Extracted text (via ocr_local)
2713 characters
INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office. TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits - Replacement of Lost Warrants DATE: 8/24/2020 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. #59 Laveen Elementary Lauren Wolff $934.46 RECEIVED*""* SEP 02 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 CI stale-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. Lauren Wolff (1), being first sworn, upon oath deposes and says: Name/Claimant On or about July 31, 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 be issued to him/her in the sum of $934.46 (3) Signed: XQUiALM R. wali (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) Subscribed and sworn to before.me this VAN day of Ausuo’ 20290. NOTARY PUBLIC JOSEPH G. TAVEGGIA NOTARY PUBLIC - STATE OF MICHIGAN a . COUNTY OF MACOMB My commission expires: My Commission Expires Feb. 05, 2023 O29 -9S ~9095 Acting in the County of Macomb (seal) EEE __| Warrant/Check Number Check Nu 3700337906 — Original Date of Issue — fh imeanin 07/31/2020 cz, SER 02 a Reason for original issue of Warrant/Check (8): Phir had} fj Payroll OO 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