STAMPED & REDACTED TOWN OF WICKENBURG.PDF
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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 12/13/2021 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. #9 Wickenburg Unified Town of Wickenburg $1,157.40 CEC 21 2024 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS 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. Town of Wickenburg/Stacey Canary (1), being first sworn, upon oath deposes and says: Name/Claimant ™ On or about (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 |b issued to hirh/her in the sum of $1,157.40 (3) Signed: . ley LNW (4) (5) Subscribed and‘sworn to before me = aq day of November 20.2). See NOTARY PUBLIC My commission expires: D2Q/O//202S AMY BROWN Notary Public, State of Arizona’ Maricopa County Commission # 696310 My Commission Expires February 01, 2025 (seal) 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 (if irony i6) 3700483934 Original Date of Issue Be einen th 11/4/2021 Reason for original issue of Warrant/Check (8): O Payroll For Services or Goods furnished Utility bill O Other; Utility bill 12/21/2021 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 Town of Wickenburg Stephanie Wojcik, Finance & Technology Director DATE: November 29, 2021 TO: Wickenburg Unified School District/Maricopa County FROM: Stephanie Wojcik, Finance & Technology nang fait RE: Replacement Check for Unpaid Utility Acct # 15.00308.00 This letter is to confirm Stacey Canary, Senior Accountant for the Town of Wickenburg, is authorized to pursue unpaid claims for utility services and other accounts receivable services. On behalf of the Town she is authorized as a signer for unpaid claims.