STAMPED & REDACTED FERGUSON ENTERPRISES_1.PDF

INTEROFFICE MEMORANDUM

Maricopa County Schools Superintendent Office

TO: CLERK OF THE BOARD

FROM: Terri Ysaguirre

SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 1/6/2022

Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next
available Board agenda

v The attached item(s) have been researched to ensure that the warrant(s) in question have
not been cashed or previously re-issued.

Vv The original warrant(s) have had a stop payment done.

If you have any questions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at
terri.ysaguirre@maricopa.gov. Approved Affidavits may be routed back to the Superintendent
of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor)

Thank you.

#5 Isaac Elementary Ferguson Enterprises $203.91

echools Atiidavit/ Chait Form

Application for a Duplicate Narrant/ Checl¢ (definitions are on bas’ 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 forma.

Lerqusan. Enter USES (1), being first sworn, upon oath deposes and says:

On or about _”] “Hie _ (date)(2) a warrant/check was issued to the
above named gerson/entity in ihe amount as stated below. Such warrant/check was
either never received or was subsequently inaclvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, o 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

f ¢ OBL. (3)
(4)

eet @ issued)to hirer in the $

Signed: (Ss Ax.
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(5) Subscribed and sworn to before me this i” day of _ Nos 202\_.
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My commission expires: 2 Sis
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Note: Please attach a copy of the warrant/check if available and
evidence that a warrant/check was originally issued.

Warrant/Check Number fee a Aca ae ae
(if known) (6) 3)- OCUS|004 ageing
Original Date of Issue

(if known) (7) 24-1

Reason for original issue of Watrant/Check (8):
C1 Payroll

LY For Services or Goods furnished pork Curnmshed

O Other: swan ——

01/06/2022

S:\PROCESSES\War ‘ants - Duplicate or State\o2 Forms\Schools\Schools-Warrants chi
Revised June 2015

4 FERGUSON

HVAC

December 7, 2021

To whom it may concern,

Please be advised that Roger Reed, Market Credit Market for
Ferguson HVAC, Phoenix, Arizona is authorized to sign documents
on behalf of Ferguson HVAC, relating to customer accounts and
financial transactions.

Sincerely,

v

Rion Child
Director of Branch Management
Ferguson HVAC