STAMPED & REDACTED ROSE PEARL STILWELL.PDF
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INTEROFFICE MEMORANDUM ‘Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 9/16/2021 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. 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. #81 Nadaburg Unified Rose Pearl Stilwell $481.40 S RECEIVED SEP 21 299; MARICOPA COUN CLERK BOARD OF SUPERVISORS Biter, fhe, “Vou - AE Office of the Maricopa County School Superintendent District Name / Number: Nadaburg #81 Contact Name: Gerri-Ann Whigham Contact e-mail: gwhigham@nadaburgsd.org Warrant Void/Stop Request Attachments: [| Original Warrant [] Infinite Visions Void Report Lost Warrant Affidavit (if requesting reissue) [] Vendor Letter (if requesting reissue for a company) Warrant Number Warrant Date Amount Payee : (starting with “37") (mm/dd/yyyy) (as it appears in Check Manager) 3700358536 09/29/2020 $ 481.40 Rose Pearl Stilwell aad 09/21/2021 Check here if requesting MCSS reissue the warrant: Notes: Lost checks/ not cleared District Approver: ALL i Date: ig l =] 2| LOST CHECK AFFIDAVIT NADABURG UNIFIED SCHOOL DISTRICT NO.81 I, Rose. Rarl Shlwetl, being first duly sworn, do depose and say that | am a the entity named as the payee of the check number 81556984 , drawn by Nadaburg Unified School District #81 on __ 9-29-2020 for the sum of $_4&/-4o__. Being still sworn, | further say that the above described check has not been received or negotiated by me. The above described check has been lost, and, by this affidavit, | am requesting that the Nadaburg USD, County of Maricopa County place a stop payment on the above-described check and issue a replacement check. | understand that under no circumstances should | present the above-described check for payment if it should come into my possession after the filing of this affidavit, and | hereby indemnify and hold harmless the Nadaburg School District form any liability, loss, expense, or damage which may occur as a result of the issuance of the original check and/or the replacement check. Affiant’s Signature Kee Qed. nol’ ‘ih aQ - Sworn to and subscribed before me this, IS day of Sapien hoe 207, / ‘ ¥ Notary Public in and)for . My Commission expires 7 RICA DAWN FARRINGTON GEENA) Notary Public - State of Arizona MARICOPA GOUNTY <7 Commission # 550628 Expires August 03, 2022 L Return ORIGINAL NOTARIZED FORM to: For questions, contact: Nadaburg Unified School District No.81 Gerri-Ann Whigham Business Services (623) 388-2131 32919 N Center Street : Wittmann, AZ 85361 gwhigham @ nadaburgsd.org