STAMPED & REDACTED CONNECT INTERPRETING AGENCY LLC.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: 4/29/2021 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. 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. #65 Littleton Elementary Connect Interpreting Agency LLC $120.00 | APR 30 2021 MARICOPA COUNTY CLERK BOARD CF SUPERVISORS 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. Connect Interpreting Agency LLC (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 96/05/2020 (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 $ 120.00 (3) x Q enn Signed: (4) (5) swon to before methis_ | dayof ACALL 2921. a A NOTARY PUBLIC JORDAN ROAN Notary Public - Arizona My commission expires: Maricopa County Commission # 582198 0724 [tozy +” my Comm. Expires Feb 28, 2024 (seal) 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 Number STON8 28487 Date of issue 04/30/2021 Original 06/05/2020 = (if known) (7) Reason for original issue of Warrant/Check (8): [J Payroll ™@ For Services or Goods furnished interpreting services O Other: interpreting services 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 Littleton Elementary School District #65 Beth Brown Connect Interpreting Agency LLC Owner/Interpreter April 21, 2021 To Whom it may concern, This letter is to verify as of April 21, 2021 that Beth Brown is the sole owner and operator of Connect Interpreting Agency and is the only authorized signer for the affidavit for the lost check of $120 warrant #3700323497 dated 06/05/20. If there are any questions, please contact me personally. Thank you, Sincerely, Beth Brown Owner/Interpreter ogether one interpreter at a time, PHONE EMAIL IOENIX, ARIZ THIS INTEREST WARRANT STO PS DRAWS ON INTER h EST FROM DATE MARKED “INSUFFICIENT FUNDS* DATE FUNDS AVAILABLE. (SEC 11- 636, ARS1956) - < | -06/05/2 020 | LITTLETON ELEMENTARY SCHOOL DISTRICT 65825878 #65: PAY - *One Hundred Twenty and Doilars ARRAN AMDONT. oo/190 $420.00. TO «CONNECT INTERPRETING AGENCY Ty vob AFTER 365 DAYS LL THE oS _HIGLEY AZ 86236 re MARICOPA COU NTY SCHOOLS 06/05/2020 Check: - . PHOENIX, ARIZONA 65825078 EXPENSE" _ AP 20200605 CONNECT INTERPRETING AGENCY Lb 3700323497 | Payee | | 06/05/2020 | | Account Number PO | Check Date | | Number Invoice Amount : 200842 5607 120.00 VOUCHER: 1128 TOTAL: HARLAND CLARKE 422699 90325231 $120.00