STAMPED & REDACTED DSZ ENTERPRISES .PDF

INTEROFFICE MEMORANDUM
Maricopa County Schools Superintendent Office
RECEIVED
TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre APR 06 2021
SUBJECT: Affidavits — Replacement of Lost Warrants MARICOPA CGUNTY
CLERK BOARD OF SUPERVIS fe) 2	1	11	0	0	0	295	996	1859	107	-1	
3	1	11	1	0	0	295	996	1859	107	-1	
4	1	11	1	1	0	297	996	1857	46	-1	
5	1	11	1	1	1	297	998	125	35	96.796883	Please
5	1	11	1	1	2	436	997	75	36	96.257614	find
5	1	11	1	1	3	529	998	172	35	96.564896	attached
5	1	11	1	1	4	721	1001	19	32	93.060966	1
5	1	11	1	1	5	754	996	320	44	92.100197	Affidavit/Notice
5	1	11	1	1	6	1091	998	41	35	93.249352	of
5	1	11	1	1	7	1145	998	157	44	91.246490	Claim(s)
5	1	11	1	1	8	1318	998	55	36	96.797676	for
5	1	11	1	1	9	1389	998	69	36	96.473930	lost
5	1	11	1	1	10	1472	1003	176	31	96.649895	warrants
5	1	11	1	1	11	1663	998	56	36	96.992989	for
5	1	11	1	1	12	1734	999	174	35	96.089897	inclusion
5	1	11	1	1	13	1925	1009	48	25	96.090538	on
5	1	11	1	1	14	1988	999	65	35	96.833984	the
5	1	11	1	1	15	2069	1003	85	31	96.301781	next
4	1	11	1	2	0	295	1059	466	44	-1	
5	1	11	1	2	1	295	1059	175	35	96.095230	available
5	1	11	1	2	2	487	1059	115	35	96.877838	Board
5	1	11	1	2	3	619	1059	142	44	96.748085	agenda
2	1	12	0	0	0	292	1154	1951	109	-1	
3	1	12	1	0	0	292	1154	1951	109	-1	
4	1	12	1	1	0	292	1154	1951	52	-1	
5	1	12	1	1	1	292	1154	27	52	60.896645	Vv
5	1	12	1	1	2	442	1158	75	35	96.715294	The
5	1	12	1	1	3	531	1158	173	35	96.579376	attached
5	1	12	1	1	4	721	1157	136	45	95.867691	item(s)
5	1	12	1	1	5	872	1158	92	35	96.575493	have
5	1	12	1	1	6	979	1158	96	35	96.497742	been
5	1	12	1	1	7	1092	1158	220	35	96.305077	researched
5	1	12	1	1	8	1324	1163	40	30	95.607956	to
5	1	12	1	1	9	1378	1169	134	24	96.577499	ensure
5	1	12	1	1	10	1524	1158	83	36	96.421928	that
5	1	12	1	1	11	1618	1158	65	35	93.297714	the
5	1	12	1	1	12	1696	1158	207	44	90.812752	warrant(s)
5	1	12	1	1	13	1918	1160	31	34	96.613861	in
5	1	12	1	1	14	1964	1161	172	41	96.714607	question
5	1	12	1	1	15	2152	1159	91	35	96.709175	have
4	1	12	1	2	0	445	1219	818	44	-1	
5	1	12	1	2	1	445	1225	66	29	96.621780	not
5	1	12	1	2	2	528	1219	95	35	95.506363	been
5	1	12	1	2	3	640	1219	137	36	95.506363	cashed
5	1	12	1	2	4	793	1230	42	25	96.376129	or
5	1	12	1	2	5	850	1220	205	43	96.293213	previously
5	1	12	1	2	6	1071	1220	192	35	87.668678	re-issued.
2	1	13	0	0	0	292	1325	1262	52	-1	
3	1	13	1	0	0	292	1325	1262	52	-1	
4	1	13	1	1	0	292	1325	1262	52	-1	
5	1	13	1	1	1	292	1325	27	52	56.143383	Vv
5	1	13	1	1	2	442	1330	74	34	96.344116	The
5	1	13	1	1	3	532	1330	148	43	93.295395	original
5	1	13	1	1	4	694	1329	208	44	92.445625	warrant(s)
5	1	13	1	1	5	919	1330	93	34	96.653801	have
5	1	13	1	1	6	1029	1330	70	34	96.656540	had
5	1	13	1	1	7	1117	1340	18	24	96.267998	a
5	1	13	1	1	8	1153	1335	82	38	95.808388	stop
5	1	13	1	1	9	1254	1335	174	39	95.808388	payment
5	1	13	1	1	10	1444	1330	110	35	96.135689	done.
2	1	14	0	0	0	292	1440	1951	172	-1	
3	1	14	1	0	0	292	1440	1951	172	-1	
4	1	14	1	1	0	295	1440	1948	50	-1	
5	1	14	1	1	1	295	1440	25	35	90.667847	If
5	1	14	1	1	2	343	1450	70	34	96.563927	you
5	1	14	1	1	3	441	1440	92	35	96.709946	have
5	1	14	1	1	4	561	1450	68	34	96.812073	any
5	1	14	1	1	5	655	1442	203	42	96.764122	questions,
5	1	14	1	1	6	886	1440	125	46	96.837914	please
5	1	14	1	1	7	1038	1445	148	30	95.721169	contact
5	1	14	1	1	8	1209	1441	95	49	93.292542	Terri
5	1	14	1	1	9	1330	1441	190	43	92.062225	Ysaguirre
5	1	14	1	1	10	1546	1445	37	30	96.201385	at
5	1	14	1	1	11	1609	1442	279	33	96.201385	602-372-1245
5	1	14	1	1	12	1914	1451	41	24	96.406685	or
5	1	14	1	1	13	1979	1442	54	33	96.406685	via
5	1	14	1	1	14	2059	1441	121	35	95.421104	e-mail
5	1	14	1	1	15	2207	1446	36	29	96.878159	at
4	1	14	1	2	0	292	1496	1951	56	-1	
5	1	14	1	2	1	292	1502	617	38	87.065598	terri.ysaguirre@maricopa.gov.
5	1	14	1	2	2	943	1500	196	44	96.761543	Approved
5	1	14	1	2	3	1158	1499	187	53	96.863190	Affidavits
5	1	14	1	2	4	1364	1496	83	48	96.543533	may
5	1	14	1	2	5	1465	1500	46	35	96.838547	be
5	1	14	1	2	6	1531	1501	130	35	96.635170	routed
5	1	14	1	2	7	1684	1501	88	35	96.148926	back
5	1	14	1	2	8	1788	1506	40	30	96.894592	to
5	1	14	1	2	9	1845	1501	66	35	96.810684	the
5	1	14	1	2	10	1930	1501	313	44	96.188637	Superintendent
4	1	14	1	3	0	293	1561	1471	51	-1	
5	1	14	1	3	1	293	1561	42	35	96.987091	of
5	1	14	1	3	2	346	1561	130	35	96.865768	School
5	1	14	1	3	3	495	1564	152	32	96.475433	Finance
5	1	14	1	3	4	664	1563	153	33	96.796715	Division
5	1	14	1	3	5	834	1567	37	30	96.997749	at
5	1	14	1	3	6	885	1564	97	41	93.257812	4041
5	1	14	1	3	7	1000	1564	41	42	91.213974	N.
5	1	14	1	3	8	1056	1561	142	45	96.901077	Central
5	1	14	1	3	9	1228	1564	128	48	94.726906	Avenue
5	1	14	1	3	10	1380	1557	122	59	94.726906	#1200,
5	1	14	1	3	11	1525	1561	107	45	96.332893	(12th
5	1	14	1	3	12	1651	1561	113	43	96.710571	Floor)
2	1	15	0	0	0	292	1539	608	6	-1	
3	1	15	1	0	0	292	1539	608	6	-1	
4	1	15	1	1	0	292	1539	608	6	-1	
5	1	15	1	1	1	292	1539	608	6	95.000000	 
2	1	16	0	0	0	288	1672	1724	487	-1	
3	1	16	1	0	0	292	1672	219	44	-1	
4	1	16	1	1	0	292	1672	219	44	-1	
5	1	16	1	1	1	292	1672	121	36	96.963043	Thank
5	1	16	1	1	2	427	1683	84	33	95.999962	you.
3	1	16	2	0	0	288	1873	1724	286	-1	
4	1	16	2	1	0	288	1873	1724	69	-1	
5	1	16	2	1	1	288	1873	76	55	96.298065	#59
5	1	16	2	1	2	609	1896	132	33	96.918579	Laveen
5	1	16	2	1	3	762	1877	229	65	96.655556	Elementary
5	1	16	2	1	4	1269	1897	71	32	92.736115	DSZ
5	1	16	2	1	5	1357	1896	223	42	96.412140	Enterprises
5	1	16	2	1	6	1810	1891	202	45	94.265045	$1,833.00
4	1	16	2	2	0	291	2002	1720	46	-1	
5	1	16	2	2	1	291	2006	72	33	96.826157	#59
5	1	16	2	2	2	609	2007	136	32	96.568367	Laveen
5	1	16	2	2	3	764	2004	227	44	96.465385	Elementary
5	1	16	2	2	4	1269	2007	71	32	92.583351	DSZ
5	1	16	2	2	5	1357	2006	223	42	95.992363	Enterprises
5	1	16	2	2	6	1810	2002	201	44	96.389130	$1,692.00
4	1	16	2	3	0	290	2111	1721	48	-1	
5	1	16	2	3	1	290	2116	73	34	96.739128	#59
5	1	16	2	3	2	608	2117	136	33	96.056511	Laveen
5	1	16	2	3	3	763	2114	227	44	96.768234	Elementary
5	1	16	2	3	4	1269	2117	71	33	92.505501	DSZ
5	1	16	2	3	5	1356	2116	232	43	93.803444	Enterprises:
5	1	16	2	3	6	1810	2111	201	46	92.876205	$3,102.00
2	1	17	0	0	0	290	2222	1720	47	-1	
3	1	17	1	0	0	290	2222	1720	47	-1	
4	1	17	1	1	0	290	2222	1720	47	-1	
5	1	17	1	1	1	290	2227	72	34	96.484550	#59
5	1	17	1	1	2	608	2228	135	33	96.193634	Laveen
5	1	17	1	1	3	763	2225	227	44	96.674881	Elementary
5	1	17	1	1	4	1268	2228	72	33	90.819580	DSZ
5	1	17	1	1	5	1356	2227	222	42	96.116722	Enterprises
5	1	17	1	1	6	1810	2222	200	46	95.695480	$2,256.00
2	1	18	0	0	0	2528	16	21	3281	-1	
3	1	18	1	0	0	2528	16	21	3281	-1	
4	1	18	1	1	0	2528	16	21	3281	-1	
5	1	18	1	1	1	2528	16	21	3281	95.000000
DATE: 4/5/2021

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Duplicate or C] Stale-Dated (definitions:are on page 2)
STATE OF ARIZONA Note: Numbers on. this form correspond to riumbers on the
COUNTY OF MARIGOPA instruction sheet which is page 2.of this form.
DSZ Enterprises ____(1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about SEE BELOW (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
be issued -him/er in the sum of $8300: $1,692.00; $3,102.00; $2,266.00 (3)
warrant/chey ‘
»
Signed: _/ Ma bia a, LZ 4p, ip (4)
Note: Please me of the warrant/check if available and/or any other
ea
evidence that a warra eck was originally issued.
(5) Subscribed and sworn to before me this QV) day of Macc 20 >I.
Olu asf
koe
NOTARY PUBLIC DEBRA'L. KRUTZ |
NOTARY PUBLIC - ARIZONA
MARICOPA COUNTY
COMMISSION # 568499
My MY COMMISSION EXPIRES |
comme nie AUGUST 23, 2028
(seal)
sanaensnnimestndntn . J
”
Warrant/Check Number |3700383698; 3700385005; 3700380754, 3700391329
Original Date of Issue | 43/46/2020; 12/17/2020; 01/14/2021; 01/19/2021
Reason for original issue of Warrant/Check (8):
C1 Payroll.
For Services or Goods furnished
04/06/2021
(1 Treasurer's refund/payment
C Other:
5:\PROCESSES\Warrants - Duplicate or Stale\02: Forms\Warrants Checks notice
Revised April 2015

To whom It May Concern,
I Pamela Cannon a representative of DSZ Enterprises DBA Bolt Security Guard Services state that payment for
services provided to the Laveen school District was not received. The checks were mailed to a previous
address.
Choma Son
Connon
Pamela Cannon
BOLT SECURITY GUARD SERVICES
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