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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: 5/11/2020 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 siop payment done. If you have any questions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at terri.vsaguirre@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. #79 Litchfield Elementary Brown's Partsmaster Inc $169.39 N TARY PUBLIC My commission expires: 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. BROWN'S PARTSMASTER, INC (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 02/20/2020 (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 warrant/check be issued to him/her in the sum of $ 169 . 39 .( 3) Signed: (4) (5) Subscribed and sworn to before me this ,c-,1-441- day of Apra 20.;30 JANINE M. GARROBO Notary Public - Arizona Marioopa County Commission #564307 My Commisico Expires June 5,2023 (seal) 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) Original Date of Issue 3700286519/79733417 02/20/2020 (if known) (7) Reason for original issue of Warrant/Check (8): LI Payroll *1 For Services or Goods furnished Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of clairn.doc Revised June 2015 A.R.S. 11-632 & 15-999 Terri Ysaguirre (CSS) From: Sent: To: Cc: Subject: Janine Garrobo <janine.garrobo@bpisite.com > Monday, May 11, 2020 11:01 AM Terri Ysaguirre (CSS) Beverly Marstall; Angelica Cadena FW: 076768 Terri, Here is the email thread and the info that you requested: Angelica Cadena is authorized for this specific affidavit regarding the replacement of check #3700286519(79733417) dated 2/20/2020 for $169.39, which has not been received by us. We do accept and prefer ACH payments. This would alleviate lost warrants. Please let us know if you would like that set up. Sincerely, Janine Garrobo Accounting Manager Brown's Partsmaster, Inc. I 7280 N. Glen Harbor Blvd #101 I Glendale, AZ 85307 I Office 623-889-7399 I Direct Fax: 623-792-6031 Original Message From: Janine Garrobo Sent: Wednesday, May 6, 2020 1:19 PM To: Beverly Marstall <marstall@lesd.k12.az.us >; Angelica Cadena <angelica.cadena@bpisite.com > Subject: RE: 076768 Beverly, Thanks! Sincerely, Janine Garrobo Accounting Manager Brown's Partsmaster, Inc. I 7280 N. Glen Harbor Blvd #101 I Glendale, AZ 85307 I Office 623-889-7399 I Direct Fax: 623-792-6031 Original Message From: Angelica Cadena <angelica.cadena@bpisite.com > Sent: Wednesday, May 6, 2020 1:04 PM To: Janine Garrobo <janine.garrobo@bpisite.com >; Beverly Marstall <marstall@lesd.k12.az.us > Subject: FW: 076768 Janine can you please send Beverly a letter showing I am authorized to sign for the affidavit? 1 Original Message From: Beverly Marstall <marstall@lesd.k12.az.us > Sent: Tuesday, May 05, 2020 8:25 AM To: Angelica Cadena <angelica.cadena@bpisite.com > Subject: 076768 Hi Angelica, In reference to payment of Invoice #076768 dated 2/17/2020 for $169.39, we received the attached signed Affidavit regarding the replacement of check #3700286519(79733417) dated 2/20/2020 for $169.39. This check has been stopped at the bank. So should this check be found, please do not try to cash it. Please email me a letter on Brown's Partsmaster, Inc. letterhead indicating the person who signed the attached affidavit is authorized to do so and I will then be able to request a duplicate warrant check. Thank you! Beverly Marstall Accounts Payable Litchfield Elementary School District #79 623-535-6025 fax: 623-535-1369 Forwarded message From: <LD0161-COPY@Iesd.k12.az.us > Date: Tue, May 5, 2020 at 8:05 AM Subject: brown's partsmaster To: <marstall@lesd.k12.az.us > 2 076768 3 messages Beverly Marstall <marstall@lesd.k12.az.us> To: Angelica Cadena <angelica.cadena@bpisite.com > Hi Angelica, txratnau ELESILRITARS SCHOOL DISTRICT Litchfield Elementary School District Mail - 076768 https://mail.google.com/mail/u/0?ik- --fa401ba08&yiew=pt&searc... Beverly Marstall <marstall@lesd.k12.az.us > Tue, May 5, 2020 at 8:25 AM In reference to payment of Invoice #076768 dated 2/17/2020 for $169.39, we received the attached signed Affidavit regarding the replacement of check #3700286519(79733417) dated 2/20/2020 for $169.39. This check has been stopped at the bank. So should this check be found, please do not try to cash it. Please email me a letter on Brown's Partsmaster, Inc. letterhead indicating the person who signed the attached affidavit is authorized to do so and I will then be able to request a duplicate warrant check. Thank you! Beverly Marstall Accounts Payable Litchfield Elementary School District #79 623-535-6025 fax: 623-535-1369 Forwarded message From: <LD0161-00PY@Iesd.k12.az . us> Date: Tue, May 5, 2020 at 8:05 AM Subject: brown's partsmaster To: <marstall@lesd.k12.az.us > SLD0161-00P20050508090.pdf 78K Angelica Cadena <angelica.cadena@bpisite.com > Wed, May 6, 2020 at 1:04 PM To: Janine Garrobo <janine.garrobo@bpisite.com >, Beverly Marstall <marstall@lesd.k12.az.us > Janine can you please send Beverly a letter showing I am authorized to sign for the affidavit? [Quoted text hidden] SLD0161-00P20050508090.pdf 78K Janine Garrobo <janine.garrobo@bpisite.com > Wed, May 6, 2020 at 1:18 PM To: Beverly Marstall <marstall@lesd.k12.az.us >, Angelica Cadena <angelica.cadena@bpisite.com > Beverly, 1 of 2 5/11/2020, 9:10 AM itchfield Elementary School District Mail - 076768 haps ://mail.google.com/mail/u/0?ik —fac401ba08&yiew—pt&searc... Angelica Cadena is authorized for this specific affidavit. Thanks! Sincerely, Janine Garrobo Accounting Manager Brown's Partsmaster, Inc. 7280 N. Glen Harbor Blvd #101 I Glendale, AZ 85307 11110111011111==.111.1.11.11, Office 623-889-7399 ! Direct Fax: 623-792-6031 [Quoted text hidden] 2 of 2 5/11/2020, 9:10 A