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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: 9/27/2018 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. #31 Balsz Elementary Desert Breeze Transportation $6,612.26 RECEIVED SEP 2 8 2018 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS /76 AFFIDAVIT APPROVED STATE OF ARIZONA tlflq(211( z COUNTY OF MARICOPA CLERK, B-CTARD OF v s ri MARICOPA COUNTY D ES E c) -1.12A-N3S e. a., Liz., being first duly sworn, upon oath deposes and says: (Name a d Title of Person) That on I 3 eebcwAs- y , 20 fg , he/she presented to 5A- Ls 2_ SC H-ooL s-tri.cT,V of (School District Name) Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the month of Sckri y 201 E , said claim being in the sum of ($62itai cgo 51)(.ThOUSC.rtei 51% u,n0 2 E D "Tu.*. E 7O in payment of which the Superintendent of Schools caused his/her Warrant Number 3-2 000(..1.101-.3 g to be issued on 4, MA CC. 14- , 20 drawn on the CO/ Fund of PALS 2_5 CH-oOL As-I-Rid-03i of (School District Name) Maricopa County, Arizona. Affiant further says that although he/she 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/her a duplicate of said Warrant Number 3'70 3 5 in the sum of $ to) es) I A. Signed: I p •d: A Pre .cI " )1Cfs 6- r p (Name and Title •)/Authori d Personnel) 61-fm,Lbe,( Subscribed and sworn to before me this .6.1 day of t , 20 1k" NOTARY PUBLIC: HEATHER K. OSTROWSKI NOTARY PUBLIC OF NEW JERSEY My commission expires: Comm. # 2291582 My Commission Expires 11/7/2022 Following approval please return this affidavit to the Maricopa County Education Service Agency Office.