030718 DUPLICATE WARRANTS 4.PDF

Maricopa County — Formal (2018-03-07)

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INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency (aka RECEIVED
Maricopa County Superintendent of Schools Office)
FEB 1 6 2018
MARICOPA COUNTY
TO: CLERK OF THE BOARD CLERK BOARD OF SUPERVIS'..11418
‘65)
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 2/14/2018
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.
#8 Osborn District Judy A. O'Brien $363.23

1,0VED
AFFIDAVIT 18
STATE OF ARIZONA
CLE.Rrs . IN.AIQUHA' • • . COUNTY - 5UPERVISORS
COUNTY OF MARICOPA
A. 0'166 ev, , being first duly sworn, upon oath deposes and says:
That on the V. day of kl-Aigpy20 (3,, he presented to 'Ocr
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of joawayl 2012,, said claim being in the sum of
-k-Vvre S.))0.-y Dollars, (13:(0-32. ) in payment of which the
1.--c Atmo.r-s- 2 3 \ too
Superintendent of Schools caused his/her Warrant Number '300 Li 1/4 2 (.4 C3 to be
issued ork3a.v\)o.."-k2S , 20(,Q, , drawn on the 30 Fund of Os\-,,/ Sanco,‘ S-Vm
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
V600-0-i (.9 S3 in the sum of $ .(43.`23 .
Signe
iitAfe
Sub ‘,1-1/ ' ed and sworn C.} to before me this r day of /- ,20IL
VALERIE County Notary of C ANDERSEN Public Madcap.
1 ,...c, ,„/ ` My CournImIon Commis uuuuu t 11. sion 1/310722 2019 Explmas
NOTARY PUBLIC
My commission expires:
Following approval please return this affidavit to the Maricopa County School Superintendents Office.