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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: 7/31/2019 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. #216 Agua Fria Union K 0 Oliver LLC $500.00 #79 Litchfield Elementary Wildology AZ LLC $360.00 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. WILDOLOGYAZ LLC (1), being first sworn, upon oath deposes and says: Name ,Claimant On or about 11 /01 /2018 (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 sum of $ 360.00 .(3 ) Signed: (4) (5) Subscribed and sworn to before me this day of 20 V:\ . NOTARY PUBLIC NOTARY PUBUC STATE OF ARIZONA Mardoopa County My commission expires: ROBERT P CHRISTY My Commission Expires February 22, 200 al) 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 3700106426/79724509 (if known) (6) i Original Date of Issue 11/01/2018 (if known) (7) APPROVED Reason for original issue of Warrant/Check (8): AUG 05 2019 D Payroll DAT'' '111; For Services or Goods furnished Science Classes D Other: Science Classes MARICOPA Aktrefr", COUNTY :„T iiSORS SAPROCESSES\Warrants - Duplicate or Stale \02 Forms\Schools\Schools-Warrants Checks notice of daim.doc Revised June 2015 A.R.S. 11-632 88.15-999 WildologyAZ 14852 S. Luna Drive • Litchfield Park, AZ 85340 July 26, 2019 Litchfield Elementary School Dist #79 272 E. Sagebrush Street Litchfield Park, AZ 85340 To Whom it May Concern, WildologyAZ is a member managed Limited Liability Company (LLC) incorporated in September of 2013. The company is owned and operated by Rebecca Bouquot and Brian Bouquot. The operating agreement allows both members shared authority to sign binding documents on behalf of the LLC. Brian Bouquot WildolgyAZ LLC