STAMPED AND REDACTED - ANNA SCHAUS.PDF
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v MAR)COPA COUNTY INTEROFFICE MEMORANDUM TO: MARICOPA COUNTY CLERK OF THE BOARD FROM: MCSS FINANCE DESK (MIKE MARTINEZ) SUBJECT: AFFIDAVITS — REPLACEMENT OF LOST WARRANTS DATE: 11/13/2025 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 Litchfield Elementary #79 __| Schaus, Anna 3700888602 $519.96 Date: Amount: Reissue WT # l . . MA R) COPA District #: COUNTY District Name: Litchfield Elementary School District #79 Contact Name: Brittany Carter Warrant # 3700888602 WARRANT VOID/STOP REQUEST Warrant Date 97/24/2025 Warrant Amount $ 519.96 Payee Schaus, Anna Choose one option: O Void Warrant Warrant is in possession of the district and will be sent back to MCSS Finance Desk with the next available courier run. © Stop Warrant Warrant has been lost or destroyed and is not in possession of the district. If requesting MCSS to reissue this warrant select the Reissue Warrant box below and submit a notarized affidavit along with a vendor letter (if payee is not an individual). Reissue Warrant: |W Notes: Lost in Mail District Approver: Brittany Carter Date: 44/06/2025 Revised 10/8/2025 Schools Affidavit/Claim Form M ARI COPA Application for a Duplicate Warrant/Check COUNTY (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 Anna Schaus ___ (1), being first sworn, upon oath deposes and says: Onor about___7/24/2025__ (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 $519.96 . (3) siened XV CAa~ (4) Print name: required) PVA SX GLA g (5) Subscribed and sworn to before me this 30 day of October _ 2029 . ant! My commission expires: ___ June 18". 2027__ Notary Public - Arizona Maricopa County Commission # 655274 > My Comm. Expires Jun. 18, 2027 | (seal) es BRITTANY CARTER ea e 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 3700888602 (if known) (6) j 11/13/25 Original Date of Issue 07/24/2025 F (if known) (7) | Reason for original issue of Warrant/Check (8): O Payroll O For Services or Goods furnished O Other: S:\FinanceDesk\Schools-Warrents Checks notice of daim.docx Revised May 2025 ARS. 11-632 & 15-999 11/13/25, 10:43 AM Maricopa County - Treasurer's Office - Agency Web Warrant Maintenance New Warrant Upload Warrants WARRANT DETAILS FOR LITCHFIELD ESD [- Warrant Number — Amount 3700888602 $519.96 — Issue Date 7/24/2025 r- Status p> Payee Name Void SCHAUS, ANNA AGENCY INFORMATION (OPTIONAL) Voucher 7] | 6306 < Back To Warrant Search https://treasurer.maricopa.gov/agencyweb/WarrantMaintenance/Warrants/2861 24 1/1