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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: 7/24/2019 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. #214 Tolleson Union ASU $2,800.00 Schools Affidavit/Clahia 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. Arizona State University (1), being first sworn, upon oath deposes and says: Name/Claimant On or about May 21, 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, 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 be issued to him/her in the su of $2,800.00 .(3) Signed: (4) (5) Subscribed and sworn to before me this day of 20 do/Zz eo/6 NOTARY PUBLIC E. COOKIE ELUS Notary Pub3c- State efArkcce My commission expires: MARCOPA COUNTY "Deremovc. /) 24,20 My December Commission 1,2020 Expires (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 214758457/3700183278 (if known) (6) Original Date of Issue 5/21/19 (if known) (7) J APPi, Reason for original issue of Warrant/Check (8): El Payroll El For Services or Goods furnished Other: workshop S:\PROCESSES\Warrarits - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R.S. 11-632 & 15-999 MI EdPlus ARI/ONA STATE UNIVERSITY July 17, 2019 To Whom It May Concern: Please accept the Affidavit as signed by myself, Stephanie Fougeres, Business Operations Manager at EdPlus at ASU in order to reissue the check for $2,800 that was issued on May 21, 2019 for Continuing and Professional Education. Dean Philip Regier, the typical signatory authority is out of office and unavailable to sign the Affidavit. Please see attached email from Alejandra lbarra stating that this letter would serve as acceptable substitute for his signature. Thank you, Stephanie Fougeres