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RECEIVED JUL 15 2019 --#VI-AR-GPAWJI\L—TY- — CLERK BOARD OF SUPERVISORS INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 7/12/2019 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 terriNsaguirre@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. #5 Isaac Elementary Elite Card Payment Ctr $499.98 12.[:3p ibtaidoVi 'o'er a DE...Eprifsi.',E.41:e IftfaiTa rat/Check (definitions are on page 2. STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the COUNTY OF MARICOPA Instruction sheet which is page 2 of this form. 6405 (.0.0) (41byri isalinewt being first sworn, upon oath deposes and says: Name Claimant On or about °Wig (date)(2) a warrant/check was issued to the above named person/entity in the amount as stated below. Such warrant/check was either never received or was subsequently inadvertently lost or destroyed and there is no reasonable probability of its being found or presented for payment, or it was not presented for payment within one year after the date of issuance. Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct and the amount shown is due and Owing, and the applicant requests that a replacement warrant/check be issued to him/her in the sum of t 1-10q.C3 C. Signed: (4) (S) Subscribed an -swo n to before me this \ day of %‘%09,04sEN, I 20 11T NO5;- — EE 0 E My commission expires: cO 0,o.y." 1) .7".• \ / ';',;//9/ • • . ... ‘$(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 31 -DOIciaogil DATE (if known) (6) Original Date of Issue (if known) (7) tq MAR IC( Reason for original issue of Warrant/Check (8): Payroll (Thecc l0For Services or Goods furnished ()XIS los4 %-i-he Mai I Other: - Cukr.o;.-.t.5 Checks risfoe. cf ?.ovisld 2015 .A.R.S. 11-52 •••:: 1S-SS? Government & Institutional Banking Government Banking MAC S4101-204 100 W. Washington Street 20th Floor Phoenix, AZ 85003-1808 July 11, 2019 Re: Isaac School District No.5 To Whom It May Concern, This letter will serve to affirm that I am an officer of Wells Fargo Bank (Bank) and authorized to sign the attached affidavit on the behalf of the Bank. Stephany Slider Vice President Together we'll go far Wells Fargo Bank, NA.