Extracted text (via pymupdf_layout)
2531 characters
„6VED APR 1 3 2018 INTEROFFICE MEMORANDUM couNly CLERK u -0 OF SUPERVISORS ,46 . 711aricopa County School-Superintendent's Office TO: CLERK OE VIE 00A grZ:0 FROM: SMitlie 'Thompson SUBJECT: Affidavits DATE: 4/12/2018 Pcise find attached 1 Affidavit/Notice of Claim(s)for Cost warrants for inclusion on the ne.v avaira6 Ooard agenda The attached item(s) have been researched to ensure that the warrant(s) in question have not been cashed or previously re-issued The original-warrant(s) have had a stop payment done. If you have any questions, please contact Willie Thompson at 372-1244 or via e-mail at mthompson@mcesa.maricopa.gov . Approved Affidavits may be routed back to the Superintendent of School finance Division at 4041 N. Central -Avenue #1200, ( 12 th (Floor) Thankyou. #214 TolThson 'Union DION I JONES $489.50 4/) ( 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. (1), being first sworn, upon oath deposes and says: Name/Claima On or about W,6 101 b, 201 2 (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/che k be sue to •im/hr in the sum of $ .(3) Signed: (4) (5) Subscribed and sworn to before me this OLA' day of 2012. &esziz NOTARY PUIJLIC JOYCE C. COUNCIL Notary Public - State of Arizona My commission expires: My NIARICOPACOUNTY Commission Expires 4(2-/- ?Z'd/ September 11.2021 (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 4 (if known) (6) Original Date of Issue A P P IA 0 V L ij (if known) (7) 6/00//g d tw1,--/ I-4/e/ DA Reason}or original issue of Warrant/Check (8): IEPayroll ET BOARD OF SUPERVISORS MARICOPA COUNTY I For Services or Goods furnished LI 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