Extracted text (via tesseract_tsv)
27005 characters
INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency
TO: Fran McCarroll, Clerk of the Board
From —- Susana Fraire/Elsa
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 7/28/2015
Please find attached__ 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.
| The original warrant(s) have had a stop payment done.
If you have any questions, please contact Susana Fraire or Elsa Perez at (602) 372-
8425/(602) 506-3533 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, ( 12'* Floor) Thank you.
Fund 781 Hilda Galindo $147.44
RECEIVED
JUL 30 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
int fie
Mili
Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Duplicate or LC) 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.
Hilda Galindo (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about July 08, 2015 (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
WATE be to him/her i in the sum of $ 147.44 (3)
Cee sued
an , , a /,
warrant/check
Note. Please attach a copy of the if available and/or any other
evidence that a warrant/check was originally issued.
|
(5) sworn to me this _— aes day of i WV 20S.
Sub Stnbed, chk af
/ (Vy,
Ste
NOTARY Y
Leilani Gapasin
‘\ Notary Public
My ommission expires: Ee) Maricopa County, Arizona
Ooestry
<==” My Comm. Expires 02-25-18] (seal)
| Warrant/Check Number |
1600000913
(if known) (6)
Original rigina Date of I
(iran) oO 07/08/2015 a
A Pt
|
Reason for original issue of Warrant/Check (8):
1 Payroll
O For Services or Goods furnished —
11 Treasurer's refund/payment
Other: Check is lost in the mail. Employee never received the check.
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
Warrant Display Page 1 of 1
Warrant [-6-0000913 Details
Wt Number 1-6-0000913 Wt Amount $147.44
Wt Status STOPPED Wt Interest 0
Acct Num 31-781-000 Issue Date 7/9/2015
Paid Date 7/28/2015 Register Date
Voucher 000 Claim Number 000000
PO Num 000000 Fund Number 781
Dept Num 3700 Low Orig 00000
Payee GALINDO, HILDA Sub Fund 781
| View Audit History |
Image is not available on the web.
Warrant Search
Return to List of GL Accounts
Help for this page
https://treasurer.maricopa.gov/agency/AccountInquiry/warrantdisplay.asp?.... 7/28/2015
INTEROFFICE
MEMORANDUM
Maricopa County Education Service Agency (aka
Maricopa County Superintendent of Schools Office)
TO: CLERK, OF THE BOARD
From =» Millie Thompson
SUBJECT: Affidavits ~ Replacement of Lost Warrants
DATE: 7/29/2015
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 Mile Thompson at 506.3898 or via e-mail at
mille. thompson@mcesa.maricopa.gov. Approved Affidavits may be routed back to the
Superintendent of School Finance Division at 4041 N. Central Avenue #1200, ( 12
Floor) Thank you.
#68 ALHAMBRA KRISTEN ZACKERY $295.00
#31 BALSZ ALAINA HARINET $919.54
#31 BALSZ CARSON-DELLOSA PUBLISHING $106.39
RECEIVED
JUL 36 2015
MARICOPA COUNTY
CLERK BOARD OF
en)
dnl of fece vel b
AFFIDAVIT APR
STATE OF ARIZONA
COUNTY OF MARICOPA
Cr, Sea 2aclam, , being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the Fda day of OUOCe. 20)S__, he/she presented to
A\neanics SAnex i TDA
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of « Oe 20_)S__, said claim being in the sum of ( marcy S .COo)
|
— >» doll
Loe Dendres Y\ yan C3 Ce aoe Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number SISO\ Oo } eC to be
Issued on the DOce | ,20_ 5, drawn on theQQYo Fund of AO\n eynbrs
District of Maricopa County , Arizona.
Affiant further says that although he/she was informed and believes that the above mentioned warrant
Was regularly issued, the same has never been received , or has been lost.
WHEREFORE, affiant prays that the Board of Supervisors order and the issue
Number (1.SC lO 3 ee S__ Ears
to him/her a duplicate of said Warrant inthe sum of
Signed:**
(Name & title of authorized personnel)**
Subscribed and sworn to before me this 27 day of Sul 20 / Ss)
uf
NOTARY PUBLIC Path —_>
: be
G
Va eS | g
My commission ex AY\\VA » AO/
=
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
OFFICIAL SEAL y
JAZMIN MEDINA !
(eres Notary Public - State of Arizon
MARICOPA COUNTY. |
My Comm. Expires Jan, 15, 218i
ROumDSGG=R OC C=D Se . mmm . soto: Em 54 ems cues semcvevemme
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
« Lama Lerma
, being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the 43 day of JULY 20 ic he/she presented to
,
BALSZ. ELEMENTHLY SCHCO, “DIST
District of Maricopa County, Arizona , for payment , a claim for services rendered or supplies furnished
during the month of Die _ 20 AS said claim being in the sum of ($ W/Z SZ)
_,
Ame HualbeeD Wineeen & theo! Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number WA S437 to be
Issued on the Tine He 20L5, drawn on the Q2/ Fund of B#ZSZ ZI AR
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 Schogls issue
W2SE
to him/her a duplicate of said Warrant Number F/ONGYSZT in the sum of $ :
Signed:**/ /\
(Name & title of authorized personnel)**
Subscribed and sworn to before me this VA day of 20L5
j
Leite
Lege. Crree ft Y
NOTARY PUBLIC
LAURIE M. COLTE! R
My commission expires: 22019 fe <2) NOTARY PUBLIC - ARIZONA
u( B) MARICOPACOUNTY
V8) My Commission Expires
March 29, 2019
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
Cassano -[Y¢ LipsA) fan J HJ G, being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on ArKic /3 ,20_/5_, he/she presented to “BALS2 Serene Disweel #3! of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of ArnRic 20_}D_, said claim being in the sum of ($ /O04«?9_)
,
37,
Owe Huwonso Six and /00 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number _4/ 70 0 8 4/6 /O _ to be issued
on APeKIL AX _,20)/5,drawnonthe /G! Fund of Kecsz rs L Dist. #3! of
(School District Name)
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 4500 §4/0/O0 inthesumofS /O0G4..39
Wace (Myr Crd Lepr etre
Signed:
(Name and Title of Authorized Personnel) +
2 1 31 0 0 0 309 2239 2019 158 -1
3 1 31 1 0 0 309 2239 2019 158 -1
4 1 31 1 1 0 309 2239 2019 158 -1
5 1 31 1 1 1 309 2284 200 33 96.852669 Subscribed
5 1 31 1 1 2 525 2285 66 32 96.542099 and
5 1 31 1 1 3 606 2295 109 23 96.916550 sworn
5 1 31 1 1 4 729 2290 37 28 96.741249 to
5 1 31 1 1 5 782 2286 119 33 96.290726 before
5 1 31 1 1 6 916 2295 55 23 96.839806 me
5 1 31 1 1 7 985 2285 65 33 96.839806 this
5 1 31 1 1 8 1141 2262 58 64 80.980423 /O
5 1 31 1 1 9 1211 2239 77 49 68.639786 te
5 1 31 1 1 10 1314 2285 64 41 96.747978 day
5 1 31 1 1 11 1391 2285 38 32 96.546234 of
5 1 31 1 1 12 1507 2244 144 153 29.492546 Sue
5 1 31 1 1 13 1803 2312 8 10 92.195999 ,
5 1 31 1 1 14 1825 2287 43 31 96.838791 20
5 1 31 1 1 15 1889 2250 70 83 19.313841 {iD
5 1 31 1 1 16 2092 2298 236 53 12.333899 ELT
2 1 32 0 0 0 1437 2321 546 5 -1
3 1 32 1 0 0 1437 2321 546 5 -1
4 1 32 1 1 0 1437 2321 546 5 -1
5 1 32 1 1 1 1437 2321 546 5 95.000000
2 1 33 0 0 0 780 2515 982 8 -1
3 1 33 1 0 0 780 2515 982 8 -1
4 1 33 1 1 0 780 2515 982 8 -1
5 1 33 1 1 1 780 2515 982 8 95.000000
2 1 34 0 0 0 461 2402 1991 220 -1
3 1 34 1 0 0 461 2406 1991 216 -1
4 1 34 1 1 0 1115 2407 1326 54 -1
5 1 34 1 1 1 1115 2427 7 4 69.882553 /
5 1 34 1 1 2 1992 2442 20 15 4.051352 <s
5 1 34 1 1 3 2082 2422 37 39 16.214104 ,°
5 1 34 1 1 4 2326 2407 115 53 1.989212 0.2
4 1 34 1 2 0 461 2402 1991 172 -1
5 1 34 1 2 1 461 2482 154 32 96.995934 NOTARY
5 1 34 1 2 2 628 2484 139 31 96.900841 PUBLIC:
5 1 34 1 2 3 883 2411 160 163 73.843605 ling
5 1 34 1 2 4 1043 2424 139 104 47.011490 ola
5 1 34 1 2 5 1252 2402 242 123 46.897465 say
5 1 34 1 2 6 1986 2458 20 14 65.735077 5
5 1 34 1 2 7 2015 2459 73 77 60.745029 Qf
5 1 34 1 2 8 2155 2422 122 126 4.045467 NOr
5 1 34 1 2 9 2345 2438 107 64 38.982246 2%
4 1 34 1 3 0 461 2521 1606 101 -1
5 1 34 1 3 1 461 2581 56 39 96.626778 My
5 1 34 1 3 2 530 2581 217 32 96.064476 commission
5 1 34 1 3 3 763 2582 141 40 96.270897 expires:
5 1 34 1 3 4 1044 2540 203 78 0.000000 10/2(2
5 1 34 1 3 5 1260 2521 96 96 0.000000 B19
5 1 34 1 3 6 2056 2556 11 12 0.000000 :
2 1 35 0 0 0 917 2614 845 8 -1
3 1 35 1 0 0 917 2614 845 8 -1
4 1 35 1 1 0 917 2614 845 8 -1
5 1 35 1 1 1 917 2614 845 8 95.000000
2 1 36 0 0 0 558 2773 1394 31 -1
3 1 36 1 0 0 558 2773 1394 31 -1
4 1 36 1 1 0 558 2773 1394 31 -1
5 1 36 1 1 1 558 2773 127 30 96.382240 Following
5 1 36 1 1 2 695 2774 116 29 96.249519 approval
5 1 36 1 1 3 822 2774 84 30 96.726700 please
5 1 36 1 1 4 917 2777 83 21 96.444748 return
5 1 36 1 1 5 1010 2773 48 24 96.870964 this
5 1 36 1 1 6 1068 2773 109 25 96.870964 affidavit
5 1 36 1 1 7 1185 2776 27 21 96.719810 to
5 1 36 1 1 8 1222 2773 43 24 96.487961 the
5 1 36 1 1 9 1277 2774 123 29 96.803459 Maricopa
5 1 36 1 1 10 1411 2774 95 28 95.955788 County
5 1 36 1 1 11 1517 2773 130 24 96.760750 Education
5 1 36 1 1 12 1656 2774 96 23 96.837822 Service
5 1 36 1 1 13 1760 2775 98 28 96.770103 Agency
5 1 36 1 1 14 1867 2773 85 25 96.329720 Office.
MARICOPA COUNTY
Department of Finance
301 West Jefferson, Ste 960
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: July 30, 2015
To: Clerk of the Board
From: Joyce Maurmann
Department of Finance
Subject: Affidavits - Replacement of Lost Warrants
Please find attached 2 Affidavits for lost warrants to be included on the next available
Board Agenda.
e The attached items have been researched to ensure the warrant in
question have not been cashed or previously re-issued.
e The original warrants have a void/stale date/stop payment done.
Please call me at 506-1343 if you have any questions. Please return the approved
Affidavits to my attention in the Department of Finance, Suite 960.
Thank you.
Re: Cindy Benner
RECEIVED
JUL 3 0 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
Induvz dal
ae
Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Duplicate or [_] stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
numbers on the Instruction sheet which is
COUNTY OF MARICOPA
paae 2 of this form.
. (1), being first sworn, upon oath deposes and says:
eindy Senne
On or about 06-Apr-2015 (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 $ 19.60 (3)
Signed: Conding IV TL (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
Subscribed and sworn to before me this \L day of Puy 20 (S.
(5)
NOTARY PUBLIC
My commission expires:
2o'4 (Seal)
oe EE
) Warrant/Check Number
|359924948
(if known) (6)
Original Date of Issue
06-Apr-2015
(if known) (7)
Reason for original issue of Warrant/Check (8): |
O1 Payroll
For Services or Goods furnished
1 Treasurer’s refund/payment
LJ Other:
Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Duplicate or L] stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
numbers on the Instruction sheet which is
COUNTY OF MARICOPA
paae 2 of this form.
.
Gindy Bennet (1), being first sworn, upon oath deposes and says:
On or about 08-Apr-2015 (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 $ 179.20 (3)
Se (4)
Signed: Condi
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 | lo day of Sibu 20 | FY
hondo Leeann
NOTARY PUBLIC 9) RHONDA MUNYON
Notary Public - State of Anzona
PIMA COUNTY
My commission expires: My Commission Expires
1, ZOVF January 7, 2019 (seal)
lana
=
Warrant/Check Number 350025284
(if known) (6)
Original Date of Issue]
gg_ Anr-2015
(if known) (7)
Reason for original issue of Warrant/Check (8):
C1 Payroll
For Services or Goods furnished
1 Treasurer's refund/payment
O Other:
MARICOPA COUNTY
Department of Finance
301 West Jefferson, Ste 960
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: August 5, 2015
To: Clerk of the Board
From: Beth Brown
Department of Finance
Subject: Affidavits (2) - Replacement of Lost Warrants
|
Please find attached affidavits for lost warrants to be included on the next available
Board Agenda.
e The attached items have been researched to ensure the warrants in
question have not been cashed or previously re-issued.
e The original warrants have a void/stale date/stop payment done.
Please call me at 506-1329 if you have any questions. Please return the approved
Affidavits to my attention in the Department of Finance, Suite 960.
Thank you.
Re: EDWIN & LANA HORN
RECEIVED
ig
AUG 95 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: Duplicate or LJ stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA cae erineor sheet which is
EDWIN & LANA HORN (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 94-May-2015 (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 $ 900.00 .(3)
Mf J LA Mra Uru \ea
Signed:
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 WO day of Lh ly 20. £5 .
(the ZO
Liths raid
NOTARY PUBLIC
KATHY PETTIGREW
My commission expires: Ney Fai Sa aaa
pine at o/P ay one (seal)
;
Warrant/Check Number
350027893
(if known) (6)
Original Date of Issue
04-May-2015
(if known) (7)
Reason for original issue of Warrant/Check (8):
C1 Payroll
furnished_during the month of April, 2015
For Services or Goods
L Treasurer's refund/payment
CL) Other:
EDWT mae RO i x K
at De aaah
a
ai et
Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: Duplicate or L] stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
numbers on the Instruction sheet which is
COUNTY OF MARICOPA
paae 2 of this form.
Edwin . & Lana Horn (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 29-Apr-2015 (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
100.00
warrant/check be issued to him/her in the sum of $ (3)
7
E+ / Xbb udp
signed: J
Note. Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued. oo.
(5) Subscribed and sworn to before me this _ AO day of. 20-5.
pts
oo
KATHY PET.
) \ Notary Public - Stata o:
PINAL COUNTY
My commission expires: y, My Commission Expires
June 15, 2019
lune Z, a, aO/ di (seal)
Cy
Warrant/Check Number 350027380
(if known) (6)
Original Date of Issue 199. Apr-2015
(if known) (7)
Reason for original issue of Warrant/Check (8):
O1 Payroll
during the month of April, 2015
For Services or Goods furnished
1 Treasurer's refund/payment
C1 Other:
KATHY PETTIGREW
Notary Public - State of Arizona
PINAL COUNTY
My Commission Expires
Sune 18, 2018
& BOOTS eke
eed
Tet Ter
oe 4
Uy teat bey
INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency
TO: Clerk of the Board
From: Susana Fratre/Elsa Perez
SUBJECT: Affidavits — Replacement of Lost /Stale Warrants
DATE: 8/3/2015
Please find attached 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 Susana Fraire/Elsa Perez at (602) 372-8425
or (602) 506-3533 or via e-mail at garnishments@mcesa.maricopagov. Approved
Affidavits may be routed back to the Maricopa County Education Service Agency at
4041 N. Central Avenue #1200, ( 12 Floor) Thank you.
Fund 781 San Tan Ranch HOA $111.19
RECEIVED
AUG 85 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: (mm Duplicate or LJ 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.
SAN TAN RANCH HOA
(1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 16TH OF APRIL 2015
(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 $ 111.19 (3)
preabe Attach
Note. @ 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 20% day of _\o\y 20\S
.
NOTARY PUBLIC
» KIMBERLY A. SMITH
A Notary Public - State of Arizona
My commission expires:
MARICOPA county
1-3\-Iu My J Commission Expires
uly 31,2016" (seal)
:
;
| Warrant/Check Number 750073208
(if known) (6)
Original Date of Issue
(if known) (7) 04/16/2015 — |
—yYoepnewvyrin
Reason for original issue of Warrant/Check (8):
L] Payroll Z
if
L] For Services or Goods furnished | Bre
5 1 47 1 2 9 1851 2584 127 51 94.634003 BOARD
5 1 47 1 2 10 1994 2583 33 22 96.497841 OF
5 1 47 1 2 11 2030 2582 216 55 95.779900 SUPERVISORS
2 1 48 0 0 0 408 2653 1440 123 -1
3 1 48 1 0 0 408 2653 1440 123 -1
4 1 48 1 1 0 408 2653 1440 50 -1
5 1 48 1 1 1 408 2653 36 35 24.634933 LI
5 1 48 1 1 2 475 2654 229 37 0.000000 Treasurer's
5 1 48 1 1 3 722 2656 334 47 90.847305 refund/payment
5 1 48 1 1 4 1708 2669 140 3 59.255695 ——
4 1 48 1 2 0 476 2722 824 54 -1
5 1 48 1 2 1 476 2738 126 38 92.992882 Other:
5 1 48 1 2 2 633 2722 382 42 91.852600 GARNISHMENT
5 1 48 1 2 3 1033 2726 267 41 95.755310 CREDITOR
2 1 49 0 0 0 1839 2492 418 14 -1
3 1 49 1 0 0 1839 2492 418 14 -1
4 1 49 1 1 0 1839 2492 418 14 -1
5 1 49 1 1 1 1839 2492 418 14 95.000000
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4 1 50 1 1 0 1857 2483 1 80 -1
5 1 50 1 1 1 1857 2483 1 80 95.000000
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3 1 51 1 0 0 1136 2611 926 15 -1
4 1 51 1 1 0 1136 2611 926 15 -1
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3 1 52 1 0 0 1069 2697 1001 14 -1
4 1 52 1 1 0 1069 2697 1001 14 -1
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2 1 53 0 0 0 621 2777 1465 20 -1
3 1 53 1 0 0 621 2777 1465 20 -1
4 1 53 1 1 0 621 2777 1465 20 -1
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2 1 54 0 0 0 333 2892 1795 81 -1
3 1 54 1 0 0 333 2892 1795 81 -1
4 1 54 1 1 0 333 2892 1371 45 -1
5 1 54 1 1 1 333 2892 340 32 90.069870 S:\PROCESSES\Warrants
5 1 54 1 1 2 685 2907 9 4 92.992218 -
5 1 54 1 1 3 708 2896 125 31 97.014366 Duplicate
5 1 54 1 1 4 845 2904 28 18 93.293343 or
5 1 54 1 1 5 883 2898 113 30 90.939514 Stale\02
5 1 54 1 1 6 1010 2899 218 30 91.748428 Forms\Warrants
5 1 54 1 1 7 1240 2901 94 26 96.285774 Checks
5 1 54 1 1 8 1346 2903 80 25 96.043777 notice
5 1 54 1 1 9 1438 2903 27 25 96.043777 of
5 1 54 1 1 10 1474 2904 71 25 93.305908 claim
5 1 54 1 1 11 1557 2917 9 3 92.959488 -
5 1 54 1 1 12 1578 2905 126 32 91.347443 Copy.doc
4 1 54 1 2 0 334 2930 1794 43 -1
5 1 54 1 2 1 334 2930 103 25 96.723167 Revised
5 1 54 1 2 2 448 2931 59 31 96.315674 April
5 1 54 1 2 3 520 2932 66 24 96.760353 2015
5 1 54 1 2 4 1800 2946 83 24 60.226341 A.R.S.
5 1 54 1 2 5 1899 2946 93 26 91.001152 11-632
5 1 54 1 2 6 2004 2948 20 24 91.001152 &
5 1 54 1 2 7 2036 2948 92 25 96.575661 11-644
Warrant Display Page | of 1
Warrant 1-5-0073205 Details
Wt Number 1-5-0073205 Wt Amount $111.19
Wt Status STOPPED Wt Interest 0
Acct Num 31-781-000 Issue Date 4/16/2015
Paid Date 8/3/2015 Register Date
Voucher 000 Claim Number 000000
PO Num 000000 Fund Number 781
Dept Num 3700 Low Orig 00000
Payee SAN TAN RANCH HOA Sub Fund 781
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https://treasurer.maricopa.gov/agency/AccountInquiry/warrantdisplay.asp?wa... 8/3/2015
INTEROFFICE
MEMORANDUM
Maricopa County Education Service Agency (aka
Maricopa County Superintendent of Schools Office)
TO: CLERK OF THE BOARD
From Millie Thompson
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 8/4/2015
Please find attached 2 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 Mile Thompson at 506.3898 or via e-matl at
mullie. thompson@mcesa.maricopa.gov. Approved Affidavits may be routed back to the
Superintendent of School Finance Division at 4041 N. Central Avenue #1200, ( 12%
Floor) Thank you.
#45 FOWLER, LEE JOHANNES $548.19
#95 QUEEN CREEK AMBER RUNYON $340.69
AUG OS 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
patie office mace
AFFIDAVIT sg
STATE OF ARIZONA
COUNTY OF MARICOPA
Lee ve han
ALS , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on “June st 20 15 he/she presented to Fouler Esp ¥9Ys~ of
,
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of _ “June 20.¢5 , said claim being in the sum of ($ SHd.14
,
NV
Ee hundred fork. 2 ight 00 —— Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 49208 ) 6° S to be issued
Xe)
on_Suae 14% 20/5, drawn on the Cl2 Fund of _ Fowler a D aS of
Et
(School
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 “S52 O65 — inthe sum of $ S48. (9
/50O0FR V1 4
hhh,
Signed: x
(Ndéme of Authorized Personnel)
subscrited ot |
and swotf to before me this 22 dayof__ ku vi ,20 )5_
Lu LC —
NOTARY PUBLIC:
My commission expires: o| [31/20 14
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
JEFFREY KENNETH LUND
a 3) NOTARY PUBLIC - MINNESOTA
MY COMMISSION EXPIRES 01/31/19