DVUSD GRAPHICS_REDACTED.PDF

Maricopa County — Formal (2020-06-24)

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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: 	
6/4/2020 
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 
terrLysaguirre@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. 
#81 	
Nadaburg Elementary 	
DVUSD Graphics 	
$3,210.69 
RECEIV 
JUN 1 0 2020 
MANCOPA COUNTY 
CLERK BOARD OF ;:;UPERVISORS

im/her in the sum of $ 	
3 a- 0 Cal 	
.(3) 
(4) 
to before me this 2-"V-  day of  V(?(--( 
	20 2- 
 . 
JAMILLAH L FERGUSON 
Notary Public, State of Arizona 
Maricops County 
Commission # 576261 
My Commission Expires 
January 27, 2024 
 
warrant/chq 
swor 
OTARY UBLIC 
_Uy commission expires: 
120 v2 Vt1  
bscribed an) 
Ai /At A4 
• 
(seal) 
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. 
j;? erY411-1 L)/'ii Pe.45-hodtb&--  (1), being first sworn, upon oath deposes and says: 
ame Dam n 
On or about 	
Ict 
	
(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 
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) 
B155-5-790 
Original Date of Issue 
(if known) (7) 
 
Reason for original issue of Warrant/Check (8): 
CI Payroll 
- 
For Services or Goods furnished 	
 
0 Other: 	
 
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claindoc 
Revised June 2015 	
A.R.& 11-632 & 15-999

Re: Graphic Communications 1)epartment: Invoice I/73972 	
https:/ /gw,dvusd.org/gw/  webacc?User,context=e21111729c98 C41. 
Re: Graphic Communications Department: invoice #73972 
From: 
To: 
Date: 
Subject: 
Attachments: 
Gerri-Ann whighaml
i 
Printme 
Wednesday - May 20, 2020 3:39 PM 
Re: Graphic Communications Department: Invoice #73972 
TEXT. htm; DVUSD Affidavit.pdf; Mime.822 
Attached is a form that we need signed, notarized and returned to me so that I can get the 
replacement check issued. 
Thank you, 
Gerri 
Gerri-Ann Whigham 
Nadaburg Unified School District 
Accounting Specialist 
623-388-2131 
From: Printme MI
MMIEM= 
Sent: Wednesday, May 20, 2020 2:59 PM 
To: Gerri-Ann VVhigham 
Subject: Re: Graphic Communications Department: Invoice #73972 
Okay thank you for looking into this for us. 
Thank you for your order. 
DVUSD Graphic Communications Department 
623-445-5111 
printme@dvusd.org 
Orders, order inquiries, status updates, and quote requests should be 
emailed to printme@dvusd.org . 
Orders, order inquiries, status updates, and quote requests submitted 
to any other department email WILL NOT BE PROCESSED. 
>» Gerri-Ann VVhigham 	
5/20/2020 12:17 PM >>> 
Hello there, 
have researched the invoice and we had a check issued on 2/19 for the 
invoice 73972 in the amount of $3210.69 but it has not cleared yet. I 
will request to void and reissue payment asap. 
Gerri 
1 of 2 	
5/27/20,6:30 AM