STAMPED & REDACTED MORRISTOWN ELEMENTARY.PDF

INTEROFFICE MEMORANDUM
Maricopa County Schools Superintendent Office
RECEIVED Norra
TO: CLERK OF THE BOARD 0 AN
JUN = 1 1 ¢ 2021 (no
FROM: _ Terri Ysaguirre
MARICOPA COUNTY
SUBJECT: Affidavits ae — Replacement of Lost Warrants CLERK BOARD CF SUPERVISORS
DATE: 5/27/2021
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.
v 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.
#75 Morristown Elementary Shamrock Foods Company $49.01
#75 Morristown Elementary Shamrock Foods Company $166.08
#75 Morristown Elementary Shamrock Foods Company $129.20
#75 Morristown Elementary Shamrock Foods Company $226.36
#75 Morristown Elementary Shamrock Foods Company $231.28
#75 Morristown Elementary Shamrock Foods Company $217.19
#75 Morristown Elementary Shamrock Foods Company $140.83

MORRISTOWN SCHOOL DISTRICT #75
Morristown, Arizona 85342
12
ca tea v \N&_, being first duly sworn, do depose and say that | am a representative of
Shamrock Farms, the entity named as the payee of the following warrants/checks drawn by the
Treasurer of Maricopa County.
3700351110 #5517021 49.01 9/1/2020
3700367995 75517164 166.08 10/27/2020
3700370084 fabtfirg 129.20 11/03/2020
3700374554 75517207 $96 DP a29-96 11/17/2020 Cy
3700380814 75517283 231.28 12/08/2020
3700390799 75517355 217.19 1/14/2021
3700401307 75517435 140.83 2/23/2021
Being still sworn, | further say that the above described checks have not been received or
negotiated by me. The above described check has been lost, and, by this affidavit, lam
requesting that the Morristown ESD, County of Maricopa County place a stop payment on the
above-described checks and issue replacement checks.
| understand that under no circumstances should | present the above-described checks for
payment if it should come into my possession after the filing of this affidavit, and | hereby
indemnify and hold harmless the Morristown Elementary School District form any liability, loss,
expense, or damage which may occur as a result of the issuance of the original check and/or the
replacement check.
Affiant’s Signature } eng
06/02/2021
Sworn to and subscribed before me this QO day of Man 20m | ‘
Notary Public in and My Commission expires
Y-13-2024
Notary Public State of Ariz ie
Maricopa County
Return ORIGINAL NOTARIZED FORM My Annjeanette Commission E: Colligan
Cemmission Number sfoons 3/2024
COs
Morristown ELD #75
Business Services
Wittmann, AZ 85361

MORRISTOWN SCHOOL DISTRICT #75
Morristown
Elementary Morristown, Arizona 85342
For questions, contact:
Gerri-Ann Whigham
(623)

3700351110 Warrant numl
[) Agency “~ Status Warrant number — [ssuedi date Paid date Amount
5075 Stopped 3700351110. 81/2020 2:00:00 am 45,01
Warrant number: 3700351110 wes
Amount Payee Account
SHAMROCK FOODS COMPANYDRAIF’

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“eZ a a f ¥ 370036785 Warrant numb
lv Agency * Status Warrant nurnber — [ssued date Paid date Amount
3079 Stepped 3700367995 Of 27/2020 2:00:00 am 166,08
Werrant number: 2720387525
Amount Payee Account

Warrant numb:
Agency * Status Warrantnumber — [ssued date Paicl date Amount
5075 Stopped 3700370084 1eay2e20 2:00:00 am 129.20
Sarrant number:
Amount Payee Account

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beype Warrant number
fisa
Status Warrant number issued i 1, aA clate Paicl clate Amount es
Stepped 3700374554 117172020 12:00:00 am 226,36
Warrant number: 370037 aT. 4554
Amount Payee i 5, m count
ae Se SHAMROCK FOODS COMPANY DAIF DIVSION

. 2FO0380014 ne tata be aay Warrant numbei
A
Agency * Status Warrant number — lzsuecl clate Paicl cate Amount
305 Stepped 3700380814 over2020 T2000 am 231,28
Warrant numbe OOS ene [4
Amount Payee ye co ceunt
230.28 SHAMROCK FOOBS COMPAN

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Warrant num
A ie ae Status issued clate Paid date Amount
Stepped 20000 am 217,18
Amount Payee
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Warrant number +¥
* Status Warrantnmumber — {ssuecl date Paid date Amount
Stopped 3700401307 2f25f2021 [2:00:00 am 140.23
Warrant number: SEIS x sts 3
Amount Payee Account
146,03 SHAMROCK FOODS COMPA4NYDAIRY ©