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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office qn tol . RECEIVED siti. a ° cm TO: CLERK OF THE BOARD MAY 9.1 2021 FROM: Terri Ysaguirre MARICOPA COUNT CLERK BOARD OF SUPERVISORS SUBJECT: Affidavits - Replacement of Lost Warrants DATE: 5/21/2021 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. #44 Avondale Elementary Monique Escobedo $120.00 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. Mw C7 ExXCofe Le-(A), being first sworn, upon oath deposes and says: Name/Clapnant ~ 05/14/2020 On or about (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 jssued to him/her in the sum of $ 120.00 £3) 74 Liou Ve sre (4) e sworn to before me this _“\s«—_ day of WX 2041, L all \ NOTARY PUBS ALEXANDRA TELLEZ My commission expires: Notary Public - Arizona Maricopa County 9544/2090 (, 1%] 222d Commission # 563269 LeSy My Comm. Expires Jun 3, 2023 (seal) ne met 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 ev Numb iton (On [3700315903 Original aM f icon _|05/14/2020 Reason for original issue of Warrant/Check (8): L] Payroll O For Services or Goods furnished Refund of Before & After School Program payment jl Other: Refund of Before & After School Program payment 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 5/19/2021 Avondale Elementary School District Mail - Fwd: Refund check -Escobedo .. Barbara DeWall < > Fwd: Refund check -Escobedo 2 messages Cathy Ortega < > Wed, May 19, 2021 at 2:37 PM To: Barbara DeWall < > Hi Barbara, Ms. Escobedo just sent the email below. Will this be sufficient? Please let me know. AAPONDALE Elementary School District Cathy Ortega yunizy Education § @aesapreschool Avondale Elementary School District #44 Avondale, AZ 85323 P: 623- E: W: F: 623- Tell 5 1 17 6 1 2 254 1751 44 19 96.333244 me 5 1 17 6 1 3 311 1741 61 30 96.333244 and 5 1 17 6 1 4 380 1743 16 27 95.788132 I 5 1 17 6 1 5 396 1741 107 38 95.788132 forget. 5 1 17 6 1 6 521 1741 92 30 96.706139 Teach 5 1 17 6 1 7 626 1751 45 19 96.223610 me 5 1 17 6 1 8 683 1741 64 29 96.009460 and 5 1 17 6 1 9 754 1742 16 28 96.009460 I 5 1 17 6 1 10 779 1741 164 29 96.071472 remember. 5 1 17 6 1 11 958 1741 120 29 95.745262 Involve 5 1 17 6 1 12 1090 1751 45 19 96.012413 me 5 1 17 6 1 13 1148 1741 62 29 96.447495 and 5 1 17 6 1 14 1218 1742 15 28 91.445084 I 5 1 17 6 1 15 1242 1741 112 29 92.159950 learn. ~ Benjamin Franklin woseeesene Forwarded message --------- From: Monique Escobedo < > Date: Wed, May 19, 2021 at 2:23 PM Subject: Refund check To: < > | Monique Escobedo is writing in regards to the refund check issued to me from the ACE program. | did receive the refund check but the spelling of my name was incorrect and was not able to cash it however in the process of trying to get , resolved and reissued | was moving and | misplaced the refund check. | am the authorized person who signed the affidavit given to the Avondale district. Sincerely https://mail .google.com/mail/u/0?ik=8e03ae5837 &view=pt&search=all & permthid=thread-f%3 A 1700224296737353017&simpl=msg-f%3A 1700224296737353017... 1/2 5/19/2021 Avondale Elementary Schoo! District Mail - Fwd: Refund check -Escobedo _ Monique Escobedo Barbara DeWall < > Wed, May 19, 2021 at 3:35 PM To: Cathy Ortega < > This is perfect. Thank you! I'll get it right over to the County, and they'll be able to process a new check, with the proper spelling, for Ms. Escobedo. Thanks, Barbara Barbara DeWall Business Manager Avondale Elementary School District #44 | ., Avondale, AZ 85323 | Office: Please remember: requisition cut off dates for FY21: Fund 610: Friday, January 29, 2021 | All other requisitions: Friday, April 16, 2021 [Quoted text hidden] https://mail.google.com/mail/u/07ik=8e03ae5837 &view=pt&search=all &permthid=thread-£%3A 1700224296737353017&simpl=msg-f%3A 1700224296737353017... 2/2