072016 DUPLICATE WARRANTS 5 - SCHOOLS.PDF

MCESA
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: 6/29/2016
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 ELSA PEREZ at (602) 506-3533 or via e-mail at
garnishmentsmcesa.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
Lisa Decota 1 60086843 $756.58
RE F NED
.JUN 3 0 2 I31b
COUNTY
supERvlsoFts
CLERK BOARD OF
/0 (-4/r1.0
4041 N. Central Avenue, Ste. 1200, Phoenix AZ 85012 • Phone 602-506-3866 • Fax 602-506-
3753
www.maricopa.gov/mcesa Twitter: #nncesaaz Facebook: mcesaaz

A F IDAVIT
STATE OF ARIZONA
RKI ARC 0 SUPERVISORS
COUNTY OF MARICOPA tvir IRICOPA COUNTY
LISA DECOTA , being first duly sworn, upon oath deposes and says:
That on the 13 +6 day of M4-1 2OILD , he presented to fitiC.KE•ic (..9410AI I-1 S ULSI
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of Iv1 A-) 20 , , said claim being in the sum of
Sevex) urcired 431 x 4 leo Dollars, ($ ) in payment of which the
Superintendent of Schools caused his/her Warrant Number i (,0 608684 3 to be
issued on MAI 2Lptil , 20 , drawn on the 61:)14,0 Fund of oliCKEI16 LI,1/411o14 I-1 .
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
1606249243 in the sum of $ 756 . 5 g . IE.. I••I IMis
LESLIE DOUD
Notary Pubuc - Arizona
Maricopa County
Signed: Cc-,°4k-) My Comm. Expires Nov 14, 2017
Subscribed and sworn to before me this D-3 day of VOW__ ,20 1 (p
441.,a
NOTARY PUBLIC
My commission expires: 11006 api7
Following approval please return this affidavit to the Maricopa County School Superintendents Office.