STAMPED AND REDACTED - 3700908743 - FLEETPRIDE.PDF

W
MARICOPA
COUNTY

INTEROFFICE MEMORANDUM

TO: MARICOPA COUNTY CLERK OF THE BOARD
FROM: MCSS FINANCE DESK (JENIFER PEASE)
SUBJECT: AFFIDAVITS - REPLACEMENT OF LOST WARRANTS

DATE: 6/5/2026

Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the
next available Board agenda.

The attached item(s) have been researched to ensure that the warrant(s) in question
have not been cashed or previously re-issued.

The original warrant(s) have had a stop payment done,
If you have any questions, please contact the MCSS Finance Desk at 602-372-4833

(Option 1) or via e-mail at FinanceDesk@maricopa.gov. Approved Affidavits may be
routed back to the Superintendent of Schools - Finance Desk at 4041 N. Central Ave

#1100.
Thank you
District Payee Warrant # Amount
East Valley Institute of FLEETPRIDE 3700908743 | $727.71
Technology #401

4
Schools Affidavit/Claim Form MAR) COPA

Application for a Duplicate Warrant/Check COUNTY

(definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

FleetPride, Inc (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about 99/25/2025 (date) (2) a warrant/check was issued to the above-named

person/entity in the amount as stated below. Such warrant/check was either never received or
was subsequently inadvertently lost or destroyed and there is no reasonable probability of its
being found or presented for Payment, or it was not presented for payment within one year after
the date of issuance.

Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct and the
amount shown is due and owing, and the applicant requests that a replacement

manic! be issued to him/her in the sum of $ $727.71 . (3)

Signed: nafey Faby a (4)

1
Print name (nuired) Timothy Edwards

(5) hd, and sworn h before me this are S dayofs Wne 20 ZG

T
LIC ;
' Abbey R. Nichols

(e My Commission Expires |
11/22/2026
4 \e z Notary 1D 134077201

——

ission expires:
(seal)

Note: Please attach a copy of the warrant/check if available and/or any other evidence
that a warrant/check was originally issued.

Warrant/Check Number z.
(if known) (6) 3700908743 ft
Original Date of Issue
9 (if known) (7) 9/25/2025 j 7/02/26

Reason for original issue of Warrant/Check (8):
O Payroll

& For Services or Goods furnished
O Other:

S:\FinanceDesk\Schoo!s-Warrants Checks notice of claim.docx
Revised May 2025 A.R.S. 11-632 & 15-999