STAMPED & REDACTED ACE MOBILE WASH .PDF

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INTEROFFICE MEMORANDUM 25
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Maricopa County Schools Superintendent Office ay ORD oA
SCUNTY
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TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants.
DATE: 2/17/2021
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 Ace Mobile Wash $544.00
”
Ds.
RECEIVED *'°'*«
FEB 17-2021
MARICOPA COUNTY
CLERK BOARD OF 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.
|
WC. _(1), being first sworn, upon oath deposes and says:
ame/Claiman ,
On or about 10/27/2020 (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 b issued to him/her in the sum of ¢544.00 (3)
Signed:“— Y ie
Z (4)
(5) Subscribed and sw ise day of _Ylagwln 202)
.
NOTARY PUBLIC
CED “KATRINA | HEMPELMAN
art C) Notary Public - Arizona
My commission expires: RF) commission #579730
—46/220RtP (cbt 2 DA DON \ ( £99 My Comm. Expires Mar 23, 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 —
i 3700367708
oun) 03/26/2021
Original an Date of Issue | -
10/27/2020
if tmean)
Reason for original issue of Warrant/Check (8):
C} Payroll
For Services or Goods furnished Bus fleet washing services
O Other: Bus fleet washing services
S:\PROCESSES\Warrants - Duplicate or Staie\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S, 11-632 & 15-999

Ace Mobile Wash
Phoenix, AZ 85009
Phone:
Mobile:
Email:
Ace Mobile Website:
March 11, 2021
To whom it may concern:
This letter is to inform the customer that Angelina Fotovich is the owner of Ace Mobile
Wash Inc. and is an authorized representative of Ace Mobile Wash In and is to sign the
Application for Duplicate Warrant/ Check for the lost check of check #3700367708.
If you have any questions, please do not hesitate to call or email me directly. I have also
sent the original documents to Business Services att: Barbra Dewall.
Warmly,
Angelina Fotevich
OWher