONS                           XXXXXXX50    -     XXXXXXX52           3            110.95   _________________________        ___________
120  PAYROLL REIMBURSEMENT WARRANTS                     XXXXXXX56    -     XXXXXXX56           1             50.00   _________________________        ___________
140  LOCAL FUND WARRANTS                                XXXXXXX57    -     XXXXXXX57           1             10.00   _________________________        ___________
160  BILLS                                              XXXXXXX58    -     XXXXXXX62           5             50.00   _________________________        ___________
     *WARRANT TOTAL                                                                           50        144,161.51

                                                                                                              *THE PERSON(S) SIGNING THIS DOCUMENT CERTIFY THAT THEY
                                                                                                               RECEIVED THE WARRANTS NEXT TO THEIR SIGNATURE.* 

DAFR3671 – Sample OAG warrants, including a Judgments/Settlements warrant issued by the sample agency

DAFR3671 000 USAS 01                                         USAS OPERATIONS CONTROL                                       *****************AGCY NUMBER    000 
                                                        DAILY WARRANT TRANSMITTAL REPORT                                               
 MM/DD/YY (14.33) CYCLE 7157  *************************************************************************************************************************   PAGE     1

 AGENCY    302    OFFICE OF THE ATTORNEY GENERAL 
 ******************************************************************************************************************************************************************
                                                                                                                                CERTIFICATION 
 
                                                                                                                    *READ THE STATEMENT BELOW BEFORE SIGNING* 
                                                                                                            _____ 
 ---------- WARRANT TYPE ----------                    BEGINNING             ENDING         WARR 
 CODE          TITLE                                  WARRANT NO          WARRANT NO       COUNT            TOTAL          SIGNATURE                      DATE 
 ************************************************************************************************************************************
002  SPECIAL PULLS - WIRE TRANSFERS                     XXXXXXXX2    -     XXXXXXXX2           1        225,000.00
010  HELD WARRANTS - PAYROLL                            XXXXXXXX7    -     XXXXXXXX7           1          2,150.49
012  HELD WARRANTS - BILLS                              XXXXXXX23    -     XXXXXXX26           4            400.00
020  JUDGMENTS/SETTLEMENTS                              XXXXXXX27    -     XXXXXXX27           1         10,000.00   _________________________        ___________
045  ERS WARRANTS                                       XXXXXXX43    -     XXXXXXX43           1             10.00
100  PAYROLLS                                           XXXXXXX48    -     XXXXXXX49           2          4,555.10   _________________________        ___________
110  OTHER PAYROLL DEDUCTIONS                           XXXXXXX53    -     XXXXXXX55           3             60.00   _________________________        ___________
160  BILLS                                              XXXXXXX63    -     XXXXXXX64           2            100.00   _________________________        ___________
     *WARRANT TOTAL                                                                           15        242,275.59
 
                                                                                                              *THE PERSON(S) SIGNING THIS DOCUMENT CERTIFY THAT THEY
                                                                                                               RECEIVED THE WARRANTS NEXT TO THEIR SIGNATURE.*

DAFR3671 – Warrants issued by the sample agency and OAG distributed to Treasury Operations
(Wire Transfers and Misc. Claims – IRS)

DAFR3671 000 USAS 01                                         USAS OPERATIONS CONTROL                                       *****************AGCY NUMBER    000 
                                                        DAILY WARRANT TRANSMITTAL REPORT                                               
 MM/DD/YY (14.33) CYCLE 7157  *************************************************************************************************************************   PAGE     1

 AGENCY    311    COMPTROLLER - TREASURY FISCAL 
 ******************************************************************************************************************************************************************
                                                                                                                                CERTIFICATION 
 
                                                                                                                    *READ THE STATEMENT BELOW BEFORE SIGNING* 
                                                                                                            _____ 
 ---------- WARRANT TYPE ----------                    BEGINNING             ENDING         WARR 
 CODE          TITLE                                  WARRANT NO          WARRANT NO       COUNT            TOTAL          SIGNATURE                      DATE 
 ************************************************************************************************************************************
002  SPECIAL PULLS - WIRE TRANSFERS                     XXXXXXXX1    -     XXXXXXXX2           2        325,000.00   _________________________        ___________
034  MISCELLANEOUS CLAIMS - IRS                         XXXXXXX30    -     XXXXXXX30           1              8.75   _________________________        ___________
     *WARRANT TOTAL                                                                            3        325,008.75
 
                                                                                                              *THE PERSON(S) SIGNING THIS DOCUMENT CERTIFY THAT THEY
                                                                                                               RECEIVED THE WARRANTS NEXT TO THEIR SIGNATURE.*