STAMPED DOLORES ANGELA PERKINSON.PDF
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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits - Replacement of Lost Warrants DATE: 6/17/2021 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. #95 Queen Creek Unified Dolores Angela Perkinson $568.30 AE _ RECEIVED JUN 18 2021 (Qu COUNTY MI Coe SUPERVISORS BOARD © CLERK Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (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. LONE! a \ 1), being first sworn, upon oath deposes and says: ame/Claiman On or about (ol \\ a\ (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 warrant/check be issued to him/her‘in the sum of $ a) (of: 30 (3) Dabo Signed: De Peal MDA” WNSI7v2\ (4) V ; (5) Subscribed and sworn to before me this __/ Ss day of Tu ne 20.2.1. Liprtchen- Sd ae NOTARY PUBLIC ou CYNTHIA SKORO > Notary Public - State of Arizona E PINAL 5 1 24 1 1 3 1751 1757 112 70 95.878937 COUNTY 4 1 24 1 2 0 1436 1812 462 46 -1 5 1 24 1 2 1 1436 1819 34 39 45.154076 oN 5 1 24 1 2 2 1539 1826 25 30 46.400665 &/ 5 1 24 1 2 3 1611 1820 159 28 75.196869 Commission 5 1 24 1 2 4 1778 1820 17 23 92.916466 # 5 1 24 1 2 5 1803 1812 95 40 95.896599 598188 4 1 24 1 3 0 1446 1833 481 53 -1 5 1 24 1 3 1 1446 1833 104 44 29.502090 Ce 5 1 24 1 3 2 1585 1856 97 30 85.979668 Expires 5 1 24 1 3 3 1690 1853 116 28 95.830460 February 5 1 24 1 3 4 1816 1851 37 26 92.443558 10, 5 1 24 1 3 5 1862 1849 65 25 92.443558 2025 2 1 25 0 0 0 1414 1721 165 161 -1 3 1 25 1 0 0 1414 1721 165 161 -1 4 1 25 1 1 0 1414 1721 165 161 -1 5 1 25 1 1 1 1414 1721 165 161 95.000000 2 1 26 0 0 0 420 1809 498 97 -1 3 1 26 1 0 0 420 1809 498 97 -1 4 1 26 1 1 0 420 1809 498 46 -1 5 1 26 1 1 1 420 1809 57 46 96.889122 My 5 1 26 1 1 2 494 1808 244 37 96.453438 commission 5 1 26 1 1 3 757 1807 161 46 96.004211 expires: 4 1 26 1 2 0 492 1850 345 56 -1 5 1 26 1 2 1 492 1854 135 52 32.026245 2/10 5 1 26 1 2 2 642 1850 195 55 32.026245 fas 2 1 27 0 0 0 1929 1691 7 203 -1 3 1 27 1 0 0 1929 1691 7 203 -1 4 1 27 1 1 0 1929 1691 7 203 -1 5 1 27 1 1 1 1929 1691 7 203 95.000000 2 1 28 0 0 0 2073 1863 96 40 -1 3 1 28 1 0 0 2073 1863 96 40 -1 4 1 28 1 1 0 2073 1863 96 40 -1 5 1 28 1 1 1 2073 1863 96 40 95.831230 (seal) 2 1 29 0 0 0 1410 1884 528 22 -1 3 1 29 1 0 0 1410 1884 528 22 -1 4 1 29 1 1 0 1410 1884 528 22 -1 5 1 29 1 1 1 1410 1884 528 22 95.000000 2 1 30 0 0 0 1406 1704 13 204 -1 3 1 30 1 0 0 1406 1704 13 204 -1 4 1 30 1 1 0 1406 1704 13 204 -1 5 1 30 1 1 1 1406 1704 13 204 95.000000 2 1 31 0 0 0 416 1903 607 7 -1 3 1 31 1 0 0 416 1903 607 7 -1 4 1 31 1 1 0 416 1903 607 7 -1 5 1 31 1 1 1 416 1903 607 7 95.000000 2 1 32 0 0 0 2271 1460 15 502 -1 3 1 32 1 0 0 2271 1460 15 502 -1 4 1 32 1 1 0 2271 1460 15 502 -1 5 1 32 1 1 1 2271 1460 15 502 95.000000 2 1 33 0 0 0 313 1948 1972 24 -1 3 1 33 1 0 0 313 1948 1972 24 -1 4 1 33 1 1 0 313 1948 1972 24 -1 5 1 33 1 1 1 313 1948 1972 24 95.000000 2 1 34 0 0 0 420 2031 1814 110 -1 3 1 34 1 0 0 420 2031 1814 110 -1 4 1 34 1 1 0 420 2031 1814 54 -1 5 1 34 1 1 1 420 2042 133 36 87.874397 Note. 5 1 34 1 1 2 580 2039 137 38 96.373627 Please 5 1 34 1 1 3 743 2038 132 39 96.675377 attach 5 1 34 1 1 4 902 2048 25 28 96.000755 a 5 1 34 1 1 5 955 2047 103 38 96.031784 copy 5 1 34 1 1 6 1081 2037 52 38 96.031784 of 5 1 34 1 1 7 1152 2036 69 38 93.284546 the 5 1 34 1 1 8 1251 2035 302 45 92.464462 warrant/check 5 1 34 1 1 9 1576 2034 37 38 87.714066 if 5 1 34 1 1 10 1630 2033 186 39 96.553947 available 5 1 34 1 1 11 1843 2032 147 45 94.838249 and/or 5 1 34 1 1 12 2012 2041 82 38 95.980278 any 5 1 34 1 1 13 2117 2031 117 38 97.004105 other 4 1 34 1 2 0 421 2092 1105 49 -1 5 1 34 1 2 1 421 2097 189 39 96.321671 evidence 5 1 34 1 2 2 625 2096 87 39 96.683983 that 5 1 34 1 2 3 722 2106 25 28 93.244827 a 5 1 34 1 2 4 765 2094 303 47 92.327522 warrant/check 5 1 34 1 2 5 1083 2104 83 28 96.301933 was 5 1 34 1 2 6 1179 2093 195 48 96.690941 originally 5 1 34 1 2 7 1384 2092 142 39 94.758163 issued. 2 1 35 0 0 0 321 2190 1943 13 -1 3 1 35 1 0 0 321 2190 1943 13 -1 4 1 35 1 1 0 321 2190 1943 13 -1 5 1 35 1 1 1 321 2190 1943 13 95.000000 2 1 36 0 0 0 345 2211 1154 86 -1 3 1 36 1 0 0 345 2211 1154 86 -1 4 1 36 1 1 0 345 2211 1154 86 -1 5 1 36 1 1 1 345 2212 319 61 87.049286 Warrant/Check 5 1 36 1 1 2 681 2211 166 39 55.660366 Number 5 1 36 1 1 3 912 2200 26 98 58.556213 | 5 1 36 1 1 4 958 2221 106 73 52.058102 21 5 1 36 1 1 5 1076 2226 140 56 18.326559 OOU 5 1 36 1 1 6 1229 2228 147 64 45.156540 Qa 5 1 36 1 1 7 1391 2239 108 58 54.196568 DQ 2 1 37 0 0 0 514 2267 219 36 -1 3 1 37 1 0 0 514 2267 219 36 -1 4 1 37 1 1 0 514 2267 219 36 -1 5 1 37 1 1 1 514 2268 34 35 96.862442 (if 5 1 37 1 1 2 560 2268 115 34 96.394730 known) 5 1 37 1 1 3 689 2267 44 35 96.844772 (6) 2 1 38 0 0 0 321 2294 1943 12 -1 3 1 38 1 0 0 321 2294 1943 12 -1 4 1 38 1 1 0 321 2294 1943 12 -1 5 1 38 1 1 1 321 2294 1943 12 95.000000 2 1 39 0 0 0 321 2201 3 208 -1 3 1 39 1 0 0 321 2201 3 208 -1 4 1 39 1 1 0 321 2201 3 208 -1 5 1 39 1 1 1 321 2201 3 208 95.000000 2 1 40 0 0 0 2261 2190 3 173 -1 3 1 40 1 0 0 2261 2190 3 173 -1 4 1 40 1 1 0 2261 2190 3 173 -1 5 1 40 1 1 1 2261 2190 3 173 95.000000 2 1 41 0 0 0 921 2197 4 210 -1 3 1 41 1 0 0 921 2197 4 210 -1 4 1 41 1 1 0 921 2197 4 210 -1 5 1 41 1 1 1 921 2197 4 210 95.000000 2 1 42 0 0 0 321 2401 1127 8 -1 3 1 42 1 0 0 321 2401 1127 8 -1 4 1 42 1 1 0 321 2401 1127 8 -1 5 1 42 1 1 1 321 2401 1127 8 95.000000 2 1 43 0 0 0 346 2315 1837 424 -1 3 1 43 1 0 0 346 2315 1837 424 -1 4 1 43 1 1 0 346 2315 461 48 -1 5 1 43 1 1 1 346 2316 160 47 96.393257 Original 5 1 43 1 1 2 527 2318 95 35 95.948784 Date 5 1 43 1 1 3 639 2315 43 38 96.633385 of 5 1 43 1 1 4 696 2317 111 36 96.633385 Issue 4 1 43 1 2 0 514 2323 698 97 -1 5 1 43 1 2 1 514 2371 34 35 96.603516 (if 5 1 43 1 2 2 560 2370 115 35 96.627708 known) 5 1 43 1 2 3 689 2370 45 35 95.311981 (7) 5 1 43 1 2 4 973 2325 79 95 0.000000 | 5 1 43 1 2 5 1072 2351 9 33 81.721359 \ 5 1 43 1 2 6 1110 2323 67 85 0.000000 (3. 5 1 43 1 2 7 1199 2346 13 45 92.812904 \ 4 1 43 1 3 0 348 2464 998 50 -1 5 1 43 1 3 1 348 2470 150 37 96.474548 Reason 5 1 43 1 3 2 516 2468 59 38 96.615135 for 5 1 43 1 3 3 591 2467 151 47 96.193718 original 5 1 43 1 3 4 762 2468 104 37 96.612862 issue 5 1 43 1 3 5 883 2466 42 38 93.277931 of 5 1 43 1 3 6 938 2464 318 46 92.527664 Warrant/Check 5 1 43 1 3 7 1273 2464 73 48 96.394791 (8): 4 1 43 1 4 0 420 2504 1763 70 -1 5 1 43 1 4 1 420 2513 49 56 0.000000 & 5 1 43 1 4 2 493 2525 136 49 92.542480 Payroll 5 1 43 1 4 3 1888 2504 295 47 96.930405 06/18/2021 4 1 43 1 5 0 421 2582 1465 70 -1 5 1 43 1 5 1 421 2616 36 36 38.966148 1 5 1 43 1 5 2 494 2615 66 36 95.758034 For 5 1 43 1 5 3 576 2614 171 37 96.258865 Services 5 1 43 1 5 4 764 2622 43 28 96.448181 or 5 1 43 1 5 5 823 2611 129 39 96.885674 Goods 5 1 43 1 5 6 969 2610 196 39 96.540352 furnished 5 1 43 1 5 7 1868 2582 18 10 7.844858 é 4 1 43 1 6 0 422 2700 201 39 -1 5 1 43 1 6 1 422 2703 35 36 38.601273 C1) 5 1 43 1 6 2 492 2700 131 39 96.514610 Other: 2 1 44 0 0 0 641 2736 807 9 -1 3 1 44 1 0 0 641 2736 807 9 -1 4 1 44 1 1 0 641 2736 807 9 -1 5 1 44 1 1 1 641 2736 807 9 95.000000 2 1 45 0 0 0 346 2931 1844 72 -1 3 1 45 1 0 0 346 2931 1844 72 -1 4 1 45 1 1 0 346 2931 1544 38 -1 5 1 45 1 1 1 346 2938 373 31 91.545769 S:\PROCESSES\Warrants 5 1 45 1 1 2 706 2927 16 46 88.297852 - 5 1 45 1 1 3 732 2937 129 32 96.988335 Duplicate 5 1 45 1 1 4 872 2943 28 19 91.804619 or 5 1 45 1 1 5 911 2936 115 30 82.484039 Stale\02 5 1 45 1 1 6 1039 2934 464 32 91.666473 Forms\Schools\Schools-Warrants 5 1 45 1 1 7 1514 2933 98 26 97.000748 Checks 5 1 45 1 1 8 1624 2933 83 25 96.836296 notice 5 1 45 1 1 9 1718 2932 30 25 93.282288 of 5 1 45 1 1 10 1757 2931 133 26 91.725021 claim.doc 4 1 45 1 2 0 347 2968 1843 35 -1 5 1 45 1 2 1 347 2977 107 26 96.738007 Revised 5 1 45 1 2 2 465 2978 67 25 96.256371 June 5 1 45 1 2 3 544 2977 67 25 96.256371 2015 5 1 45 1 2 4 1852 2970 84 25 73.153412 A.R.S. 5 1 45 1 2 5 1952 2969 96 26 91.517494 11-632 5 1 45 1 2 6 2061 2969 21 25 91.517494 & 5 1 45 1 2 7 2094 2968 96 26 96.491760 15-999