092116 DUPLICATE WARRANTS -1.PDF

Maricopa County Education Service Agency
INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency
TO: Clerk of the Board
FROM: CARRIE GUNDERSON
SUBJECT: Affidavits — Replacement of Lost /Stale Warrants
DATE: 8/26/2016
PLEASE FIND ATTACHED 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 Carrie Gunderson at (602) 372-4833 opt.3 or via e-
mail at garnishments@mcesa.maricopa.gov . Approved Affidavits may be routed back to the
Maricopa County Education Service Agency at 4041 N. Central Avenue #1200, (12th Floor)
Thank you.
Fund 781
Ronald W Rutledge 170007342 Dated 8/4/16 for $740.49
4041 N. Central Avenue, Ste. 1200, Phoenix AZ 85012 • Phone 602-506-3866 •
3753
www.maricopa.gov/mcesa Twitter: #mcesaaz Facebook: mcesaaz

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: IS Duplicate or El 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.
RAY1/4-\c\ \x) ed (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about Auc) t..t+ , (date) ( )(2) (2) a warrant/check was issued to the
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 thum of $ 11 - 1J( 4c1 .(3)
(4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this k V-1 day of PA-kcaAVV 20 tk .
4).10,/III•III 0.4.114•4.+,‘"•X"— I
NOTARY PUBLIC C,_.J ,1,0 ' • MARIA ANDRADE
Not pubic - std. omis cm
MARICOPA COUNTY
My commission expires:
ct 2.01,9 (seal)
Warrant/Check Number
(if known) (6)
Original Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
'$ Payroll
CI For Services or Goods furnished
111 Treasurer's refund/payment
El Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc
Revised April 2015 A.R.S. 11-632 & 11-644

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: 1:Suplicate or 0 Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARIC,OP , 4s, numbers on the Instruction sheet which is
. 1 io"anr°?o,if t"F c,-.,
\_--11.- 1/.1tt (1), being first sworn, upon oath deposes and says:
ame/Clin-Lti
On or about `(1 (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 $ 3 (tO
Signed: L (4)
Note: Please attach a copy of the warrant/check if available and/or any -j ot,
evidence that a warrant/check was originally issued. r-r1
(5) Subscribed and sworn to before me this I (0,41/\ day o
(Ida Nct,w2t eu
NOTARY PUBLIC MARIA MARSCEILL j
Notary PubFic - State of Arizona ;
My commissnxpires: MARICOPA • COUNTY 2
3 5 I ri Comm. Expires March 15, 2019 !
Warrant/Check Number 3c.000(0 _`P
(if known) (6)
Original Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
O Payroll
O For Services or Goods furnished
O Treasurer's refund/payment
bOther: n't5•AWQ-4 Toorvu
OARD OF
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CAPPENT HAZLEWOOD
Carpenter, tiazieood,'Delgado &-Belen;PLC
ATTall.NEYS. AT LAW
PHOENIX 1400 East Southern Avenue, Suite 400 e-mail: effi e@carpenterhazIewood. Effie E. Barrett co m
Tempe, T 480-427-2800 Arizona 85282-5691 direct: 480-427-2854
F 480-427-2801
August 26, 2016
Beth Brown
Maricopa County Board of Supervisors
301 W. Jefferson, Suite 960
Phoenix, AZ 85003
Re: Replacement Warrants: 360028885 and 360030288
Dear Ms. Brown:
Please note that Effie Barrett is authorized sign on behalf of Review
Homeowners Association in the limited capacity of requesting the replacement
garnishment checks for above referenced warrant numbers.
Please let me know if you have any questions.
Javier B. Delgado
Attorney
for
CARPENTER, HAZLEWOOD, DELGADO & BOLEN, PLC
ALBUQUERQUE • PHOENIX • PRESCOTT • SALT LAKE CITY • SANTA FE • TUCSON
CARPENTERHAZLEWOOD.COM
NATIONWIDE T 800-743-9324 • F 800-743-0494

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Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: riDuplicate or 0 Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA numbers on the Instruction sheet which is
page 2 of this form.
- IT - (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about (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 sqm of $ .(3)
Signed: (4)
Note: Please attach a copy of the warrant/check if available and/or oer
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this 1 (0, 1-1(\- day o 4-04.
7=1".
cldk 0616cs1 t(
NOTARY PUBLIC ; OFFICIAL SEAL C-) rn
!5i MARIAMARSCEILL
z ittura wo Notary Public - Stata of Arizona
My cgmmiqsion expires: b MARICOPA COUNTY I
a 1 (51 9 my Comm. EvIres March 15, 2019 I (seal)
Original Date of Issue
(if known) (7)
Reason for original issue of Warrant/Check (8):
II Payroll
D For Services or Goods furnished
0 Treasurer's refund/payment
Other: 6/3etHS1^1)4/ - Pial/f)70-)1

CA PENTEP HAZLEWOOD
Carpenter, HazIewood, Delgado & Bolen, PLC
ATTORNEYS AT LAW
PHOENIX Effie E. Barrett
Tempe, 1400 East Arizona Southern 85282-5691 Avenue, Suite 400 e-mail: effie@carpenterhazIewood.com
T 480-427-2800 direct: 480-427-2854
F 480-427-2801
August 26, 2016
Beth Brown
Maricopa County Board of Supervisors
301 W. Jefferson, Suite 960
Phoenix, AZ 85003
Re: Replacement Warrants: 360028885 and 360030288
Dear Ms. Brown:
Please note that Effie Barrett is authorized sign on behalf of Review
Homeowners Association in the limited capacity of requesting the replacement
garnishment checks for above referenced warrant numbers.
Please let me know if you have any questions.
Javier B. Delgado
Attorney
for
CARPENTER, EIALLEWOOD, DELGADO & BOLEN, PLC
ALBUQUERQUE • PHOENIX • PRESCOTT • SALT LAKE CITY • SANTA FE • TUCSON
CARPENTERHAZLEWOOD.COM
NATIONWIDE T 800-743-9324 • F 800-743-0494

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INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency (aka
Maricopa County Superintendent of Schools Office)
TO: CLERK OF THE BOARD
FROM: Denise Weihe
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 8/25/2016
Please find attached 3 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 Denise Weihe at 602-506-7121 or via e-mail at
denise.weihe@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.
#1 Phoenix El NRG Yield Operating $15325.64
#216 Agua Fria Southwest Shakespeare Co $800.00
#95 Paloma Meg Hufford/ASU Star Lab $100.00
AUG 2 2016
CLERF\ L PERVISOFIS
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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.
NRG Yield Operating, LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about March 16, 2016 (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 $ 15,325.64 43)
/Vol lk
Signed: (4)
(5) Subscribe,d and sworn to before me this 2 " day of JuhlE 20th
NOTARYYUBLIC
S.:1•11Y"Pig"', JOSE ANTONIO MARTINEZ
My cornrn!ssion expires: • •('s F: Notary My Commission Public, State Expires of Texas
July 03, 2016 (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 460082988
(if known) (6)
Original Date of Issue 3/16/2016
(if known) (7)
Reason for original issue of Warrant/Check (8):
LI Payroll
For Services or Goods furnished
ID 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

NRG Renew LLC
5790 Fleet St , Sulte 200
Carlsbad CA 92008
r:74
0
nrg_
Phoenix Elementary School District No. 1
C/0 Myeshia Akins
1817 N. 7th Street
Phoenix, AZ 85006
Dear Valued Customer:
My name is LeVas A. Johnson. I am Director for Customer Operations at NRG and in this capacity I am duly
authorized to execute Verification and Affidavit documents. As such, please find enclosed Affidavit
document in relation to check/warrant number 460082988.
At NRG Solar, we are committed to putting our customers first and thank you for your continued business.
We look forward to future opportunities to meet and exceed your expectations. Please feel free to contact
me directly at 713-537-2774 with any questions concerning this matter.
Sincgrely,
Aele)) A
LeVas A. Johnson
Director, Customer Operations

AFFIDAVIT
STATE OF ARIZONA
K. BOARD OF •
COUNTY OF MARICOPA MARICOPA COUNTY
Southwest Shakespea Co - being first duly sworn, upon oath deposes and says:
That on the 23 day of SEPT 20 15 , he presented to AFUHSD #216
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of SEPT .23 2015, said claim being in the sum of
EIGHT HUNDRED
Dollars, ($ 800.00 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 460037928 to be
issued on OCT 27 , 20 15 drawn on the 525 Fund of AFUHSD #216
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
460037928 J.D.A.he
Signed:
Subscribed and sworn to before me this day of r 141 , 20 42
(kiA,
My commission expires: hA0/1:9 ARY PUBLIC
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

SOUTHWEST 7 COMPANY
z-Ake-a-te
August 23, 2016
T. Christman
Verrado high School
20050 West Indian School Road
Buckeye, Arizona 85396
Email: tchristman@aguafria.org
Dear To Whom It May Concern at Verrado High School:
This letter is to request a check for $800 be reissued to replace the check issued to us previously last
October for payment of our performance of Romeo and Juliet. The check mailed to our office never
arrived and was never cashed. It is safe to assume the check was lost in the mail.
Your invoice number for this service is 2816 and dated October 27, 2015. If you need it, our Federal
Employer Identification Number is 86-0764708. We ask you to send the check for $800 to:
Southwest Shakespeare Company
P. 0. Box 30595
Mesa, A 85275
Physical address
55 East Main Street
Mesa, AZ 85201
Please contact me at 586-709-3672 if you have any questions. I hope we are laying the foundation for
many successful productions at your high school in the future. Thank you for working with us.
Sincerely,
Randy L. Mayes
Managing Director
Southwest Shakespeare Company
PO Box 30595 Mesa, Arizona 85275 480.435.6868 www.swshakespeare.org

z\V.,
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
t\ke..oj WuRve. being first duly sworn, upon oath deposes and says:
ksu So-r Lab
That on the 2--0 *." day of ekl‘berk" , 20.\ .she presented to
of Maricopa County, for payment, a claim for
services rendered or supplies furnished during the month of Se.P.k.laliatr.., said claim
being in the sum of ..0.1<W,.-.k1l4.1Act.V.e.d.. acY1 dollars
($X.Q; A:1P ) in payment of which QLIegrt
caused Warrant No. di 100°2-90c\ C1 to be issued on Se---cA. 9-c1 ,
drawn on the 06TO fund of &U,C-r,n . er-r:CC)4 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, aft-tont prays that the Board of Supervisors order and the
.16.LACTVA M44-. .U51) . issue to him a duplicate of said Warrant No.
•ALPIDeaci D99 in the sum of $ tM•00
..A,
Subscribed and sworn befne me this day of
Notary Public
Notary PublIc,Stat• LAURA CRAFT of Arizona My Commission Expires .0 CL
Maricope County
My Commission Expires
June 08, 2020
Followine approval please return this affidavit to the Maricona County Schools Office_