STAMPED & REDACTED - LAUREN LOVATO.PDF

INTEROFFICE MEMORANDUM 
TO: 
MARICOPA COUNTY CLERK OF THE BOARD 
FROM: 
MCSS FINANCE DESK (MIKE MARTINEZ) 
SUBJECT: 
AFFIDAVITS – REPLACEMENT OF LOST WARRANTS 
DATE: 
10/17/2025 
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 
Warrant # 
Amount 
Avondale Elementary #44 
Lovato, Lauren 
3700823598 
$545.18

Application for a Duplicate or Stale-Dated Warrant/Check 
Affidavit/Claim Form 
This application is for: l!!J Duplicate or D Stale-Dated (definitions are on page 2)
STATE OF ARIZONA 
COUNTY OF MARICOPA 
Note: Numbers on this form correspond to numbers on the 
Instruction sheet which is page 2 of this form. 
_L_O_V_A_T_o_, _L_A_U_R_E_N ______ (1), being first sworn, upon oath deposes and says:
Name/Claimant 
On or about 1112212024 
(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 $,_5 _45_._1_8 ________ ,(3)
Signed: d{)vv, ---
(4) 
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 /c/"' 
day of Ocb,be.--
201S ,
j2¢:----
NOTARY PUBLIC 
My commission expires: 
I ---, , 11>-t<o
Warrant/Check Number 
if known 6 
Original Date of Issue 
if known 7 
3700823598 
1112212024 
Reason for original issue of Warrant/Check (8): 
Ɠ Payroll 
DAMEIN KPOGO 
Notary Public, State of Arizona 
Maricopa County 
Commission# 661263 
My Commission Expires 
(seal) 
Jttnuar 07,2028 
D For Services or Goods furnished, _______________ _ 
D Treasurer's refund/payment ________________ _ 
D Other: _______________________ _ 
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