SPORT LINES.PDF

INTEROFFICE MEMORANDUM 
Maricopa County Schools Superintendent Office 
TO: 	
CLERK OF THE BOARD 
FROM: 	
Terri Ysaguirre 
SUBJECT: Affidavits — Replacement of Lost Warrants 
DATE: 	
3/30/2020 
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 
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. 
#60 	
Higley Unified 	
Sport Lines 	 $370.00 
RECEIVED 
MAR 3 1 2020 
MAFI1COPA COUNTY 
CLERK BOARD OF SUPERVISORS

sav e 
4amixtwout- 
o him/her in the sum of 	
 
$ 370.00 
warrant/che 
BRIAN PATRICK CAMPBELL 
Notary Public -Arizona 
MARICOPA COUNTY 
Commission # 573493 
Expires October 14, 2023 
(seal) 
Schools Affidavit/Claim Form 
Application for a Duplicate Warrant/Check (definitions are on page 2) 
STATE OF ARIZONA 
COUNTY OF MARICOPA 
Sport Lines 
Name/Claimant 
Note: Numbers on this form correspond to numbers on the 
Instruction sheet which is page 2 of this form. 
(1), being first sworn, upon oath deposes and says: 
On or about 01/22/2020 	
(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 p (aitly of perjury, claimant hereby affirms that this claim is correct 
and the amount s wil" is due and owing, and the applicant requests that a replacement 
.(3) 
(4) 
Signed: 
(5) SubsYbed and sworn to before me this  2-Cf4--  day of  `Fel-7^ .-2 	20 2c)  . 
NOTARY PUBLIC 
My commission expires: 
op't (2,3 z  
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) 
3700273877 
, 
Original Date of Issue 
(if known) (7) 
01/22/2020 
APR-1-202j 
...-45f 	
g rl 
1 /4f,ix ArJ 
es 	
. 
Reason for original issue of Warrant/Check (8): 	
MARICOPA COUNTY 
111 Payroll 
El For Services or Goods furnished Lines on fields 
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

Managing Member 
0  
Spoixt Lines 
''Keeping Your Field Straight" 
March 12, 2020 
To Whom it May Concern: 
Shari Bandel is authorized to sign the attached document. 
Please contact me if you need additional information. 
Sincerely, 
Received by HUSD 460 
MAR 23  RECD 
Scirv iCOS 
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