STAMPED & REDACTED BINGHAM EQUIPMENT.PDF

INTEROFFICE MEMORANDUM
| 7
Maricopa County Schools Superintendent Office
TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 2/25/2021
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.
#25 Liberty Elementary Bingham Equipment $75.12
RECEIVED - 68
FEB 9¢ 202)
MARICG PA Cc OUN
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
Instruction sheet which is page 2 of this form.
COUNTY OF MARICOPA
Bingham Equipment Company _(1), being first sworn, upon oath deposes and says:
Name/Claimant
On about lib [ro (date)(2) a warrant/check was issued to the
or
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/herin the sum of ¢ 79.12 (3)
(4)
Signed:
(5) Subscribed and sworn to before me this 11th day of February 2021
C Ductp
NOTARY PUBLIC
CRISTIE GRILLO
Notary Public, State of Arizona
My commission expires: Maricopa County
Commission # 573558
My Commission Expires (seal)
November 15, 2023
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 3700380380
(if known) (6)
Original Date of issue 03/02/2021
12/02/2020 /
Date on
Reason for original issue of Warrant/Check (8):
O1 Payroll
Part sales
jm For Services or Goods furnished
Part sales
C Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
A.R.S. 11-632 & 15-999
Revised June 2015

Corporate Office
Mesa, AZ 85210-6001
Phone:
Fax:
www.binghamequipment.com
binghamequipment.com
February 11, 2021
Liberty Elementary School District #25
Buckeye, AZ 85326
To whom it may concern,
Tony Weber is authorized to sign on behalf of Bingham Equipment.
Sincerely, é
ve
. FEB 17 2021
Blaine Bingham
binghamequipmentcom
Blaine Bingham
President
Mesa, AZ. 85210

NO. Back
. DATE CONTROL
on
12/08/2020 25611796 Details
Liberty Elementary District #25 WARRANT AMOUNT Ep
AY
$75.12 Included.
**Seventy Five and 12/100*** Dollars
VOID AFTER 365 DAYS
Features
ro
BINGHAM EQUIPMENT
FHE
CUST# 400355
RDER Security
AZ 85326 a ES } {
_.. ... BUCKEYE, —.-----\.0.. Mee
EXPENSE
ck: 25611796
MARICOPA COUNTY SCHOOLS - PHOENIX, ARIZ
3700380380
x. \ 12/08/2020
BINGHAM EQUIPMENT
* — Gheck Date
—Payee
\a
Account Number PO Number Invoice unt
210151 P32410 13.81
NY
210151 P33529 61.31
VIANEIOLITO ND. AAA TOTAL - . G75 19