STAMPED & REDACTED DESRI V, LLC.PDF

INTEROFFICE MEMORANDUM
Maricopa County Schools Superintendent Office \°
cn
Vow
RECEIVED
TO: CLERK OF THE BOARD MAY 98 2021
FROM: Terri Ysaguirre MARICOPA COUNTY
CLERK BOARD OF Or SUPERVISORS
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 5/27/2021
Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next
available Board agenda
V 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.
#33 Buckeye Elementary Desri V, LLC $65,113.74

Schools Affidavit/ Claim Form
Application for a Duplicate Warrant/Check (definitions are on page 2)
STATE OF NEW YORK Note: Numbers on this form correspond to numbers on the
COUNTY OF NEW YORK Instruction sheet which is page 2 of this form.
DESRI V, LLC (1), being first sworn, upon oath deposes and says:
~~ Name/Claimant
On or about 3/11/21 (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
65,113.74
warrant/check be issued to him/her in the sum of $ (3)
UL
Signed: _(_ ae (4)
(5) Subscribed and sworn to before me this 21st day of _May 20.21.
KJOTARY PUBLIC ite,
My commission expires: an we
Sep 24, 2023 Deere (seal)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issuec'
Warrant/Check Number
33625058 06/02/2021
(if known) (6)
Original Date of Issue -
03/11/21
(if known) (7)
Reason for original issue of Warrant/Check (8):
O Payroll
__S°lar Energy Sales
For Services or Goods furnished
Other: Solar Energy Sales
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S. 11-632 & 15-999

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SER HIE ETE
D. E. Shaw Renewable Investments
May 19, 2021
Alejandrina Trujillo
Buckeye Elementary School District
Buckeye AZ 85326
Re: Authorization
Dear Alejandrina,
This letter is to confirm that Chris Clevenger is authorized to sign for Buckeye Solar LLC.
Thank you
Yours sincerely,
Roam C. Puleallen, ds
Russell Petrella, Jr.
Chief Counsel
New York, NY 10036

Alejandrina Trujillo < >
RE: DESRI February Payment, ref W-3700405220
1 message
Francis, Matt (DESR) < Wed, May 19, 2021 at 12:30 PM
To: Alejandrina Trujillo < >, DESRI
5	1	8	2	2	7	1025	538	49	28	90.165794	AR
5	1	8	2	2	8	1087	537	124	36	25.257393	(World) < >, CJ Beckstrom
#
Hello Alejandrina,
Please see the attached executed check replacement form.
Matt Francis | Associate | D.E. Shaw Renewable Investments | Avenue of the Americas, 9" Fl, | New York, NY 10036 | p:
From: Alejandrina Trujillo < >
Sent: Monday, May 17, 2021 7:03 AM
To: DESRI AR (World) < ; CJ Beckstrom < , >} Francis, Matt (DESRI}
<
Subject: February Payment, ref W-3700405220
This message was sent by an external party.
Good morning,
Please confirm and sign paperwork to start Void/ Replacement process for the check reference above, This is the payment for the
February billing, which was paid with warrant reference 3700405220, ck 33625058, dated 03/11/2021, amount $65,113.74,
Once we receive the signed paperwork, we'll start the replacement check process.
Thank you
oN
BUCKEYE
Alejandrina Trujillo
Accounts Payable
W Durango Street » Buckeye AZ 85326
Phone 623- ext 3441 + Fax 623- * www,
,

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ral MCESA Lost Check Affidavit Template DESRI Chris Clev_EXECUTED.pdf
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