Extracted text (via pymupdf_layout)
3300 characters
INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 7/29/2019 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 Lindy Adams $256.59 #90 Saddle Mountain Unified Tequila Boyd $480.00 #45 Fowler Elementary ACCEL/Latch School $12,510.00 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. (1), being first sworn, upon oath deposes and says: On or about it ( kZo, (date)(2) a warrant/check was issued to the above named per on/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 iss1-t-o-bim/her in the sum of $ 5 tn Signed'. (4) (5) )ubscribed and sworn to before me this . J O° day of 20 /9. . A NOTARY PUBLIC, KIMBERLY SUE ISAAC Notary Public - Arizona 4 Maricopa County My Comm. Expires Mar 2, 2022 (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 .--)---1 A. 2-, i / —1 ,-- --1 ftl (if known) (6) (iuutko in I.D / Original Date of Issue q licot 1 ci (if known) (7) Reason for original issue of Warrant/Check (8): 0 Payroll 4016 ( ig For Services or Goods furnished C • 0 Other: S:\PROCESSES\Warrarjts - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc A.R.S. 11-632 & 15-999 Revised June 2015 CEL_ A Life of Dignity and Self-Worth hAN ARIZONA CENTERS for COMPREHENSIVE EDUCATION and LIFE SKILLS June 20, 2019 Ms. Cheryl Miller Finance Director Fowler Elementary School District #45 1617 S. 67th Avenue Phoenix, Arizona 85043 Re: Application for a Duplicate Warrant/Check Dear Ms. Miller, Please be aware that SABRINA EBEL, Finance Manager for ACCEL is hereby authorized to act on behalf of ACCEL regarding the attached Application for a Duplicate Warrant/Check. Should you require additional information, my contact information is below. Sincerely, AsA- Laura Lazzerini Chief Financial Officer ACCEL 10251 N. 35th Avenue Phoenix, AZ 85051 Office: 602-926-7211 Cell: 602-619-1494 10251 North 35th Avenue, Phoenix, AZ 85051 • Tel 602.995.7366 • Fax 602.995.0867 • www.ACCELorg