Extracted text (via pymupdf_layout)
2660 characters
INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office ciN.O7)7ccv‘ RECEIVED TO: CLERK OF THE BOARD FROM: Terri Ysaguirre JUN 25 2019 SUBJECT: Affidavits — Replacement of Lost Warrants CLERK MARICOPA COUNTY BOARD OF SUPERVISORS DATE: 6/24/2019 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.ysaguirre@mcesa.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. #33 Buckeye Elementary Theresa Marsical $656.94 #44 Avondale Elementary Arrowhead Superior Refrigeration $4,822.41 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. MARISCAL, THERESA (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 06 10'412019 (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 $656.94 .(3) Signed: -1-\(\A.3A-E-,._ (4) (5) SubscribAand sworn to before me this 18th day of June 20 19 . NOTARY PUBLIC ELSA GARCIA Notary Public - Anzona commispion expires: Maricopa cad 6 My Comm Expires Mar 1, 2020 (seal) 'NIP" 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 3700186275 (if known) (6) Original Date of Issue 06/04/2019 15: D , (if known) (7) ... ni, no...... Reason for original issue of Warrant/Check (8): 171 Payroll -c BOARD OF SUPERVISORS MARICOPA COUNTY El For Services or Goods furnished El Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R.S. 11-632 & 15-999