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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: 4/7/2021 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. #401 East Valley Institute of Technology Brittany Boisvert $3,323.00 RECEIVED APR 08 2021 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS TID Mal At Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (eftinitions 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. Yah dia Ver] (1), being first sworn, upon oath deposes and says: MBH yan On or about €¥ (95 [vox | (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, er it was not presented for payment within one year after the date of issuance. Therefore, under penalty of perjury, claimant hereby affirrns that this claim Is correct and the amount shown is due and owing, and the applicant requests that a replacement warrant/check be ised to him/her in the sum of $ 3 Sw dE 3) : eI signed: __f aM (4) (5) 6s acti before me this __&/ & / day of m Avett 2082. NOTARY PUBLIC TIMOTHY LEWIS Notary Pubic - Arizona My commission expires: com Son coun 42 = O5/22 ZY My Commission Exples Mey 22,2024 || (seal) Note. Fliease attach a copy of the warrant/check if available and/or any other evidence that a warrant/Check was originally issued, _Warrant/Check Number (if known} (6) FSP Le EA Le ES Original Date of Issu Uf known) (7) Reason for original issue of Warrant/Check (8): C] Payroll “— For Services or Goods furnished re Other; Ke cin ih 04/09/2021 S:\PROCESSES\Warrants - Dupiicate ar Stale\d2 Forms\Schoals\Schools-Warran Ravised June 2015 04/06/2021 | Brittany Boisvert never received the check for warrant 3700401452 in the amount $3,323.00. Sincerely, VU Brittany Boisvert