STAMPED & REDACTED FARMWORKER EDUCATIONAL.PDF
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MARICOPA COUNTY Office of Budget and Finance 301 West Jefferson Phoenix, Arizona 85003 INTEROFFICE MEMORANDUM .. wo Date: June 22, 2021 Pestg To: Clerk of the Board = a z From: Walter Chang ne ey Office of Budget and Finance Fd . om Subject: Affidavits — Replacement of Lost Warrants Please find attached 1 Affidavits for lost warrants to be included on the next available Board Agenda. e The attached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. e The original warrants have a void/stale date/stop payment done. Please call me at 506-8747 if you have any questions. Please return the approved affidavits to my attention in the Office of Budget and Finance. Thank you. Re: Fund: 200 /Dept: 890 —-COVID 19 Unified = / Company : Farmworker Educational Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: Duplicate or [_] Stale-Dated (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to nurnbers on the Instruction sheet which is COUNTY OF MARICOPA paae 2 of this form. Farmworker Educational Radio Network, Inc (1), being first sworn, upon oath deposes and says: Name/Claimant On or about 93-Nov-2020 (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 um of $804.00 (3) Signed: Oona Qomez Account Gxt cuhve) a | Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. (5) to before me this (Ez day of Sure 202\_. Sen NOTARY PUBLIC My commigsion expires: o9/25, ZZ. (seal) Wi t/Check Numb arrant/Check mumber |3010072170 Original Date of Issue 03-Nov-2020 (if known) (7) Reason for original issue of Warrant/Check (8): O Payroll furnished_/ Radio Commercial Production [For Services or Goods C1 Treasurer's refund/payment Other: / original check presumed lost in the mail 06/22/2021 CESAR CHAVEZ FOUNDATION COMMUNICATIONS FUND June 11, 2021 1, Jenn Murrieta, authorize Sonia Gomez, Account Executive, to execute an affidavit on behalf of La Campesina KNAI. Yours truly, eee Jenn Murrieta Office Manager Invoice(IN) Page 1 of 1 View All 1 of 2 | “\ Tracking Date must be greater than or equal to the Invoice date. (A ... Invoice(IN) Dept: D890 ID: 210000017546 Ver.: 1 Function: New Phase: Final Modified by baskomk 11/02/2020 , | Vendor Vendor Code: VS0000002706 + Name: te | FarmworKer EFQucational Raaglo Network, latex | Vendor Code Name VS0000002706 Farmworker Educational Radio Network, Inc. From 1 to 1 Total: 4 Show Lines:[10 /]| Export to CSV General Information Disbursement Information Discount Information Vendor Code: Vendor Contact ID: VS0000002706 PC0000000007 - Name: Vendor Contact Name: Farmworker Educational Radio Network, Inc. Michelle Santillan Alias/DBA: Vendor Contact Phone: La Campesina KNAI 860AM/101.9FM AddressCode: Vendor Contact Phone Ext.: AD0000000007 Phoenix Vendor Contact Email: AZ 85034 US https://azdom.hostams.com/PRDFIN2X 1/advantage/Advantage/document_to_print.html 6/22/2021 Invoice / Affidavit Radio We warrant that the broadcast information shawn on this invoi » was taken Campesina KNAT 860 AM/10] 9PM from the program logs Phoeniy, AZ 85034 OF (002) - Print Date Broadeast Month Invoice Date Ix: (602) BILL TO September 2020 Sep 40, 2020 Jun 15.2021 Courraet Nummer Hnveiee Biumber fo MARICOPA COUNTY PUBLIC HEALTH PHX (6172) | 3529 $943 | _ ee PHOENIX y ‘ AZ 85012 Revenue Type LOCAL DIRECT Product COVID TESTING EVENT CAMPAIGN Station Advertiser Sales Rep Agency C# KNAL860AM |) MARICOPA COUNTY PUBLIC HEALTH PHX SONIA GOMEZ Date Len | Time | Qty Rate | Total Tape Name MCPH LIVE ISC]L LIVE 09/2220 15 PRIMETIME 6A4-7P 0708 00AM 02.1000 PM 04.30.00 PM 3 $0.00 $0.00 09/23/20 15 PRIMETIME 6A-7P 063000 AM 103000 AM 11 1000 AM 3 $0.00 $0.00 O9/2420 15 PRIMETIME 6A4-7P 123000PM 013000 PM 03.3000 PM) 05 30.00 PM 4 $0.00 $0 00 Tape Name 9/25 event 09/19/20) 30 EARLY MORNING 44-64 06 25 30 AM | $20.00 $20.00 M-Su 24 Hour 1058 30PM 11.5600 PM 2 $0.00 S000 TIGRES DEL NORTE SHOW 03.56.15 PM | $40 00 $40 00 09/20/20 30 EARLY MORNING 44-64 07 30:00 AM I $20.00 $20 00 M-Su 24 Hour 01:58 30 PM) =—-07. 2700 PM (07:59. 00 PM 3 $0.00 $0.00 VICENTE FERNANDEZ SHOW 10:26 45 AM I S40 00 340.00 09/21/20 30 AFTERNOON DRIVE 3P-7P. 03 1445 PM | $40.00 $40.00 EARLY MORNING 4A-6A 044630 AM 054600 AM 2 $20.00 $40.00 MIDDAY 10A.3P OLA 1S PM | $40.00 $40.00 MORNING DRIVE 64-104 09 15 45 AM | $40 00 $40.00 M-Su 24 Hour OF1630AM OS 4500 PM 094600 PM 1142 30 PM 4 $0.00 $0.00 09/22/20 30 AFTERNOON DRIVE 3P-7P 06 14 15 PM | S40 00 $40.00 EARLY MORNING 4A-0A 05 1630 AM) 0546.00 AM 2 $20.00 $40 00 MIDDAY 1L0A-3P 1017 1S AM | S40.00 S40.00 MORNING DRIVE 6A-10A 07.16.15 AM i] S000 $40.00 M-Su 24 Hour O8 4400PM 09. 1630 PM 10-16 30 PM 3 $0.00 $0.00 09/23/20 30 AFTERNOON DRIVE 3P-7P 05 15-45 PM ! $40.00 $40.00 LARLY MORNING 4A-6A4 0416 30 AM 04.42.30 AM 2 $20.00 S40 00 MIDDAY LOA3P 11.45 30 AM 1 $40.00 $40.00 MORNING DRIVE 6A-10A 06 1645 AM | S40 00 S40 00 M-Su 24 Hour 07 43.00PM.— O08 14.30 PM 09 13.00 PM 3 $0.00 $0.00 09/24/20 30 AFTERNOON DRIVE 3P-7P. 04.47 15 PM | S40 00 340.00 EARLY MORNING 4A-64 (4:42 30AM 05 42 30 AM 2 $20.00 S40 00 MIDDAY 10A-3P 12.1715 PM | S40 00 $40.00 MORNING DRIVE 6A-104 0645 45 AM i] S40 00 $40.00 M-Su 24 Hour 07 1330PM. 08 43.30 PM. 09.43.30 PM. 10:15 30 PM 4 $0.00 $0.00 09/25/20 30 EARLY MORNING 4A-6A 041230 AM 0542.00 AM 2 $20.00 340.00 Invoice / Affidavit ae) Radio Campesina We warrant that the broad: ast information sherwn + “this mvowe wa | KNAT 860 AM/I01.9FM from the program logs | Phoenix, AZ 85034 | Ob (602) Broadcast Month Invoice Date Print Date Fx. (602) BILL TO: Seplember 2020 Sep 30, 2020 Jen 15, 2021 Contract Number Invoice Number Pore MARICOPA COUNTY PUBLIC HEALTH PHX [6172] 4929 4243 ) PHOENIX AZ 85012 Revenue Type — LOCAL DIRECT Product COVID TESTING EVENT CAMPAIGN Station Advertiser Sales Rep Agency C8 KNAIS60AM | MARICOPA COUNTY PUBLIC HEALTH PHX SONIA GOMEZ Date Len | Time | Oly Rate | Total Act Ctual Occasions i = Times within 1O mins Veronica Gonzalez Gross $800 00 Traffic Manager PST $400 TERMS: Panosnlndiuatments i $0.00 LOCAL DIRECT CLIENTS: NET 30 DAYS AGENCY BUSINESS NET 60 DAYS Total Due $804 00 EVENTS/CONCERTS. CIA All credit cards are accepted. Please request a form to pay by credit card major Walter Chang (FIN) From: Joyce Maurmann (FIN) Sent: Monday, June 21, 2021 2:54 PM To: Walter Chang (FIN) Ce: Beth Brown (FIN) Subject: RE: Scanned Document: Radio Campesina Phoenix/ Farmworker Educational Hi Walter, | reviewed the documents, please have vendor send them in. Thanks, Joyce Maurmann Accounts Payable Supervisor Maricopa County Department of Finance Phone: (602) | Fax: (602) A/P Phone: (602) MARICOPA COUNTY OpenBook ding Crust through transparency From: Walter Chang (FIN) Sent: Monday, June 21, 2021 9:29 AM To: Joyce Maurmann (FIN} Cc: Beth Brown (FIN) Walter Chang (FIN) Subject: FW: Scanned Document: Radio Campesina Phoenix/ Farmworker Educational Hello. Please review the docs before | email the vendor to mail the docs in. Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: Millette Miller (PND) < Sent: Monday, June 21, 2021 6:53 AM To: Walter Chang (FIN) < Cc: Sonia Gomez < Subject: FW: Scanned Document: Radio Campesina Phoenix/ Farmworker Educational Hi Walter, Can you please review the notarized documents for Farmworker for the request to re-issue their warrant check? | copied Sonia Gomez. She’s their authorized representative. Thank you. Be well, Millette Miller Finance Manager Planning and Development Cell: Desk: ' P&D is now 100% digital. Find information on our new permit process here. From: Sonia Gomez < Sent: Friday, June 18, 2021 4:37 PM To: Millette Miller (PND) < Cc: Jnoana Molina (PHS) < Subject: Scanned Document: Radio Campesina Phoenix Hello, See attached scanned document for the check reissue process. Let me know if this works and | can hand deliver it on Monday. Thank you, Sonia Gomez Radio Campesina 101.9FM Chavez Radio Group | Cesar Chavez Foundation Direct: Sent from my iPhone Walter Chang (FIN) From: Walter Chang (FIN) Sent: Monday, February 8, 2021 8:41 AM To: Millette Miller (PND); Cc: FIN AccountsPayable; Beth Brown (FIN); Joyce Maurmann (FIN); Teresa Finley (FIN); Millette Miller (PND); Walter Chang (FIN) Subject: RE : Warrant Check 3010072170 - Farmworker Educational Attachments: Farmworker Educational Radio Network Inc 3010072170 Feb 5-2021.pdf; Affidavit template w_Budget_Finance letterhead.pdf Importance: High Hello Millette and Farmworker Educational. Please see my two docs attached. They need to followed carefully to ensure they are done accurately for the BOS. Please also email us a pdf of the affidavit and the letter of authorization / LOA before you mail the docs to OBF. We would like to review them first. If all is correct, we will email you to mail the original docs in. Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: Walter Chang (FIN) < Sent: Monday, February 8, 2021 8:18 AM To: Millette Miller (PND) . ; FIN AccountsPayable <' Beth Brown (FIN) < ; Joyce Maurmann (FIN) >; Teresa Finley (FIN) Cc: Walter Chang (FIN) « Subject: RE: Warrant Check 3010072170 - Farmworker Educational a Hello Millette. | am by myself in my division and doing the check run today. Joyce reviewed the affidavit and | need to send it to you later today. Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: Millette Miller (PND) < Sent: Friday, February 5, 2021 7:01 PM To: Walter Chang (FIN) =~ : >; FIN AccountsPayable < Beth Brown (FIN) < Joyce Maurmann (FIN) < >; Teresa 7 Finley (FIN) - Subject: RE: Warrant Check 3010072170 - Farmworker Educational Hi Walter, I’ve been talking to the vendor as they’re asking how to go about requesting a replacement check. | sent them the instructions and Affidavit/Notice of Claim that you sent me from before where we had the same issue. It appears that their remittance address is correct but they never got the check in the mail. We have another invoice from them that needs processed. They’re asking if it is possible to pick up the next payment to ensure that they get it. I'll have someone from UCC pickup the check when it’s ready. Thanks for the guidance. Be well, Millette Miller Finance Manager Planning and Development Cell: 602- UCC: 602- From: Walter Chang (FIN) Sent: Friday, February 5, 2021 11:56 AM To: FIN AccountsPayable < >; Beth Brown (FIN) Joyce Maurmann (FIN) Teresa Finley (FIN) >» Millette Miller ; (PND) Cc: Walter Chang (FIN) Subject: RE: Warrant Check 3010072170 - Farmworker Educational Importance: High Hello Millette , Got some bad news. | looked in the excel log, file cabinet and the check never came back. | can email them an affidavit for lost checks. Is this email address correct : Please confirm before | create the affidavit for the vendor. For safety reasons, the vendor is not allowed to pick up the checks. Your dept runner can pick it up or it can be mailed out after the BOS approve the re-issue of check per affidavit. . Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: FIN AccountsPayable < Sent: Friday, February 5, 2021 11:38 AM To: FIN AccountsPayable >; Beth Brown (FIN) Walter Chang (FIN) - >; Joyce Maurmann (FIN) < Teresa Finley (FIN) < Subject: FW: Warrant Check 3010072170 - Farmworker Educational Beth, | looked in the file cabinet and the check never came back. Do you want me to do the affidavit ? Thank you. Walter Chang Maricopa County Office of Budget and Finance AP Phone: From: Millette Miller (PND) < © Sent: Friday, February 5, 2021 11:02 AM To: FIN AccountsPayable < - +, Beth Brown (FIN) Walter Chang (FIN) : Subject: RE: Warrant Check 3u1LUU/2170 - Farmworker Educational Hi, Can you let me know if the vendor is allowed to pick up this check? Be well, Millette Miller Finance Manager Planning and Development Cell: UCC: From: FIN AccountsPayable Sent: Friday, February 5, 2021 10:41 AM To: Beth Brown (FIN) >; Walter Chang (FIN) Cc: FIN AccountsPayable < : Millette Miller (PND) Subject: FW: Warrant Check 3010072170 - Farmworker Educational From: Millette Miller (PND) Sent: Thursday, February 4, 2021 3:40 PM To: FIN AccountsPayable Subject: Warrant Check 3010072170 - Farmworker Educational Hello, Would it be possible for you to track down this check if it came back? The vendor never received it in the mail and | wondered if this was returned to your office: Farmworker Educational Radio Network, Inc. Dba La Campesina Phoenix, AZ 85034 Please let me know. Thank you! Best regards, Millette Miller Finance Manager Maricopa County Planning & Development Department Cell: ~ | Unified Command: