STAMPED AND REDACTED 3700930294 - NOTHING BUNDT CAKES-BUCKEYE.PDF

Schools Affidavit/Claim Form 
Application for a Duplicate Warrant/Check 
(definitions are on page 2) 
ST A TE OF ARIZONA 
COUNTY OF MARICOPA
Note: Numbers on this form correspond to numbers on the 
Instruction sheet which is page 2 of this form. 
Nothing Sundt Cakes-Buckeye (1 ), being first sworn, upon oath deposes and says: 
Name/Claimant 
On or about 12/12/2025 
(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 
e sum of$ 2,920.05
. (3) 
\{) 
day of Fc,hru(,(}20'2h. 
My commission expires: 
6'2.-l q ... 2ozg
, 
RYAN MINK 
Notary Public • State of Arizona 
MARICOPA COUNTY 
Commission # 664153( seal 
Expires February 19, 2028 
O--·-· ---·-·-·-P-..... 
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 
3700930294 
(if known) (6) 
Original Date of Issue 
12/12/2025 
(if known) (7) 
Reason for original issue of Warrant/Check (8):
□Payroll
ii/ For Services or Goods furnished _____________ _ 
□Other:
S:\FinanceDesk\Schools-Warrants Checks notice of ctaim.docx 
Revised May 2025 
A.R.S. 11-632 & 15-999