STAMPED AND REDACTED - 3701008344 - GREGORY C. SPENCER.PDF
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v 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 ale “Warrant. | Amount Queen Creek USD #95 SPENCER, GREGORY C 3701008344 $142.36 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. SPENCER, GREGORY C (1), being first sworn, upon oath deposes and says: Name/Claimant On or about ~ e Sp 2 O28 (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 of $142.36 (3) rere pes Meee Signed: A (4) FZ an (5) Sub and sworn to before methis__) —_dayof _Otdsloy 20 QY, VALS lee 64N PUBLIC My com expires: | L i ng Notary Public - State of Arizona LL MARICOPA COUNTY (seal) | Commission Mi ‘S90236 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 3701008344 (if known) (6) 10/09/26 Original rigina Date of I ; ate oF o 09/17/2026 E Reason for original issue of Warrant/Check (8): i Payroll © For Services or Goods furnished 1 Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schoois\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R.S, 11-632 & 15-999