HILLYARD, INC.PDF

Maricopa County — Formal (2019-09-04)

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INTEROFFICE MEMORANDUM
Maricopa County Schools Superintendent Office
TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 8/8/2019
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.
#81 Nadburg Elementary HiIlyard, Inc $1,838.98

LOST CHECK AFFIDAVIT
NADABURG UNIFIED SCHOOL DISTRICT NO.81
I, r,„„,,\ jf)r, 1() , being first duly sworn, do depose and say that I am a
representgtive of Hillyard, the entity named as the payee of the warrant number
3700185443, drawn by the Treasurer of Maricopa County on May 23, 2019 for the sum
of $1838.98.
Being still sworn, I further say that the above described check has not been received or
negotiated by me. The above described check has been lost, and, by this affidavit, I am
requesting that the Nadaburg USD, County of Maricopa County place a stop payment
on the above-described check and issue a replacement check.
I understand that under no circumstances should I present the above-described check
for payment if it should come into my possession after the filing of this affidavit, and I
hereby indemnify and hold harmless the Nadaburg School District form any liability,
loss, expense, or damage which may occur as a result of the issuance of the original
check and/or the replacement check.
Affiant's Signature: \\\ . , ,Ii ii I I I llilss1/10/11//....
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Sworn to and subscribed before me this,721 day of I , 20 .1 8' re1/4 rn1211:202. 1 ..
Notary Public in and for My Commission expires = — —__... ...., • *I.: 7:),40 1 , ElcUoCtihna C# CI 714 rt1561 : 56S°2 I 1 s 4
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--7,444444.24 /Ilion in 1110
Return ORIGINAL NOTARIZED FORM to: For questions, contact:
Nadaburg Unified School District No.81 Teresa Minkner
Business Services (623) 388-2131
32919 N Center Street tminknernadaburciscLorg
Wittmann, AZ 85361 or
Jen Carlson
(623) 388-2133
icarlsonnadaburosd.oro