STAMPED & REDACTED TO THE LIMIT PRINTING SOLUTIONS INC.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: 12/20/2021 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. #33 Buckeye Elementary To the Limit Printing Solutions Inc $361.88 CLERK BOARD Vou] -AF 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. To The Limit Printing Solutions Inc - Jessica Stein (1), being first sworn, upon oath deposes and says: Name/Claimant On or about \Ololz02\ (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 $361 .88 (3) Signed: Auonien Sloe (HED To TW Linn Printoon- =S— (5) Subscribed and sworn to before me this 8 day of December 2921 | NOTARY PUBLIC COREY CLARK issi i ts Notary Public - Arizona My commission expires: cn ae 9 | 23 | OAS 2) commission #6100622!) Note. Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. vererien yr [39626808 cau fomant S004 Grane ae bee) | OAB(2021 Reason for original issue of Warrant/Check (8): O Payroll l@ For Services or Goods furnished Spiral Bound Books CO Other: Spiral Bound Books 12/21/2021 S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants | Revised June 2015 12/8/2021 To whom it may concern. | Jessica Stein am an authorized signer on the account for To The Limit Printing Solutions Inc. | am the CFO and a director of the business.