Extracted text (via pymupdf_layout)
3716 characters
INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 9/30/2019 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. #60 Higley Unified Christopher Brock $1,032.98 (Stale Dated) • 1#60 Higley Unified Brian D Shepherd $408.01 / #60 Higley Unified The Stander Group Inc $3,750.00 #45 Fowler Elementary Cindy Hunt $446.55 #47 Arlington Elementary Fernando Barron $93.45 RECEIVED OCT 0 1 2019 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (definitions are on paw! 2) STATE OF ARIZONA Note: Numbers on this -form correspond to numbers on the COUNTY OF MAR1COPA instruction sheet which is page 2 of this form. The &ander Group irle. (1), being first sworn, upon oath deposes and says: Name/Cfaimarit On or about 07/11/2019 (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, RE 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 $3750.00 .(3) Signed: t\A- 9 Z k4 (h.-1k ts- I (5) Subscribed and sworn to before me this NOTARY PUBLIC My commission expires:- 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 3700201411 (if known) (6) Original Date of Issue 07/11/2019 (if known) (7) ,,,,, ,ft. lit r •C' r.! i Reason for original issue of Warrant/Check (8): o Payroll For Services or Goods furnished El Other: 5: \PROCESSES \Warrants - Duplicate or Stale \02 Forms \Schools \Schools-Warrants Checks notice of claim.d0C Revised June 2015 A.R.S. 11-632 & 15-999 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this 21 day of September , 20 19 , by Jacqueline R Stander proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. DEW ZAMORA Notary Public - California ; Los Angeles County Commission = 2285460 My Comm. Expires Apr 16. 2023 (Seal) Signature THE GROUR_INC. A AL EN T AGENC Y 9121/2019 Attn: Higley Unified School District E/O Lisa Bate This.is- a to state that Jackie Stander of the Stander Group Inc is .submitting the requested forms to replace the check in the amount of $3750-.0-0- that was never received or cashed by agency as of 7/11/19 actually 8/14/19 on said delivery date. We are seeking replacement via signed Fed ex/ UPS or wire delivery. c, V2,11 Scott Stander 'President of-Stander 'Group Inc.