011718 DUPLICATE WARRANTS 10.PDF

INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency (aka RECEIVED
Maricopa County Superintendent of Schools Office)
DEC 1 5 2017
MARICOPA COUNTY
CLERK BOARD OF MJPERVISORS
TO: CLERK OF THE BOARD
5/0
FROM: Terri Ysaguirre
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 12/14/2017
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.
#98 Fountain Hills Caroline Lynch #480044553 $56.34

Affidavit
APPROVii,'D
STATE OF ARIZONA DA-yr 12:
COUNTY OF MARICOPA ) -sot\ qupERvisoRs
M-ARICOPA COUNTY
04gami6- y/ticA/ being first duly sworn, upon oath deposes and says:
That on the // day of /V01/6?76LI:K._ , 20 / 7he presented to the
Rici"..77--AnN) t-ircz,sii. s a of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of AJOV&W4ezeR. , said claim being
in the sum of //c•7‘//' 6 / ;4_ Dollars ($ -
in payment of which the Superintendent of Schools caused his/her Warrant No. e-Ak 00 ileK5-53
to be issued on VO ve?-14X._ 2-/ ,20 /7, drawn on the 096 Fund of
f7-k/50 0096' of Maricopa County, Arizona.
Affiant further says that although he was informed and believes that the above mentioned
warrant was regularly issued, the same has never been received or has been lost.
WHEREFORE, athant prays that the Board of Supervisors order and the Superintendent of
Schools issue to him a duplicate of said warrant number 1#00 5-3 in the sum of
-
Subscribed and sworn before me this day of,
JEANETTE R. SIMMONS
Notary Public - Arizona
I cc Maricopa County
Mvetrilhii. Expires Jan 31, 2018
My Cimmission'Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
HAWork\Affidavit.doc 07/14/05