Extracted text (via pymupdf_layout)
8351 characters
INTEROFFICE MEMORANDUM Maricopa County Education Service Agency (aka Maricopa County Superintendent of Schools Office) RECEIVED 7 AUG 3 , 0 ?017 TO: CLERK OF THE BOARD MARICOPA COUNTY FROM: Terri Ysaguirre CLERK BOARD OF SUPERVISORS SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 8/28/2017 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 theresa.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. #08 Osborn Ashley Jo Ezel #480005356 $1,265.00 #02 Riverside Blanca V Gonzales-Magana #170017771 $1,452.78 APPROVED DATE, Ata3 1 2017 K, BOARD O SUPERVISORS AFFIDAVIT MARICOPA COUNTY STATE OF ARIZONA COUNTY OF MARICOPA Ash icv TO Ef-zcA , being first duly sworn, upon oath deposes and says: • That on thelq __LI :Pla Lgialloji, he presented to ()shall ailed DisKic., -- District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the month of L d ci im belrg in the sum of VA-liedsardtudI taW ($ 0 0 ) "C in 6' payment of which the Superintendent of Schools caused his/her Warrant Number 4 (6M)CNo to be ,,rth issued on julq, 1.1 , 20 11, drawn on the ,LOGolifrii Digkig- 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 '111-1-11 6-1 in the sum of $ I ab-STPO Signed: !tiottimil 16,2atlalorn . to before me this .4 1:2if day of /14 ,20 /7 N1 my ossedber 2.2011 (La) NO ARY PUBLIC My commission expires: /6 Following approval please return this affidavit to the Marlcopa County School Superintendents Office. 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. Blanca V Gonzalez-Magana (1), being first sworn, upon oath deposes and says: Name/Claimant On or about September 22, 2016 viate)(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/check issAdio MrnpApr in the sum of $ 1,452.78 .(3) Signed (z (4) (5) Subscrib aylp sworp to zbgerr\e,,me this 17 day of .6-M-k.-61 20 17. NOTARY PUBLIC CHARLES D ALLEY My commission expires: Notary Public - State of New York qa..-1130 NO. OIAL6120671 (seal) Qualified in Fulton County MV rnmmission Fxplres 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 170017771 APPROVEE (if known) (6) Original Date of Issue September 22, 2016 DAT AUG 120 (if known) (7) — /fidAl Reason for original issue of Warrant/Check (8): ERK, MARICOPA BOARD OF COUNTY SUPERVISORS Payroll 0 For Services or Goods furnished 0 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 INTEROFFICE MEMORANDUM Maricopa County Education Service Agency (aka Maricopa County Superintendent of Schools Office) RECEIVED AUG 3 0 2017 TO: CLERK OF THE BOARD MARICOPA COUNTY CLERK BOARD OF SUPERVISORS FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 8/29/2017 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 theresa.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. #59 Laveen Glen Rach #180006443 $844.36 #31 Balsz Jenny K Whitt #180002770 $1,461.10 Applicatiun for a Duplic Warrant/Check Affidavit/C/aim Form This applicatkm F 1 or 1.1 Stale-Dated (definitions are on page 2 STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the COUNTY OF MARICOPA Instruction sheet which is page 2 of this form. Glen Rach (1), being first sworn, upon oath deposes and says: Name/Glaimant On or about 08/04/2017 (date)(2) a warrant/check was issued to the above named person/entity in the amount as stated below. Such warrant/check was • either never received or was subsequently inadvertently lost or destroyed and there is no reasonable probability of its being found or presented for payment, a it was not presented for payment within one year after the date of issuance. Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct and the amount shown is due and owing, and the applicant requests that a replacement 'warrant/check beiS$PedIOshirn/her in the sum of $ 844.36 Signed; (4) :Note.: Please attach a copy of the warrant/check if available and/or any other evidence that a wairant/check was originally issued. (5) spbscribecLan sworn to before me this \ C day of 20 ( TARY PUBLIC NOTARY PUBLIC STATE OF ARIZONA .YUfv11-`, COUNTY AIMEE L. MARWE: My Commission Expires NPRP1 9 Warrant/Check Number 1-8 0006443 (if known) (6) Original Date of Issue 8/04/2017 APPRICOITED (if known) (7) DARE AUG13,1 20 Reason for original issue of Warrant/Check (8): E Payroll LERK. BOARD OF SUPERVISORS Li For Services or Goods furnished MARICOPA COUNTY U. Treasurer's refundlpayment Other: SAPROCESSESWarrants - Duplicate or Stale\02 ForrnsVarrants Checks notice of claim - Copy.cloc A.R.S. 11-632 & 11-644 Revised April 2015 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. :fQxIyk./ (AN, i-H- (1), being first sworn, upon oath deposes and says: Name/CIaiman On or about 7 jt 11 (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/check be issued to him/her in the sum of $1 1-4(0\.(C .(3) Signed: (4) (5) Subscribed and sworn tOefore me this oq/ day of 20 /7 . 4010 LAURIE M. COLTER NOTARY PUBUC -ARIZONA My commission expires: My MARICOPACOUNTY Commission Expires March 29. 2019 (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 APPROVED if known 6 ,.1 i•CO:AAI Original Date of Issue DAT i if known 7 —7 i / 1 IMAM for original issue of Warrant/Check (8): AK, MARICOPA BOARD OF COUNTY SUPERVISORS Reajr Payroll E For Services or Goods furnished 0 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