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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.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. #214 Tolleson Union Sherena McMurdie $500.00 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. McMurdie, Sherena (1), being first sworn, upon oath deposes and says: Name/Claimant On or about May 16, 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 sum of $ 500.00 .(3) Signed: md\rz, (4) z (5) Subscribed and sworn to before me this day of Cjidy 20/9. NOTARY PUBLIC SOPHIA QUIROZ My commission expires: Notary Public Arizona Marlcopa County 1 9.i 1 My Comm. Commission Expires If 548915 Sep 3, 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 3700181064 / 214758404 (if known) (6) Original Date of Issue 5/16/19 A lo le it kii .itt' (if known) (7) ... A DA.TE 119 Reason for original issue of Warrant/Check (8): •-• El Payroll or-R---noTmi5rFivis.oRs For Services or Goods furnished MAHICOPA COUNTY El Other: SAPROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R.S. 11-632 & 15-999 Sherena McMurdie 11017W Dana Lane Avondale, AZ 85392 Sara Hartley Accounting Technician Tolleson Union High School District #214 July 25, 2019 Dear Sara, I am the accompanist at Westview High School and a check of $500.00 was sent to me, but to the wrong address, I then filled out a form that was notarized. Next, I received notice from you that you needed confirmation that I am the sole owner/employee, and therefore the only authorized individual to sign the affidavit. I look forward to hearing from you soon, Thank you very much. Yours sincerely, Sherena McMurdie