062718 DUPLICATE WARRANTS 6.PDF

RECEIVED
JUN - 7 2018
INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency (aka CLERK BOARD OF SUPERVISORS
Maricopa County Superintendent of Schools Office)
1' /0
TO: CLERK OF THE BOARD
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 6/6/2018
Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next
available Board agenda
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.
#08 Osborn Elementary Judy O'Brien $363.23

APP 0 V Z.
AFFIDAVIT JUN ,s 201:
rio;r7NIF pif 0117 A
STATE OF ARIZONA CLERK, BOARD OF SUPERVISORS
MARICOPA COUNTY
COUNTY OF MARICOPA
, being first duly sworn, upon oath deposes and says:
That on the 27S 1 clav of t-IcA.1 20 tY) , he presented to Schob
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 20 le) , said claim being in the sum of
ilOrcc \AuYviert S IfAl Dollars, ($3 ) in payment of which the
A-11t-cc. ctcA\eirs
Superintendent of Schools caused his/her Warrant Number 310c)-3-`16, 2. to be
issued on "Mel \lt k , 20 drawn on the 3o Fund of
District of 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
3-16 on in the sum of $ 36, 3 L.
ROSE MARIE FATIMA BURUAT
NOTARY PUBLIC, ARIZONA
MARICOPA COUNTY
Signed: My Commission Expires
July OS, 2021
Subscribed' and sworn to before me this day of ,20 1? . )
My commission expires: T I
Following approval please return this affidavit to the Maricopa County School Superintendents Office.