STAMPED & REDACTED KRISTIN TURNER.PDF

INTEROFFICE MEMORANDUM

Maricopa County Schools Superintendent Office

TO: CLERK OF THE BOARD

FROM: _ Terri Ysaguirre

SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 9/13/2021

Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next
available Board agenda

Vv The attached item(s) have been researched to ensure that the warrant(s) in question have
not been cashed or previously re-issued.

Vv 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.

#94 Paloma Elementary Kristin Turner $109.03

RECEIVED

SEP 14 2021

MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

Schools Affidavit/Claim Form

Application for a Duplicate Warrant/ Check (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.

Kristin Turner (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about 97/02/2021 (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 $ 109.03 -(3)

Signed: K tater. \ Jn, A. (4)
|

a
Tun and sworn to before me this a day of September 20 Al ;

NOTARY PUBLIC

Irma Yvette Garcia
a . Notary Public
My ums b2\oo Maricopa County, aay
My Comm. Expites.03-22~
0 Yom SE Mos2

ao jooa

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 | 3799439510

(if known) (6)

Original Date of Issue 07/02/2021

(if known) (7)

Reason for original issue of Warrant/Check (8):
0 Payroll

O For Services or Goods furnished Reimbursement
Other: Reimbursement

09/16/2021
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warr -
Revised June 2015

Terri Ysaguirre (CSS)

— =

Subject: FW: Stop/Reissue Paperwork

From: Irma Garcia

Sent: Thursday, September 2, 2021 2:58 PM

To: Terri Ysaguirre (CSS)

Subject: Re: Stop/Reissue Paperwork

To Whom It May Concern,

Kristin Turner is an employee of the Paloma School District #94
If you have any questions feel free to contact me at

Thank you,

Irma Garcia
Accounting Specialist

Paloma School District 94

Gila Bend, AZ 85337

Cell:

Pax:

Irma Gania
Administrative Assistant
Paloma School District# 94

Gila Bend, AZ 85337

Cell:
Fax:

or via email at