STAMPED AND REDACTED - 3700970624 - FELICIA BERESFORD.PDF

Y
MARICOPA
COUNTY
INTEROFFICE MEMORANDUM
TO: MARICOPA COUNTY CLERK OF THE BOARD
FROM: MCSS FINANCE DESK (JENIFER PEASE)
SUBJECT: AFFIDAVITS — REPLACEMENT OF LOST WARRANTS
DATE: 10/8/2026
Please find attached 1 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 the MCSS Finance Desk at 602-372-4833
(Option 1) or via e-mail at FinanceDesk@maricopa.gov. Approved Affidavits may be
routed back to the Superintendent of Schools - Finance Desk at 4041 N. Central Ave
#1100.
Thank you,
District Payee —*«||——s Warrant# | Amount _
East Valley Institute of BERESFORD, FELICIA 3700970624 $588.00
Technology #401

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$
Schools Affidavit/Claim Form MARICOPA
COUNTY
Application for a Duplicate Warrant/Check
(definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
instruction sheet which Is page 2 of this form.
COUNTY OF MARICOPA
“NCI 8 EOC (1), being first sworn, upon oath deposes and says:
Name/Clalinant
On or about D7 A) “ 2020 (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 $ 566. 00 . (3)
Felicia, be aniae 0
Signed: (4)
Felicia be M6 O
Print name: (required) Gi
(5) Subscribed and sworn to before me this 2°" day of October 20 Zc,
bE
NOTARY PUBLIC
SER ELDAI ZUNIGA
Notary Public State of Anzona
My commission expires: MARICOPA COUNTY
Commission # 688163
04 Ayarst 20Ra Expires August 04, 2(se i I)
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 ANAT VY 24.
10/09/26
Original : Date of Issue C |
oO” 10 . 2026 -
(if known) (7)
Reason for original issue of Warrant/Check (8):
O) Payroll
[} For Services or Goods furnished
Sent 10 Addvess
A Other:
AXONS
S:\FinanceDesk\Schools-Warrants Checks notice of claim.docx
Revised May 2025 ARS. 11-632 & 15-999