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RECEIWED .) TO: CLERK OF THE BOARD Nab FROM: Terri Ysaguirre OCT 27 2020 “a0 SUBJECT: Affidavits —- Replacement of Lost Warrants CLERK BOARD Chee isons DATE: 10/21/2020 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. #62 Union Elementary AZ Aspire Academy $11,637.50 Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (definitions are on page 2) STATE OF ARIZONA COUNTY OF MARICOPA AZ Aspire Academy Note: Numbers on this form correspond to numbers on the Instruction sheet which is page 2 of this form. (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 06/16/2020 (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 issued tg him/her in the sum of $ 11,637.50 (3) (Az. Asci 2p Meaceny (4) ON to before me this _/2 Th day of Oebobe LLY \ fut oa-~— NOTARY PUBLIC ~ O&O Signed: 7 2020. GER, TERRI HAUGEN My commission expires: Nod 220d 202 a msec 06/16/2020 Qn My Comm. Expires Nov 22, 2021 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 known) (6) Original Date of Issue (if known) (7) 62560084 / 3700327329 06/16/2020 OC}, 29 2970 Gu Reason for original issue of Warrant/Check (8): O Payroll @ 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 AZ ASPIRE —— ACADEMY —— 10/21/2020 To Whom it May Concern: Sonia Gonzales is an authorized signer for AZ Aspire Academy. Please contact me with questions or concerns at 480-261-2359. ARNG S A Director of Operations 4 AZ ASPIRE — ACADEMY —— 10-13/2020 To Whom it May Concern, Please accept this letter advising that Sonia Gonzales Anderson has the authority on behalf of AZ Aspire Academy, LLC to sign the Application/Affidavit for a Duplicate Warrant/Check. Should you have any questions, please do not hesitate to contact our office at 480-292-1259 Thank you, Lt Sonia Gonzales Owner AZ Aspire Academy