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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 Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: IR Duplicate or El Stale-Dated (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 page 2 of this form. Youngker High School Name/Claimant November 4, 2019 On or about (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/ched e_e,i o ed to him/her in the sum of $ 350.00 Signed: - Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. (5) Subscribed and sworn to before me this day of DeceiIAbec 201a. NOTARY PUBLIC (1), being first sworn, upon oath deposes and says: (4) My commission expires: f\94-\\ C , Aoap Warrant/Check Number (if known) (6) MARGARITA NAVA Notary Public - Sista of Arizona NIARICOPA COUNTY My Commission Expireil k?0.2,0 Imeremiiiiresmorgoolr 3700246342 (seal) Original Date of Issue (if knownlin__ November 4, 2019 Reason for original issue of Warrant/Check (8): 1=1 Payroll 111 For Services or Goods furnished 1=1 Treasurer's refund/payment Other: entry fee for volleyball tournament S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc Revised April 2015 A.R.S. 11-632 & 11-644 Yalley Since 1921 . , Deceber 12, 2019 DEC,) 7 2019 tg tit Sincerely, 1000 East Narramore Avenue Buckeye, Arizona 85326 P: (623) 386-9700 F: (623) 386-9705 www.buhsd.org issoity, MINDS TO CHANGE THE WORLD...EVERYONE, E Buckeye Union High School District Buckeye Union High School 1000 E. Narramore Ave. Buckeye, AZ 85326 P: 623-386-4423 F: 623-386-9711 To Whom it May Concern, Check number 3700246342, written on November 4, 2019, by the Agua Fria Union School District in the amount of $350.00 has not been received by Youngker High School. Mr. Joe L Kinney, Athletic Director/ Assistant Principal is an authorized representative of Youngker High School. Estrella Foothills High School 13033 S. Estrella Parkway Goodyear, AZ 85338 P: 623-327-2470 F: 623-327-2499 Youngker High School 3000 S. Apache Rd. Buckeye, AZ 85326 P: 623-474-0100 F: 623-474-0200 The Learning Center 751 N. 215' Ave. Buckeye, AZ 85326 P: 623-474-0332 F: 623-386-1340 Jayme Arrieta Youngker High School Assistant Principal