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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: 6/21/2021 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. lf 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. #65 Littleton Elementary Thanh P Dang $741.94 RECEIVED (AF JUN 92 202). ‘ MARICOPA COUNTY CLERK BOARD OF SUPERVISORS Schools Affidavit/Claim Form Application for a Duplicate Warrant/ Check (definitions are on page 2) os 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. mi PD . : mma\eta\a CA of (1), being first sworn, upon oath. deposes and says: On or about Sol, \'o VYOCQO (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 $ 77/, 7 (3) Signed: — LP | (4) (5) Subscribed and sworn to before me this__/5 day of _~/ Uvie WV aww D Arey NOTARY PUBLIC 5 1 20 1 1 4 1172 1727 28 42 18.374939 U 2 1 21 0 0 0 930 1399 1018 79 -1 3 1 21 1 0 0 930 1399 1018 79 -1 4 1 21 1 1 0 930 1399 1018 79 -1 5 1 21 1 1 1 930 1399 1018 79 95.000000 2 1 22 0 0 0 2006 1502 338 147 -1 3 1 22 1 0 0 2006 1502 338 147 -1 4 1 22 1 1 0 2006 1502 338 147 -1 5 1 22 1 1 1 2006 1502 338 147 95.000000 2 1 23 0 0 0 1760 1587 507 41 -1 3 1 23 1 0 0 1760 1587 507 41 -1 4 1 23 1 1 0 1760 1587 507 41 -1 5 1 23 1 1 1 1760 1587 507 41 95.000000 2 1 24 0 0 0 301 1502 162 531 -1 3 1 24 1 0 0 301 1502 162 531 -1 4 1 24 1 1 0 308 1502 124 147 -1 5 1 24 1 1 1 308 1502 124 147 95.000000 4 1 24 1 2 0 304 1649 31 115 -1 5 1 24 1 2 1 304 1649 31 115 95.000000 4 1 24 1 3 0 301 1764 34 174 -1 5 1 24 1 3 1 301 1764 34 174 95.000000 4 1 24 1 4 0 301 1938 162 95 -1 5 1 24 1 4 1 301 1938 162 95 95.000000 2 1 25 0 0 0 423 1662 1599 120 -1 3 1 25 1 0 0 423 1662 1599 120 -1 4 1 25 1 1 0 423 1662 1599 120 -1 5 1 25 1 1 1 423 1662 1599 120 95.000000 2 1 26 0 0 0 1286 1762 532 51 -1 3 1 26 1 0 0 1286 1762 532 51 -1 4 1 26 1 1 0 1286 1762 532 51 -1 5 1 26 1 1 1 1286 1762 532 51 95.000000 2 1 27 0 0 0 1344 1803 457 131 -1 3 1 27 1 0 0 1344 1803 457 131 -1 4 1 27 1 1 0 1485 1803 305 29 -1 5 1 27 1 1 1 1485 1803 144 29 92.047516 MARIA 5 1 27 1 1 2 1596 1799 36 42 90.086304 D. 5 1 27 1 1 3 1640 1803 150 29 95.490410 KRIEGER 4 1 27 1 2 0 1344 1836 457 49 -1 5 1 27 1 2 1 1344 1837 72 48 1.362419 REN 5 1 27 1 2 2 1465 1836 72 39 94.893288 Notary 5 1 27 1 2 3 1546 1836 62 39 88.817070 Public 5 1 27 1 2 4 1616 1853 8 6 88.817070 - 5 1 27 1 2 5 1634 1836 49 39 96.636551 State 5 1 27 1 2 6 1693 1836 23 39 96.636551 of 5 1 27 1 2 7 1725 1836 76 39 96.529678 Arizona 4 1 27 1 3 0 1354 1875 422 33 -1 5 1 27 1 3 1 1354 1885 46 21 45.356636 arse) 5 1 27 1 3 2 1437 1882 14 26 39.506371 |r) 5 1 27 1 3 3 1490 1864 156 48 58.371586 MARICOPA 5 1 27 1 3 4 1662 1864 114 48 75.699417 COUNTY 4 1 27 1 4 0 1394 1901 386 33 -1 5 1 27 1 4 1 1394 1901 49 18 0.000000 49 5 1 27 1 4 2 1491 1908 289 26 68.612190 Commission 5 1 27 1 4 3 1660 1897 16 47 93.222603 # 5 1 27 1 4 4 1687 1908 93 26 79.171928 597013 2 1 28 0 0 0 421 1859 1794 126 -1 3 1 28 1 0 0 421 1859 1794 126 -1 4 1 28 1 1 0 421 1859 1010 66 -1 5 1 28 1 1 1 421 1859 35 41 96.688347 My 5 1 28 1 1 2 500 1859 248 43 96.083435 commission 5 1 28 1 1 3 766 1861 167 51 96.246086 expires: 5 1 28 1 1 4 1420 1911 11 14 86.968346 } 4 1 28 1 2 0 1414 1928 801 57 -1 5 1 28 1 2 1 1414 1928 19 5 70.734406 7” 5 1 28 1 2 2 1457 1924 105 57 77.991867 “Expires 5 1 28 1 2 3 1576 1924 105 57 95.383926 February 5 1 28 1 2 4 1695 1941 38 28 95.713181 01, 5 1 28 1 2 5 1747 1924 60 57 95.713181 2025 5 1 28 1 2 6 2114 1940 101 45 94.695114 (seal) 2 1 29 0 0 0 463 1912 462 81 -1 3 1 29 1 0 0 463 1912 462 81 -1 4 1 29 1 1 0 463 1912 462 51 -1 5 1 29 1 1 1 463 1912 230 50 19.282398 coruaruy, 5 1 29 1 1 2 721 1918 62 45 87.990158 0(, 5 1 29 1 1 3 801 1919 124 38 34.620316 ZO25 4 1 29 1 2 0 666 1968 14 25 -1 5 1 29 1 2 1 666 1968 14 25 27.180395 ¢ 2 1 30 0 0 0 2311 1537 39 502 -1 3 1 30 1 0 0 2311 1537 39 502 -1 4 1 30 1 1 0 2311 1537 39 502 -1 5 1 30 1 1 1 2311 1537 39 502 95.000000 2 1 31 0 0 0 1802 1782 24 205 -1 3 1 31 1 0 0 1802 1782 24 205 -1 4 1 31 1 1 0 1802 1782 24 205 -1 5 1 31 1 1 1 1802 1782 24 205 95.000000 2 1 32 0 0 0 1299 1808 156 158 -1 3 1 32 1 0 0 1299 1808 156 158 -1 4 1 32 1 1 0 1299 1808 156 158 -1 5 1 32 1 1 1 1299 1808 156 158 95.000000 2 1 33 0 0 0 1277 1783 25 209 -1 3 1 33 1 0 0 1277 1783 25 209 -1 4 1 33 1 1 0 1277 1783 25 209 -1 5 1 33 1 1 1 1277 1783 25 209 95.000000 2 1 34 0 0 0 925 1938 1404 95 -1 3 1 34 1 0 0 925 1938 1404 95 -1 4 1 34 1 1 0 2310 1938 9 50 -1 5 1 34 1 1 1 2310 1938 9 50 95.000000 4 1 34 1 2 0 925 1988 1404 45 -1 5 1 34 1 2 1 925 1988 1404 45 95.000000 2 1 35 0 0 0 1287 1956 531 55 -1 3 1 35 1 0 0 1287 1956 531 55 -1 4 1 35 1 1 0 1287 1956 531 55 -1 5 1 35 1 1 1 1287 1956 531 55 95.000000 2 1 36 0 0 0 413 1938 624 54 -1 3 1 36 1 0 0 413 1938 624 54 -1 4 1 36 1 1 0 413 1938 624 54 -1 5 1 36 1 1 1 413 1938 624 54 95.000000 2 1 37 0 0 0 411 2102 1863 119 -1 3 1 37 1 0 0 411 2102 1863 119 -1 4 1 37 1 1 0 411 2102 1863 67 -1 5 1 37 1 1 1 411 2104 142 42 95.089195 Note. 5 1 37 1 1 2 578 2102 141 45 95.828194 Please 5 1 37 1 1 3 743 2105 136 43 78.276558 attach 5 1 37 1 1 4 905 2115 29 34 96.254578 a 5 1 37 1 1 5 960 2116 109 43 96.498695 copy 5 1 37 1 1 6 1092 2106 55 43 96.343956 of 5 1 37 1 1 7 1165 2106 71 43 92.405037 the 5 1 37 1 1 8 1265 2107 316 51 92.177536 warrant/check 5 1 37 1 1 9 1602 2108 40 43 88.457718 if 5 1 37 1 1 10 1657 2108 192 46 0.000000 available 5 1 37 1 1 11 1875 2113 151 51 94.874573 and/or 5 1 37 1 1 12 2047 2126 85 43 95.554573 any 5 1 37 1 1 13 2154 2118 120 44 96.359360 other 4 1 37 1 2 0 411 2163 1138 58 -1 5 1 37 1 2 1 411 2163 198 44 96.597046 evidence 5 1 37 1 2 2 621 2164 91 44 96.088280 that 5 1 37 1 2 3 719 2175 28 33 92.378342 a 5 1 37 1 2 4 763 2166 317 51 92.055092 warrant/check 5 1 37 1 2 5 1092 2177 86 33 96.984421 was 5 1 37 1 2 6 1189 2167 204 54 94.504784 originally 5 1 37 1 2 7 1400 2168 149 44 36.221390 Issued. 2 1 38 0 0 0 301 2202 1996 148 -1 3 1 38 1 0 0 301 2202 1996 148 -1 4 1 38 1 1 0 301 2202 1996 148 -1 5 1 38 1 1 1 301 2202 1996 148 95.000000 2 1 39 0 0 0 326 2285 1321 100 -1 3 1 39 1 0 0 326 2285 1321 100 -1 4 1 39 1 1 0 326 2285 1321 100 -1 5 1 39 1 1 1 326 2285 332 51 91.893570 Warrant/Check 5 1 39 1 1 2 673 2287 172 43 96.600784 Number 5 1 39 1 1 3 1009 2321 260 63 55.008804 2700 5 1 39 1 1 4 1293 2331 169 54 61.177025 BS 5 1 39 1 1 5 1468 2327 113 58 61.177025 34V 5 1 39 1 1 6 1591 2324 56 59 57.031242 Me 2 1 40 0 0 0 503 2344 224 38 -1 3 1 40 1 0 0 503 2344 224 38 -1 4 1 40 1 1 0 503 2344 224 38 -1 5 1 40 1 1 1 503 2344 36 36 95.687584 (if 5 1 40 1 1 2 549 2344 118 37 95.687584 known) 5 1 40 1 1 3 680 2345 47 37 96.871658 (6) 2 1 41 0 0 0 323 2395 1343 103 -1 3 1 41 1 0 0 323 2395 1343 97 -1 4 1 41 1 1 0 323 2395 1032 45 -1 5 1 41 1 1 1 323 2395 172 44 96.232140 Original 5 1 41 1 1 2 512 2396 101 43 96.403862 Date 5 1 41 1 1 3 628 2396 45 43 96.793365 of 5 1 41 1 1 4 686 2397 115 43 96.914604 Issue 5 1 41 1 1 5 1317 2428 38 10 70.588715 _ 4 1 41 1 2 0 390 2401 1276 97 -1 5 1 41 1 2 1 390 2405 26 44 53.594494 a 5 1 41 1 2 2 499 2454 37 37 92.124237 (if 5 1 41 1 2 3 557 2436 104 62 96.300751 known) 5 1 41 1 2 4 677 2455 47 37 96.956604 (7) 5 1 41 1 2 5 1119 2401 32 95 57.198555 qG 5 1 41 1 2 6 1184 2447 25 8 66.177170 - 5 1 41 1 2 7 1241 2431 80 56 53.884300 JS 5 1 41 1 2 8 1380 2439 286 53 14.593344 -QVVIO 2 1 42 0 0 0 298 2311 1995 150 -1 3 1 42 1 0 0 298 2311 1995 150 -1 4 1 42 1 1 0 298 2311 1995 150 -1 5 1 42 1 1 1 298 2311 1995 150 95.000000 2 1 43 0 0 0 2283 2289 18 225 -1 3 1 43 1 0 0 2283 2289 18 225 -1 4 1 43 1 1 0 2283 2289 18 225 -1 5 1 43 1 1 1 2283 2289 18 225 95.000000 2 1 44 0 0 0 912 2275 19 225 -1 3 1 44 1 0 0 912 2275 19 225 -1 4 1 44 1 1 0 912 2275 19 225 -1 5 1 44 1 1 1 912 2275 19 225 95.000000 2 1 45 0 0 0 292 2272 19 226 -1 3 1 45 1 0 0 292 2272 19 226 -1 4 1 45 1 1 0 292 2272 19 226 -1 5 1 45 1 1 1 292 2272 19 226 95.000000 2 1 46 0 0 0 294 2420 1997 151 -1 3 1 46 1 0 0 294 2420 1997 151 -1 4 1 46 1 1 0 294 2420 1997 151 -1 5 1 46 1 1 1 294 2420 1997 151 95.000000 2 1 47 0 0 0 320 2557 1849 208 -1 3 1 47 1 0 0 320 2557 1849 208 -1 4 1 47 1 1 0 320 2557 1032 57 -1 5 1 47 1 1 1 320 2560 106 41 0.000000 Reasg@n 5 1 47 1 1 2 498 2557 62 44 96.997536 for 5 1 47 1 1 3 575 2558 154 53 96.284500 original 5 1 47 1 1 4 748 2560 108 42 96.586823 issue 5 1 47 1 1 5 872 2560 46 42 92.910500 of 5 1 47 1 1 6 929 2560 330 51 92.558914 Warrant/Check 5 1 47 1 1 7 1275 2561 77 53 96.615463 (8): 4 1 47 1 2 0 471 2619 142 61 -1 5 1 47 1 2 1 471 2619 142 61 96.707550 Payroll 4 1 47 1 3 0 392 2686 1777 79 -1 5 1 47 1 3 1 392 2713 41 42 0.000000 CD 5 1 47 1 3 2 468 2713 71 41 95.748886 For 5 1 47 1 3 3 554 2711 176 44 96.260948 Services 5 1 47 1 3 4 746 2723 46 33 96.842155 or 5 1 47 1 3 5 806 2714 135 43 95.595879 Goods 5 1 47 1 3 6 958 2714 204 44 96.712433 furnished 5 1 47 1 3 7 1885 2686 284 79 62.226067 96/22/2021 2 1 48 0 0 0 389 2803 213 44 -1 3 1 48 1 0 0 389 2803 213 44 -1 4 1 48 1 1 0 389 2803 213 44 -1 5 1 48 1 1 1 389 2805 42 42 11.543369 CD 5 1 48 1 1 2 463 2803 139 44 95.727013 Other: 2 1 49 0 0 0 1161 2744 341 34 -1 3 1 49 1 0 0 1161 2744 341 34 -1 4 1 49 1 1 0 1161 2744 341 34 -1 5 1 49 1 1 1 1161 2744 341 34 95.000000 2 1 50 0 0 0 618 2814 884 76 -1 3 1 50 1 0 0 618 2814 884 76 -1 4 1 50 1 1 0 618 2814 884 76 -1 5 1 50 1 1 1 618 2814 884 76 95.000000 2 1 51 0 0 0 303 3055 1895 87 -1 3 1 51 1 0 0 303 3055 1895 87 -1 4 1 51 1 1 0 303 3055 1593 41 -1 5 1 51 1 1 1 303 3055 367 38 84.164406 S:\PROCESSES\Warrants 5 1 51 1 1 2 680 3071 11 6 92.879929 - 5 1 51 1 1 3 704 3057 133 36 96.905945 Duplicate 5 1 51 1 1 4 848 3065 30 23 93.297905 or 5 1 51 1 1 5 888 3059 121 35 87.688385 Stale\02 5 1 51 1 1 6 1021 3059 483 36 92.120438 Forms\Schools\Schools-Warrants 5 1 51 1 1 7 1515 3060 103 31 96.556221 Checks 5 1 51 1 1 8 1628 3062 86 29 95.056068 notice 5 1 51 1 1 9 1724 3061 32 30 92.487640 of 5 1 51 1 1 10 1763 3062 133 34 71.630692 claim.doc 4 1 51 1 2 0 303 3096 1895 46 -1 5 1 51 1 2 1 303 3096 115 32 96.881844 Revised 5 1 51 1 2 2 427 3097 71 30 96.261063 June 5 1 51 1 2 3 508 3096 73 31 96.657043 2015 5 1 51 1 2 4 1855 3106 88 31 0.000000 A.R.S. 5 1 51 1 2 5 1957 3108 98 31 92.708138 11-632 5 1 51 1 2 6 2066 3110 22 30 92.708138 & 5 1 51 1 2 7 2099 3112 99 30 96.635536 15-999