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INTEROFFICE MEMORANDUM Maricopa County Education Service Agency (aka Maricopa County Superintendent of Schools Office) TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 4/15/2019 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@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. #25 Liberty Elementary AZ School Counselors Assoc $1,205.00 RECEIVED APR 16 2019 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS 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. Arizona School Counselors Association (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 9/26/2018 (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 $ 1,205.00 .(3) ce4. x Signed: (4) (5) Subscribed and sworn to before me this 0 6--/---1\ day of Kid() 20 19 . NOTARY PUBLIC DANAY BELL Notary Publin, PIrne County My commission expires: My CornrnilliOn €Xplf@i -91287261-8- At s Alrell 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 3700090649 / 25604467 (if known) (6) Original Date of Issue 9/26/2018 . (if known) (7) Reason for original issue of Warrant/Check (8): I=1 Payroll For Services or Goods furnished Invoice 1281 Conference Other: Invoice 1281 Conference 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 o ° o ARIZONA H p •SCHOOL March 23, 2019 0 COUNSELORS 1 ASSOCIATION PO Box 30776 Liberty School Distcit No. 25 Mesa, AZ 85275 19871 W Fremont Rd www.azsca.org Buckeye, AZ. 85326-9258 Board of Directors To Whom it May Concern: Chair On 9/12/2018, AzSCA issued invoice #1281 (PO 190491), which billed Janine Menard for 3 of your school counselors to attend our 2019 Spring Conference. jmenard@isaacschools.org On 3/8/2019, our records indicated that we still had not received payment. Cien Luke, our Business Manager, contacted Christine Assistant Chair Molitor at the Liberty School District offices. It was determined that Amanda Nolasco check # 3700090649 had been issued on 9/26/2018, and mailed to our amandanolasco76@gmail.com PO Box (30776), but we never received it. Past Chair Christine directed Cien to complete an Application for a Duplicate Meg Hughart Warrant/Check, which requires her signature. I am authorizing Cien to be the designated signer on this document, and to represent the Board Members interests of AzSCA in this matter. Cadi Angeli Please let me know if you have any questions or concerns. Marty Campitelli Ivette D'Angelo Best Michelle Powers Sarah Skemp anda N&1co Shiloh Wheeler Assistant Chair AzSCA, Inc. Executive Director Corey Harris correyharrisaz@gmail.com ft/LA-a__ 0,31 -a- \ apt 9 Business Manager Cien Luke business.manager@azsca.org 520-329-7223 AGUSTINA RIVAS Conference Director Notary Public. State olArizone MARICOPA COUNTY Erin Woodell My Commission Expires February 06, 2922 erin.woodell@gmail.com