SIGNED & REDACTED VICTORY TEAM APPAREL INC.PDF

INTEROFFICE MEMORANDUM
—_—————
pa ecunty Schools Superintendent Office
TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 2/10/2021
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.
#90 Saddle Mountain Unified Victory Team Apparel Inc $1,495.86
RE -IVEBD Zio aie
FEB 11 202)
MARICOFrA 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.
OMNICHEER/VICTORY T(1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about (b/ OF? / CO2O (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 $ 1,495.86 (3)
Signed: Zzzya Nurtzog (4)
Uh JL
(5) Subscribed and sworn to this 7 7A day of. Lecambee 207?
.
Po ay,
A
Y PUBLIC
Commonwea Pennsylvania - Notary Seal
JANICE M HARDY - Notary Public
LZ My commission expires: Berks County
My Commission Expires Mar 12, 2023
Commission Number 1066744 (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
3700325135
(if known) (6)
02/12/2021
Original Date of Issue /
06/09/2020 -
(if known) (7)
Reason for original issue of Warrant/Check (8):
O) Payroll
jl For Services or Goods furnished CHEER MERCHANDISE
O Other; CHEER MERCHANDISE
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

ELITE |...
SPORTSWEAR | =
PO Box 16400 | Reading, PA 19612-6400 omni,
January 14, 2021
To Whom It May Concern,
This is just to follow up regarding a payment for account M86476 for invoices:
2019000157237 $1073.62
2019000206354 $422.24
As of today, January 14", we have not received your payment. Please process verify with your
banking institute that the check has not been cashed. If the check has not been processed, we
kindly ask that you submit payment again.
Thank you,
Tanya Hertzog
AR Mgr — Omni Cheer
Be Lest ek ere
2700375135
Apperct (ne!
lo Yiclory Team
Jorge Garc'a |
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Mounta:A USD.
Naclelle
Phone: | Fax: | Email: 1