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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: 9/28/2020 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. v 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. #59 Laveen Elementary America’s Suppliers Inc $9,617.15 RECEIVED - tt mw SEP 80 2020 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS Application for a Duplicate or Stale-Dated Warrant/ Check Affidavit/ Claim Form This application is for: Duplicate or 1 state-Dated (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. America's Suppliers, Inc. Name/Claimant On or about _August 25, 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. (1), being first sworn, upon oath deposes and says: 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 Reh of $9,617.15 (3) Signed: Aleyanabva. (4) Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. (5) Ligh and we me this ) day of Segresmloo 2020 , _ H NOTARY PUBLAC Aurelio Goytia ur Notary Public My commission expires: Maricopa County, Arizona oe) zy yore My Comm. Expires Geeteor al) Wi t/Check Numb ae : ‘ace Pd "13700348819 Original Date of I rigina brane oe 08/25/2020 Reason for original issue of Warrant/Check (8): O1 Payroll For Services or Goods furnished OO Treasurer's refund/payment O Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc Revised April 2015 A.R.S. 11-632 & 11-644 DiFLLARDAYS Laveen School District Attn: Cynthia Sanchez/Accounts Payable 5001 West Dobbins Road Laveen, Arizona 85339 September 18, 2020 Dear Cynthia: I, Alex Barrientos, a representative of DollarDays International, Inc., state that payment for services provided to the Laveen school District was not received. The check was mailed to a previous remit address, and has been declared lost in the mail. Payment is in the amount of $9,617.15. Thank you, Alex Barrientos Staff Accountant (480) 922-8155 x176 3033 North 44th Street | Suite 330 | Phoenix, Arizona 85018 | Phone: +1 (480) 922-8155 | Fax: +1 (480) 922-2476 a RTS ERS, pn ST em aS SS i WAY TO SHOP! Laveen School District Attn: Cynthia Sanchez 5001 W. Dobbins Rd Laveen, AZ 85339 October 1, 2020 Alex Barrientos is an authorized signer for DollarDays International, Inc. anks, Chris Usdrowski Controller DollarDays International, Inc. 3033 N. 44" Street, Ste. 330 | Phoenix, AZ 85018 Phone (480) 922-8155 x163 | Fax (480) 922-2476 cusdrowski@DollarDays.com www.DollarDays.com 3033 North 44th Street | Suite 330 | Phoenix, Arizona 85018 | Phone: +1 (480) 922-8155 | Fax: +1 (480) 922-2476