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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysa guirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 5/26/2020 Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next available Board a genda V The attached item(s) have been researched to ensure that the warrant(s) in q uestion have not been cashed or previousl y re-issued. V The original warrant(s) have had a stop pa yment done. If you have any q uestions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at terri.ysaguirre@maricopa.gov . Approved Affidavits ma y be routed back to the Superintendent of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor) Thank you. #25 Liberty Elementary Helen Coreas-Mendez $53.17 RECEIVED iLig--44M0 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS RECEIVED MAY 2 7 201 ts a MARICOPA COUNTY CLERK BOARD OF SUPERVISORS Signed (4) (seal) NOTARY PUBLIC My commission expires: '1-1-r1_13 DEvy LJACkSON NOTARY Public - STATE of ARIZONA MAR ICOPA COUNTY MY Comm, ExpiREs JAN. 3, 2022 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. ameruiarrnan On or about / 0/9 (date)(2) a warrant/check was issued to the above named per on 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/che* be issued to him/her in the sum of $ /7 -(3) ), being first sworn, upon oath deposes and says: (5) Subscribed and sworn to before me this `3--. day of kl\-0-4 s„ 20 10 . 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) ... o Original Date of Issue (if known) (7) _ 1 APPUO • Silts n DAT Reason for original issue of Warrant/Check (8): 0 Payroll K 11.7)A7-0F RVOt MARICOPA COUNTY For Services or Goods furnished _ 0 Other: SAPROCESSESWVarrants - Dupliate or 5tale\02 Fanns\Schools\Schools-Warrants Checks notice of cialm.doc Revised June 2015 A.R.S. 11-632 8i. 15-999 Terri Ysaguirre (CSS) From: Sent: To: Subject: Christine Molitor < 1 Tuesday, May 26, 2020 11:57 AM Terri Ysaguirre (CSS) LESD#25: Voided Check Letter This is to confirm that Liberty's employee Helen Coreas-Mendez void request is for mileage reimbursement and paid from accounts payable purchase order# 200436 and not payroll. Thank you, Chris Molitor Accounts Payable Specialist Liberty Elementary School District 623-474-6616 Statements di Invoices may be sent to: accounts.payable@liberty25.orq