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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: 10/18/2017 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.vsaguirre@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. #66 Roosevelt District Century Link #470028842 $45,349.55 RECEIVED OCT 2 0 Z017 MARICOPA COUNTY BOARD OF SUPERVISORS CLERK APPROVED rt,r OCAOM AFFIDAVIT STATE OF ARIZONA MAR COUNTY OF MARICOPA CENTURYLINK , being first duly sworn, upon oath deposes and says: That on the 10 day of OCT 20 17 , he presented to ROOSEVLET SCHOOL District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the month of SEPT. 20 17, said claim being in the sum of fourlyfive thousand three hundred fourtynine dollars and fifty five cent Dollars, ($ 45349.55) , in payment of which the Superintendent of Schools caused his/her Warrant Number 470028842 to be issued on 10/04 , 2016 , drawn on the 001/374 Fund of ROOSEVELT SCHOOL 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 470028842 in the sum of $ 45,349.55. Signed: Subscribed and sworn to before me/ihis day o /c ,20 661 NO LtJBtt My commission expires .,--9- c-Ra Following approval please return this affidavit to the Maric pa County scbeebkAiutiletendents Notary Public State of North Dakota My Commission Expires February 1, 2022