042518 DUPLICATE WARRANT 8.PDF

Maricopa County — Formal (2018-04-25)

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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: 4/13/2018
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.
√ 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.
#65 Littleton Elementary Associated Fence Company $592.44

Stop Payment
Affidavit
Business Resources
STATE OF ARIZONA A P -
COUNTY OF MARICOPA DA 1A Aki 0 211,18
Associated Fence Company , being first duly sworn, upon oath deposes and states:
That on the 22 day of January , 20 18 , he/she presented to Littleton Elementary
School District No. 65, of Maricopa County, for payment, a claim for services rendered or supplies furnished during
the month of January , said claim being in the sum of Five hundred ninety two.44
Dollars ($ 592.44 ) in payment of which Littleton Elementary School District No. 65 caused warrant/check
number 480065798 to be issued on 25 day of January , 20 18
drawn on the warrant/check fund of Littleton Elementary School District No. 65 of Maricopa County, Arizona.
Affiant further states that although he/she was informed and believes that the above mentioned warrant/check
was regularly issued, the same has never been received, or has been lost.
Wherefore, affiant requests that the Governing Board order and the Littleton Elementary School District No. 65 issue
to him/her a replacement of said warrant/check number480065798 in the sum of $ 592.44
Signature
Subscribed and sworn before me this R?14- day of Moirclk
Angela Blauvelt Novak Signature o otary Public
Notary Public
Maricopa County, Arizona
My Comm. Expires 05-06-19
My Commission Expires
03/2013