STAMPED & REDACTED PREVENT CHILD ABUSE INC.PDF
Extracted text (via tesseract_tsv)
3758 characters
INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits —- Replacement of Lost Warrants DATE: 4/13/2021 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. #66 Roosevelt Elementary Prevent Child Abuse Inc $4,320.00 HlCo Sat: eae Schools Affidavit/Claim Form Es Foun’ AY 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. PREVENT CHILD ABUSE INC (1), being first sworn, upon oath deposes and says: Name/Claimant On or about MARCH 19TH 2021 (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 $ 4,320.00 (3) Mier » ffl Signed: (4) (5)-Subscribed and sworn to before me this __/ al day of fpr ) 202/ . ALL sdhupma ~~, TreTrwrmlUcrOrCTwrCTrOrC TOC TCrhUCT US NOTARY PUBLIC ROSE SAVONA Notary Public - Arizona Yavapai County My commission expires: Commission # 586333 MARCH 19TH 2021 July fo, AOQUY My Comm. Expires Jul 10, 2024 (seal) I 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 137993894771 (if known) (6) Original Date of Issue 01/12/2021 (if known) (7) Reason for original issue of Warrant/Check (8): 04/21/2021 0 Payroll = or Services or Goods furnished ( Other: 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 A Sg | = Ps <a »»* _o Prevent Child Abuse / Arizona Preseait Valley, AZ 86342-4398 fie Board Officers President Laura Walker, DNP, RN, CPNP April 1, 2021 Vice President Rick Grillin Treasurer Roy Teramoto, MD Roosevelt School District #66 Board Members ATT: BUSINESS SERVICES -MARGARET ROMO Haley Dietzman Joseph Hawihome Phoenix AZ 85041 Darin Hood Isaiah Lopez Karla Mundy April Rhodes, MBA This letter is to advise you that we never receive payment via postal mail for Purchase Order #20211099 in the amount of $4,320.00. The PO was issued with an incorrect PO Box number and the payment never made it our correct PO Box (see top of letterhead for correct PO Box number), We have been trying for two months to get this resolved and we would appreciate you expediting the reissue of this payment. Thank you. Sincerely, ven A Karen L. Duffield Director of Finance & Operations Mission Statement Prevent Child Abuse Arizona ts dedicated to sirengthening families and protecting children throvgh collaharation. education, and advocacy Prevent Child Abuse Arizona. a chapter of Prevent Child Abuse America, is a revagnized nonprofit S03 erganization