STAMPED & REDACTED JULIE SCHNEPP 2.PDF

INTEROFFICE MEMORANDUM
~
Maricopa County Schools Superintendent Office
TO: CLERK OF THE BOARD.
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 7/15/2021
Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next
available Board agenda
Vv The attached item(s) have been researched to ensure that the warrant(s) in question have
not been cashed or previously re-issued.
Vv The original warrant(s) have had a stop payment done.
If you have any questions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at
terri.ysaguirre@maricopa.gov. Approved Affidavits may be routed back to the Superintendent
of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor)
Thank you.
#79 Litchfield Elementary Julie Schnepp $136.51 YW
#79 Litchfield Elementary Julie Schnepp $77.25
RECEIVED
At
JUL 16 2024
f
i pur BAM hd ERVISORS
SLERK BOARD OF SUP

Schools Affidavit/Claim Form
Application for a Duplicate Warrant/Check (definitions are on page 2)
STATE OF ARIZONA PRA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARIG@PAE) Instruction sheet which is page 2 of this form.
Julie Schnepp (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 05/18/21 (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
136.51
warrant/check be issued to him/her in the sum of ¢ (3)
Signed: mA LV (4)
ay
(5) = to SHO. day of Jy 20.Al .
Wa Se
NOTARY PUBLIC
Commonwealth of Pennsylvania - Notary Seal
Deborah Kernohan, Notary Public
My commission expires: Erie County
U 0 “A a My commission ___ expires September 4, 2024 (seal) |
f } Commission number 1377559
Member,Pennsylvania Association of Notaries.
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 1370Q425666/79740665
|
Date of Issue 05/18 12021
Original
___(if known) (7) ere ere oe
Reason for original issue of Warrant/Check (8):
C1 Payroll
f=) For Services or Goods furnished 07/16/2021
:
C1 Other:
S:\PROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Schools\Schools-Warrants Unecks nouce oF Crait.due
Revised June 2015 A.R.S, 11-632 & 15-999

MARICOPA COUNTY SCHOOL SUPERINTENDENT
301 W. JEFFERSON, SUITE 660
PHOENIX, AZ 85003
TO: PAYROLL - ACCOUNTS PAYABLE
PLEASE STOP PAYMENT AND REISSUE THE FOLLOWING WARRANT:
04
DISTRICT NUMBER:
STOR PAYMENT: Nate Eribe_
puone#: EXT:
WARRANTNUMBER: 37 - 025 ely WARRANT DATE: 22 J_/8 | 202/
(prefix) (number) (mm) (dd) (yy)
Ach Ji /; é-
PAYABLE TO: NPP /
AMOUNT: F [Blas |
fol VOUCHER No: 2229 _
FUND NO:
|
CHECK ONE: EXPENSE PAYROLL
REASON FOR STOP:
Check Leet ww maw - Plas€ eiss4 €.
= —s r r
(LOST, DESTROYED, ETC.)
ONE ORIGINAL AFFIDAVIT AND ONE COPY OF THE AFFIDAVIT ARE ATTACHED. PLEASE
ISSUE A REPLACEMENT WARRANT.
(FOR COUNTY USE ONLY)
STATUS VERIFIED:
STOP DATE: REPLACED:
STOP VERIFIED: WARRANT #:
AFFIDAVIT SENT:
AFFIDAVIT APPROVED:
RECONS RETURNED: STOP PREPAID
H:\Work\LOST WARRANT STOP-REISSUE COVER SHEET.Doc