HACKER.PDF

Maricopa County — Formal (2019-08-21)

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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: 8/1/2019
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.
#47 Arlington Elementary Kaitlin Hacker $365.71

Affidavit
STATE OF ARIZONA
COUNTY OF MARICOPA )
lowt1-11r)
being first duly sworn, upon oath deposes and says:
That on the 1 1 day of 31-07)`- --- , 20 19 he presented to the
4-6btkl/7 of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of , said claim being
in the sum of ree_ h„ ,i/s/k/ P./(/ Aalars ($ 71 )
in payment of which the Superintendent of Schools caused his/her Warrant No. _7 7 dO 7pe
to be issued on J.-I/U/1'e-- / , 20/ 9 , drawn on the/ Fund of
8'044/
of Maricopa County, Arizona.
Affiant further says that although he was informed and believes that the above mentioned
warrant was regularly issued, the same has never been received or has been lost.
WHEREFORE, affiant prays that the Board of Supervisors order and the Superintendent of
Schools issue to him a duplicate of said warrant number ($ 700 7Z/1-/ in the sum of
$ 36-11
Subscribed and sworn before me this t5_, day of ---.r(Lh! , 20
Lia,4"
KATHY TURNER
DITAT Notary Public - Arizona o ary Public
of.. 1 — Maricopa County
* My Comm. tointnission Expires # Mar 560540 17, 2023 C1774. /7 a3023
Iml•PNII•77.11111•••••••I
My Commission Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
H:\Work\Affidavit.doc 07/14/05
MAFIICOPA COUNTY

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