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INTEROFFICE MEMORANDUM “Maricopa County Schools Superintendent Office me En fe- OPALL RECEIVED “mail TO: CLERK OF THE BOARD FROM: Terri Ysaguirre AUG 25 2020 MARICOPA CG SUBJECT: Affidavits — Replacement of Lost Warrants CLERK BOARD OF SUPERVISORS 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. #25 Liberty Elementary Billy Bounds $400.00 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. Billy Bounds (1), being first swom, upon oath deposes and says: Name/Claimant On or about April 20, 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 > ae e sum of $400.00 3) Signed: _// Lb (4) (5) Subscribed and sworn to before me this /3 day of _AvSr 202°. NOTARY PUBLIC cas aN RICHARD S ROBERTSON My commission expires: G5 Nar Pubic ~Arzona yo f Ss 207( Mancopa County (seal) * T My Comm. Expires Oct 15. 2021 Note; Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. Waren rece tuner 3700306226 Original Date of Issue |04/20/2020 Reason for original issue of Warrant/Check (8): 0 Payroll (1 For Services or Goods furnished i Other: Refund for Cancelled Field Trip PO# 201382 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