PHOENIX CONSERVATORY OF MUSIC.PDF

INTEROFFICE MEMORANDUM
Maricopa County Schools Superintendent Office
TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 10/2/2019
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.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.
#05 Isaac Elementary Phoenix Conservatory of Music $1,800.00
RECEIVED l ortic4-0- -of5
OCT OS 2019
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.
40604(‘,0c,tsammi ffiasta.), being first sworn, upon oath deposes and says:
Name /Claimant
On or about 0517;3 17-0/9 (ciate)(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/cheek be issued to him/her in the sum of $ I 5Q0. (Ns .(3)
(4)
2O/
&km ausveda
**NY Rao
Moto,* Casty, Alms
Iff Comm. eq*es AI-30-2121291
Commbien No. b60617 (seal)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a.warran.t/check was originally issued.
Warrant/Check Number 3700 it5_3... 4
(if known) (6)
Original Date of Issue 05/Z3 00 19
(If known) (7)
Reason for original issue of Warrant/Check (8):
D Payroll
1K For Services or Goods furnished I1 (r7, -Tilvoices 3191 1 3315
0 Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Fonns\Schools\Schools-Warrants Checks notice of claincloc
Revised June 2015 A.R.S. 11-632 8;15-999

Phoenix
Conservatory
of Music
October 2, 2019
REQUEST FOR VENDOR LETTER
Attention: Terri Ysaguirre
Isaac School District No. 5
Theresa Valtierra, Accounts Payable
Re: Schools Affidavit/Claim Form, Application for a Duplicate Warrant/Check
As requested by the County of Maricopa Schools, Clerk of the Board, this vendor letter states non-
receipt of check no. 3700185174, dated 5/23/2019, in the amount of $1,800.00, Pay to the order of:
PHOENIX CONSERVATORY OF MUSIC.
The person who signed the Affidavit, Regina Nixon, Executive Director, is an authorized signer for the
company/organization.
Sincerely,
Ci
Christine Ehanno, Administrative Coordinator
Phoenix Conservatory of Music, 9617 N Metro Parkway West, Suite 2112, Phoenix, AZ 85051
Office: 602.353.9900, Cell: 213361.2680
Email: cehannoPocmrocks.org