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RECEIVED xic,%, NOV 2 5 2019 MARICOPA COUNTY -CLERICB-OARD-.0ES11P_ERVISORS INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 11/25/2019 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. 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.vsaguirre@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. #201 Buckeye Union Zane Saunders $200.00 #201 Buckeye Union Travis Haley $212.71 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. Zane Saunders (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 07/02/2019 (daw)(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, at 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 $200.00 .(3) Signed: 7if (4) • a. DAWN HYDE Notary Pubtic - Arizona Mv commission expires: Commission Maricopa County # 562820 My Comm. Expires May 22, 2023 (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 3700197874 (if known) (6) Original Date of Issue 07/02/2019 (if known) (7) — n Amin Reason for original issue of Warrant/Check (8): 0 Payroll El For Services or Goods furnished Theater Tech 0 Other: Theater Tech SAPROCESSES\Warrants - Duplicate or Stale \02 Forms\Schools\Schools-Warrants Checks notice of dalm.doc Revised June 2015 A.R.S. 11-632 & 15-999 1000 East Nammtntme Avenue Buckeye, Arizona 85326 V: (623) 386-9700 F: (623) 386-9923 Buckeye Union High School District wwvv.buhsd.org Serving the Southwest Valley Since 1921 August 23, 2019 To Whom it may concern, Buckeye Union High School 1000 E. Narramore Ave. Buckeye, P: 623-386-4423 AZ 85326 This is to verify that a district check issued to Zane Saunders for work completed in May of F: 623-386-9711 2019 at Estrella Foothills High School was lost and we are requesting that it be re-issued. The check was for hourly wages for work as a theatre technician during public rentals of our school's Performing Arts Center. Please let us know if there is further information required. Thank you, Estrella Foothills High School 13033 S. Estrella Parkway Goodyear, P: 623-327-2470 AZ 85338 Tricia Schultz F: 623-327-2499 Estrella Foothills HS Theatre Arts Instructor Zane Saunders Estrella Foothills HS Youngker High School Student Theatre Technician 3000 S. Apache Rd. Buckeye, AZ 85326 P: 623-474-0100 E: 623-474-0200 The Learning Center 751 N. 215 th Aye. Buckeye, AZ 85326 P: 623-474-0332 F: 623-386-1340