STAMPED AND REDACTED - TRAVIS WHITEHEAD.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 Queen Creek Unified #95 WHITEHEAD, TRAVIS 3700916375 $560.06 Date: Amount: Reissue WT # \ . . . COUNTY District Name: QCUSD 95 Contact Name: Kathy Saxton Contact Email: rT sCSYS WARRANT VOID/STOP REQUEST Warrant # 3700916375 Warrant Date 10/28/2025 Warrant Amount $560.06 Payee Travis W Whitehead Choose one option: oO 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: /] void 11/13/2025 - MM Notes: Check was lost in the mail District Approver: Rade Date: \V (0 as Revised 10/8/2025 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. WHITEHEAD, TRAVIS W (1), being first sworn, upon oath deposes and says: Name/Claimant On or about \Ola8| 2095 (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 $ $560.06 (3) Signed: SS (4) (5) "| ed and sworn to before me this_(()__day of (NOVember 20 OS. NOTARY PUBLIC My commissjon expires: 05, Io [2021p CASSANDRA KENNEDY Notary Public - State of Arizona PINAL COUNTY Commission # 626036 (seal) Expires May 8, 2026 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 | 3799916375 (if known) (6) ’ 11/14/25 Original Date of Issue WEXSEKRE i (if known) (7) 10/28/2025 Reason for original issue of Warrant/Check (8): Payroll O For Services or Goods furnished O Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R.S, 11-632 & 15-999 11/13/25, 11:07 AM Maricopa County - Treasurer's Office - Agency Web Warrant Maintenance New Warrant Upload Warrants UEEN CREEK UNIFIED Amount $560.06 Payee Name WHITEHEAD, TRAVIS W OPTIONAL) < Back To Warrant Search https://treasurer.maricopa.gov/agencyweb/WarrantMaintenance/Warrants/650744 11