STAMPED & REDACTED SHAMROCK FOODS.PDF

Maricopa County — Formal (2021-09-15)

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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: 8/25/2021

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.

#81 Nadaburg Unified Shamrock Foods $157.16
#81 Nadaburg Unified Shamrock Foods $188.78
#81 Nadaburg Unified Shamrock Foods $141.58

RECEIVED

AUG 26 2021

MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

08/27/2021

“ae Horst - ‘RISTOWN SCHOOL DISTRICT #75

Qc ye iz ya , being first duly sworn, do depose and say that | am a representative of
Shamrock Farms, the entity named as the payee of the following warrants/checks drawn by the
Treasurer of Maricopa County.

3700416031 75517553 94.48 5/02/2021 INV 101097262
3700416031 75517553 62.68 4/28/2021 INV 101093895
3700411078 75517512 94.39 4/18/2021 INV 101079822
3700411078 75517512 94.39 4/14/2021 INV 101075631
3700410363 75517497 141,58 4/11/2021 INV 101071529

Being still sworn; | further say that the above described checks have not been received or
negotiated by me. The above described check has been lost, and, by this affidavit, |am requesting
that the Morristown ESD, County of Maricopa County place a stop payment on the above-described
checks and issue replacement checks.

| understand that under no circumstances should | present the above-described checks for
payment if it should come into my possession after the filing of this affidavit, and | hereby
indemnify and hold harmless the Morristown Elementary 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 Signaturel (Wien 2

Sworn to.and subscribed before me this Gay ch. J ath.

Notary Public State of Arizona,

Notary Public in ‘el My Commitssion expires, WG. aricopa County
a =S Won 7 g) Annjeanette Colligan
My Commission Expires 04/13/2024

Commission Number 579081

Return ORIGINAL NOTARIZED FORM For questions, contact:
fo: Gerri-Ann Whigham

(623) 388-2131 gwhigham@nadaburgsd.org

Morristown Elementary District #75

"AY
*“One Hundred Fifty Seven and 16/400** Dollars

~ CONTROL NO.

04/15/2021| 75547553

WARRANT AMOUNT

$157.16

VOID AFTER’ 365 DAYS

[security Features included. [ED “Details on 8a

HE SHAMROCK FOODS COMPANYDAIRY DIVSION \
)RDER - : ras {yr
* a . ae ____sdperinthdeN ARARORIZED SIGNATURES 4
WARICOPA COUNTY SCHOOLS + PHOENIX, ARIZONA 04/15/2021 Check: 75517553 EXPENSE
AP 202104416 3700416034
SHAMROCK FOODS COMPANYDAIRY DIVSi¢ 04/15/2021
Payee Check Date.
Account Number PO Number Invoice Amount
. 2021012 101093885 62.68,
2021012 += 104097262 94.48
VOUCHER: 4092 TOTAL: $157.16

HARLAND CLARKE “M22692 00220286

j ie As
PHOENIX, ARIZONA. DATE MARKED “INSUFFICIENT FUNOS* CONTROL NO. a
INTEREST STOPS ON DATE FUNDS AVAILABLE, (SEC 11-638, ARS1956). &
03/31/2021 ' 75517512 | 2
Morristown Elementary District #75 SET on a

; “WARRANT. AMOUNT .

?AY os ;
*One Hundred Eighty Eight and 78/100" Dollars $188.78 3
VOID AFTER 365 DAYS 2
Ke) SHAMROCK FOODS COMPANYDAIRY DIVSION eat ARR 4
IRDER i ie _ 2
ve ae ____ Sure ze sionarures 4

MARICOPA: COUNTY SCHOOLS. « PHOENIX, ARIZONA

03/31/2021 Check: 75517512 EXPENSE

AP 20240331 3700411078
SHAMROCK FOODS GOMPANYDAIRY DIVSI( 03/31/2021
Payee Check Date
Account Number PO Number Invoice Amount
Ps e ~ € 2021012 «© 101075831 94.39
2021012 .101078822 94.39
VOUCHER: 1086 TOTAL: $188.78

HARLAND CLARKE (22692, 00229286

i
}
|
i

HOENI

INTEREST STOPS ON DATE FUNDS AVAILABLE, {SEC 11-696, ARS1956).

Morristown Elementary District #75

°

PAY :
“Orie Hundred Forty One and 58/100** Dollars

fo SHAMROCK FOODS COMPANYDAIRY DIVSION
THE 4 :

IRDER - a

OF . . i : al

MARICOPA COUNTY SCHOOLS. » PHOENIX, ARIZONA

THIS WARRANT. ORAWS INTEREST FROM DATE MARKED "INSUFFICIENT FUNDS”

DATE CONTROL NO.

03/25/2021| ~ 75517497

_. WARRANT-AMOUNT

$141.58

OC ‘supethteNten 9 BER SIGNATURES _

VOID AFTER 365 DAYS

\ ‘
{Security Features Included. ED  petaiis-on Bac!

03/25/2021 Check:

75517497 EXPENSE

AP. 20210326 3700410363
SHAMROCK FOODS COMPANYDAIRY DIVSK 03/25/2021
Payee Check Date
Account Number PO Number Invoice Amount
2021012 101071520 141.58
VOUCHER: 1082 TOTAL: $141.58

HARLAND CLARKE M2292. 00229286,