Extracted text (via pymupdf)
2662 characters
INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 5/22/2020 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. #79 Litchfield Elementary Tara Jane Thorbin-Tolliver $549.30 RECEIVED MAY 2 6 2020 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS warratsheck be issued i her in he sutp-ef—s,, 5-9 d7 3) .(3) (4) MAY 2 7 2020 Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (definitions are on page 2) STATE OF ARIZONA COUNTY OF MARICOPA Note: Numbers on this form correspond to numbers on the Instruction sheet which is pa ge 2 of this form. (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 GAgCtrie. I hoth'in--P ve( (1), being first sworn, upon oath deposes and says: Name/ aimant On or about 111;W (5) Subscribed and sworn to before me this I3 day of 1nex.,1 NOTARY PUBLIC My commission expires: jC)a Brittany Carter Notary Public Maricopa County, Arizona My Commission Expires April 30, 2023 Commission No, 662528 (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) 3 -70o .6,;z:). -q8/6(4. 79 73"/218 Original Date of Issue (if known) (7) V/ Respn for original issue of Warrant/Check (8): ^.Payroll 111 For Services or Goods furnished LI Other: 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