Extracted text (via pymupdf)
2892 characters
RECEIVE 74014^.1 10.5, DEC 31 2019 JVIARJCOPA COUNTY CLERK BOARD OF SUPERVISORS INTEROFFICE MEMORANDUM - - - _ Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 12/20/2019 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. #216 Agua Fria Union Youngker High School $350.00 #44 Avondale Elementary Clare McHale $473.77 COURTNEY Y HOFFMAN REGISTRATION NUMBER 7847240 COMMISSION EXPIRES DECEMBER 31, 2023 My commission expires: 12/31/2023 Original Date of Issue (if known) (7) 11/20/19 Reason for original issue of Warrant/Check (8): 2620 / "'W. rifi Mr/ Tre S mr,PICO°A COUNTY Application for a Duplicate or Stale-Dated Warrant/ Check Affidavit/ Claim Form This application is for: • Duplicate or El Stale-Dated (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. (1), being first sworn, upon oath deposes and says: On or about 1 1 /20/1 9 (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 tp him/her in the sum of $ 473 . 77 .( 3 ) CLARE, MCHALE Name/Claimant Signed: Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. , County of Pr ince William sworn to before me this 11th day of December 20 19 . by Clare McHale Notarized online using audio-video communication Warrant/Check Number (if known) (6) 3700251953 171 Payroll O For Services or Goods furnished O Treasurer's refund/payment O Other: S: \ PROCESSES\ Warrants - Duplicate or Stale\ 02 Forms\ Warrants Checks notice of claim - C,opy.doc Revised April 2015 A.R.S. 11-632 & 11-644 (4)