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
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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
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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.*