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RECEIVED JAN T7 2020 MARICOPA CO UN RK Maricopa County Schools Superintendent Offic:CLE BOARD OF SUPERVISORS e TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 1/16/2020 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.ysaguirre@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. #9 Wickenburg Unified Jessica Collins $184.44 INTEROFFICE MEMORANDUM Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (definitions are on page 2) STATE OF ARIZONA COUNTY OF MARICOPA dessicit &I in s 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 I / 2-0 1 g (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 $ .(3) Signed: kh.64.)(9)(6,67 (4) (5) Subscribed and sworn to before me this 2 day of iOfu1LYL1 20 Z0 . My oarnmission expires: cipai2.ozo SARA FITZPATRICK II NOTAP/ PUBLIC, ARIZONA _ MARICOPA COUNTY My Commission Expires September 6, 2020 (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) 370 0.2 /0 57 S Original Date of Issue (if known) (7) Y.--Co — i' DATE Reason for original issue of Warrant/Check (8): E Payroll El For Services or Goods furnished , BOARD O-F SUPEFIVIgORS MARICOPA COUNTY Other: 13/A2-t a ige-4enb 1t/44ryLe/)- 2 S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of clainn.doc Revised June 2015 A.R.S. 11-632 & 15-999 On Thu, Oct 24, 2019 at 1:59 PM Sarah Allmon <sallmon@wusd9.org> wrote: Hi Jessica Accounting confirmed that the check has not been cashed so it looks like it's been lost. They are working on getting out a new check, can you confirm your mailing address, please. Thank you! On Wed, Oct 16, 2019 at 9:23 AM Jessica Collins <jcollins@wusd9,org> wrote: Good Morning! I have not yet received my travel reimbursement check I sent the verification at the beginning of the year. Can you please check on this for me? Thank you:) Sincerely, Jessica Collins Special Ed Department Wickenburg High School 928-684-6654 icollinsOwusd9.orq Sarah Allmon Secretary Education Services Wickenburg Unified School District #9 928-684-6714 sallmon@wusd9.orq Sarah Ellis Secretary Education Services Wickenburg Unified School District #9 928-684-6714 sallmonpwusd9.org 2