STAMPED & REDACTED ANDREWS REFRIGERATION INC.PDF
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INTEROFFICE MEMORANDUM _ Office Maricopa County Schools Superintendent TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 4/14/2021 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. #05 Isaac Elementary Andrews Refrigeration Inc $834.72 RECEIVED APR 15 2021 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. Pr adeeuys Aoki Getc ako (1), being first sworn, upon oath deposes and says: Name/Claimant On or about NAlAO (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 7a warrant/check be issued to him/her in the sum of $ BsY. (3) Signed: GAH he (4) (5) Subscribed and sworn to before me this we day of \e Rua 2021. Pann ul a NOTARY PUBLIC Neel ( rAd, Notary Public - Arizona y commission expires: . SE q Conn, C ission Epis 2022 wy Aug 9, 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 (02 (gaol / 3700369532 (if known) (6) Original “gna Date of I Wale O oe | Reason for original issue of Warrant/Check (8): O Payroll 04/16/2021 EY For Services or Goods furnished (1 Other: S:\PROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R,S. 11-632 & 15-999 ey) A PHOENIX, ARIZONA THIS WARRANT DRAWS INTEREST FROM DATE MARKED INSUFFICIENT 5 1 10 1 1 9 1203 325 80 18 87.560196 FUNDS” 2 1 11 0 0 0 1801 106 487 9 -1 3 1 11 1 0 0 1801 106 487 9 -1 4 1 11 1 1 0 1801 106 487 9 -1 5 1 11 1 1 1 1801 106 487 9 95.000000 2 1 12 0 0 0 1893 116 399 7 -1 3 1 12 1 0 0 1893 116 399 7 -1 4 1 12 1 1 0 1893 116 399 7 -1 5 1 12 1 1 1 1893 116 399 7 95.000000 2 1 13 0 0 0 1893 116 399 7 -1 3 1 13 1 0 0 1893 116 399 7 -1 4 1 13 1 1 0 1893 116 399 7 -1 5 1 13 1 1 1 1893 116 399 7 95.000000 2 1 14 0 0 0 1632 114 660 15 -1 3 1 14 1 0 0 1632 114 660 15 -1 4 1 14 1 1 0 1632 114 660 15 -1 5 1 14 1 1 1 1632 114 660 15 95.000000 2 1 15 0 0 0 1747 264 629 12 -1 3 1 15 1 0 0 1747 264 629 12 -1 4 1 15 1 1 0 1747 264 629 12 -1 5 1 15 1 1 1 1747 264 629 12 95.000000 2 1 16 0 0 0 2072 266 247 44 -1 3 1 16 1 0 0 2072 266 247 44 -1 4 1 16 1 1 0 2072 266 247 44 -1 5 1 16 1 1 1 2072 266 174 44 96.830658 CONTROL 5 1 16 1 1 2 2261 281 58 26 95.766815 NO. 2 1 17 0 0 0 1734 315 632 13 -1 3 1 17 1 0 0 1734 315 632 13 -1 4 1 17 1 1 0 1734 315 632 13 -1 5 1 17 1 1 1 1734 315 632 13 95.000000 2 1 18 0 0 0 2021 272 5 147 -1 3 1 18 1 0 0 2021 272 5 147 -1 4 1 18 1 1 0 2021 272 5 147 -1 5 1 18 1 1 1 2021 272 5 147 95.000000 2 1 19 0 0 0 1788 353 219 38 -1 3 1 19 1 0 0 1788 353 219 38 -1 4 1 19 1 1 0 1788 353 219 38 -1 5 1 19 1 1 1 1788 353 219 38 91.546974 41/02/2020 2 1 20 0 0 0 2160 347 166 37 -1 3 1 20 1 0 0 2160 347 166 37 -1 4 1 20 1 1 0 2160 347 166 37 -1 5 1 20 1 1 1 2160 347 166 37 95.121132 6263261 2 1 21 0 0 0 1734 410 623 13 -1 3 1 21 1 0 0 1734 410 623 13 -1 4 1 21 1 1 0 1734 410 623 13 -1 5 1 21 1 1 1 1734 410 623 13 95.000000 2 1 22 0 0 0 1734 460 632 13 -1 3 1 22 1 0 0 1734 460 632 13 -1 4 1 22 1 1 0 1734 460 632 13 -1 5 1 22 1 1 1 1734 460 632 13 95.000000 2 1 23 0 0 0 1882 480 350 31 -1 3 1 23 1 0 0 1882 480 350 31 -1 4 1 23 1 1 0 1882 480 350 31 -1 5 1 23 1 1 1 1882 482 181 29 95.871979 WARRANT 5 1 23 1 1 2 2076 480 156 28 96.486443 AMOUNT 2 1 24 0 0 0 1734 512 632 13 -1 3 1 24 1 0 0 1734 512 632 13 -1 4 1 24 1 1 0 1734 512 632 13 -1 5 1 24 1 1 1 1734 512 632 13 95.000000 2 1 25 0 0 0 1732 275 8 345 -1 3 1 25 1 0 0 1732 275 8 345 -1 4 1 25 1 1 0 1732 275 8 345 -1 5 1 25 1 1 1 1732 275 8 345 95.000000 2 1 26 0 0 0 2037 550 164 40 -1 3 1 26 1 0 0 2037 550 164 40 -1 4 1 26 1 1 0 2037 550 164 40 -1 5 1 26 1 1 1 2037 550 164 40 92.009285 $834.72 2 1 27 0 0 0 2361 266 8 344 -1 3 1 27 1 0 0 2361 266 8 344 -1 4 1 27 1 1 0 2361 266 8 344 -1 5 1 27 1 1 1 2361 266 8 344 95.000000 2 1 28 0 0 0 1735 606 630 13 -1 3 1 28 1 0 0 1735 606 630 13 -1 4 1 28 1 1 0 1735 606 630 13 -1 5 1 28 1 1 1 1735 606 630 13 95.000000 2 1 29 0 0 0 1623 625 184 61 -1 3 1 29 1 0 0 1623 625 184 61 -1 4 1 29 1 1 0 1623 625 184 61 -1 5 1 29 1 1 1 1623 625 184 61 95.000000 2 1 30 0 0 0 1882 624 351 30 -1 3 1 30 1 0 0 1882 624 351 30 -1 4 1 30 1 1 0 1882 624 351 30 -1 5 1 30 1 1 1 1882 628 73 26 95.664574 VOID 5 1 30 1 1 2 1968 627 102 25 96.361763 AFTER 5 1 30 1 1 3 2084 627 51 24 96.299118 365 5 1 30 1 1 4 2148 624 85 25 95.967827 DAYS 2 1 31 0 0 0 1911 721 333 19 -1 3 1 31 1 0 0 1911 721 333 19 -1 4 1 31 1 1 0 1911 721 333 19 -1 5 1 31 1 1 1 1911 721 333 19 95.000000 2 1 32 0 0 0 1593 686 64 125 -1 3 1 32 1 0 0 1593 686 64 125 -1 4 1 32 1 1 0 1593 686 64 125 -1 5 1 32 1 1 1 1593 686 64 125 95.000000 2 1 33 0 0 0 77 98 2380 234 -1 3 1 33 1 0 0 77 98 2380 234 -1 4 1 33 1 1 0 133 98 2318 57 -1 5 1 33 1 1 1 133 98 2318 57 95.000000 4 1 33 1 2 0 77 155 2374 40 -1 5 1 33 1 2 1 77 155 2374 40 95.000000 4 1 33 1 3 0 77 195 2380 49 -1 5 1 33 1 3 1 77 195 2380 49 95.000000 4 1 33 1 4 0 77 244 2380 67 -1 5 1 33 1 4 1 77 244 1995 67 95.000000 5 1 33 1 4 2 2319 244 138 9 95.000000 4 1 33 1 5 0 1283 253 1174 79 -1 5 1 33 1 5 1 1283 311 677 21 95.000000 5 1 33 1 5 2 2319 253 138 79 95.000000 2 1 34 0 0 0 2405 261 17 169 -1 3 1 34 1 0 0 2405 261 17 169 -1 4 1 34 1 1 0 2405 261 17 169 -1 5 1 34 1 1 1 2406 351 16 79 52.119247 Setaiis 5 1 34 1 1 2 2409 314 12 26 96.413231 on 5 1 34 1 1 3 2405 261 16 41 45.249702 Bac 2 1 35 0 0 0 2407 536 16 47 -1 3 1 35 1 0 0 2407 536 16 47 -1 4 1 35 1 1 0 2407 536 16 47 -1 5 1 35 1 1 1 2407 536 16 47 73.991325 ged. 2 1 36 0 0 0 87 1186 2341 38 -1 3 1 36 1 0 0 87 1186 2341 38 -1 4 1 36 1 1 0 87 1186 2341 38 -1 5 1 36 1 1 1 87 1186 2341 38 95.000000 2 1 37 0 0 0 147 1249 2190 38 -1 3 1 37 1 0 0 147 1249 2190 38 -1 4 1 37 1 1 0 147 1249 2190 38 -1 5 1 37 1 1 1 147 1249 2190 38 95.000000 2 1 38 0 0 0 1824 1225 3 81 -1 3 1 38 1 0 0 1824 1225 3 81 -1 4 1 38 1 1 0 1824 1225 3 81 -1 5 1 38 1 1 1 1824 1225 3 81 95.000000 2 1 39 0 0 0 88 1291 2341 40 -1 3 1 39 1 0 0 88 1291 2341 40 -1 4 1 39 1 1 0 88 1291 2341 40 -1 5 1 39 1 1 1 88 1291 2341 40 95.000000 2 1 40 0 0 0 525 1372 331 7 -1 3 1 40 1 0 0 525 1372 331 7 -1 4 1 40 1 1 0 525 1372 331 7 -1 5 1 40 1 1 1 525 1372 331 7 95.000000 2 1 41 0 0 0 165 1382 1007 20 -1 3 1 41 1 0 0 165 1382 1007 20 -1 4 1 41 1 1 0 165 1382 1007 20 -1 5 1 41 1 1 1 165 1382 1007 20 95.000000 2 1 42 0 0 0 86 653 2342 2468 -1 3 1 42 1 0 0 86 653 2342 2467 -1 4 1 42 1 1 0 86 653 2338 88 -1 5 1 42 1 1 1 86 709 54 32 96.708763 TO 5 1 42 1 1 2 312 701 201 32 96.584442 ANDREWS 5 1 42 1 1 3 529 697 322 34 96.560669 REFRIGERATION 5 1 42 1 1 4 865 695 64 31 88.968079 ING 5 1 42 1 1 5 2409 653 15 72 0.000000 : 4 1 42 1 2 0 87 767 2337 71 -1 5 1 42 1 2 1 87 801 140 31 96.650696 ORDER 5 1 42 1 2 2 1221 777 63 16 0.000000 y~ 5 1 42 1 2 3 1657 821 2 2 28.819122 § 5 1 42 1 2 4 1710 797 106 41 0.000000 ciewa 5 1 42 1 2 5 1869 792 151 41 0.000000 tetsor 5 1 42 1 2 6 2407 767 17 48 71.298096 é 4 1 42 1 3 0 87 808 2238 107 -1 5 1 42 1 3 1 87 847 54 30 95.204460 OF 5 1 42 1 3 2 285 862 294 53 29.987564 “SCOTTSDALE, 5 1 42 1 3 3 668 860 35 39 82.502144 AZ 5 1 42 1 3 4 720 858 208 31 82.502144 85254-2449 5 1 42 1 3 5 1192 831 114 57 0.000000 ye 5 1 42 1 3 6 1672 810 213 83 0.000000 supetnondent 5 1 42 1 3 7 1947 808 78 84 14.398880 AR 5 1 42 1 3 8 2055 850 54 26 66.816559 ep 5 1 42 1 3 9 2123 847 202 40 47.650330 SIGNATURES 5 1 42 1 3 10 2394 819 30 63 47.650330 4 4 1 42 1 4 0 388 982 1372 50 -1 5 1 42 1 4 1 388 1005 26 27 65.278122 8 5 1 42 1 4 2 780 998 27 28 37.294983 we 5 1 42 1 4 3 852 993 26 34 37.294983 ag 5 1 42 1 4 4 1203 988 26 34 24.978657 ao 5 1 42 1 4 5 1735 982 25 26 40.638275 Ty 4 1 42 1 5 0 715 1072 1713 89 -1 5 1 42 1 5 1 104 1108 55 2 29.924250 cece 5 1 42 1 5 2 174 1108 36 2 10.591850 uti 5 1 42 1 5 3 227 1108 29 2 28.461370 teas 5 1 42 1 5 4 274 1106 54 4 21.780609 vast 5 1 42 1 5 5 341 1105 109 3 0.000000 winunsonees 5 1 42 1 5 6 460 1104 88 3 0.000000 stunts 5 1 42 1 5 7 562 1103 101 3 17.023945 wuss 5 1 42 1 5 8 715 1100 137 61 14.348803 — 5 1 42 1 5 9 873 1099 7 3 30.300201 oe 5 1 42 1 5 10 889 1098 124 4 15.987568 vette 5 1 42 1 5 11 1034 1097 15 3 49.416447 vv 5 1 42 1 5 12 1069 1095 122 3 0.000000 evwuai 5 1 42 1 5 13 1170 1062 25 47 43.303410 tt 5 1 42 1 5 14 1224 1093 137 53 27.051001 ay 5 1 42 1 5 15 1392 1088 150 58 23.079767 eres 5 1 42 1 5 16 1564 1088 60 53 41.728661 oh 5 1 42 1 5 17 1626 1087 48 54 0.000000 - 5 1 42 1 5 18 1677 1086 46 54 48.672825 le 5 1 42 1 5 19 1737 1084 100 4 0.000000 ccna 5 1 42 1 5 20 1861 1080 164 57 56.889450 6063264 5 1 42 1 5 21 2050 1080 99 3 20.423470 moo 5 1 42 1 5 22 2171 1072 257 49 31.075172 ee 4 1 42 1 6 0 97 1139 2254 59 -1 5 1 42 1 6 1 97 1152 206 31 96.265228 MARICOPA 5 1 42 1 6 2 319 1149 164 32 95.334038 COUNTY 5 1 42 1 6 3 498 1147 192 32 95.334038 SCHOOLS 5 1 42 1 6 4 722 1159 10 12 54.624123 + 5 1 42 1 6 5 776 1142 181 36 95.293961 PHOENIX, 5 1 42 1 6 6 975 1139 170 34 96.004356 ARIZONA 5 1 42 1 6 7 1284 1167 54 31 95.975777 AP 5 1 42 1 6 8 1351 1164 172 32 94.302574 20201103 5 1 42 1 6 9 2168 1150 183 37 93.240486 3700369532 4 1 42 1 7 0 175 1220 1934 61 -1 5 1 42 1 7 1 175 1255 158 26 96.501846 ANDREWS 5 1 42 1 7 2 345 1250 256 28 96.311607 REFRIGERATION 5 1 42 1 7 3 613 1250 51 25 86.744621 INC 5 1 42 1 7 4 1012 1238 5 36 94.517769 | 5 1 42 1 7 5 1593 1228 4 36 46.642307 | 5 1 42 1 7 6 1634 1233 154 26 46.642307 44/02/2020 5 1 42 1 7 7 2104 1220 5 36 96.547447 | 4 1 42 1 8 0 455 1259 1655 60 -1 5 1 42 1 8 1 455 1290 94 29 96.695358 Payee 5 1 42 1 8 2 1012 1277 5 35 95.966339 | 5 1 42 1 8 3 1592 1267 5 35 96.739853 | 5 1 42 1 8 4 1619 1270 100 26 43.652576 Check 5 1 42 1 8 5 1729 1270 70 25 96.186897 Date 5 1 42 1 8 6 2105 1259 5 35 96.252861 | 4 1 42 1 9 0 177 1339 990 44 -1 5 1 42 1 9 1 177 1351 131 32 96.243004 Account 5 1 42 1 9 2 319 1349 125 27 96.102982 Number 5 1 42 1 9 3 527 1346 45 28 85.424942 PO 5 1 42 1 9 4 584 1346 125 27 85.424942 Number 5 1 42 1 9 5 739 1344 114 29 94.601555 Invoice 5 1 42 1 9 6 1042 1339 125 27 96.576782 Amount 4 1 42 1 10 0 243 1397 922 24 -1 5 1 42 1 10 1 243 1420 3 1 46.549438 : 5 1 42 1 10 2 635 1404 69 17 78.713554 210141 5 1 42 1 10 3 743 1401 70 19 80.333786 104673 5 1 42 1 10 4 1103 1397 62 18 87.158188 148,00 4 1 42 1 11 0 636 1428 528 30 -1 5 1 42 1 11 1 636 1440 68 18 87.226662 210141 5 1 42 1 11 2 743 1437 70 18 74.262794 106068 5 1 42 1 11 3 1096 1428 68 30 77.433853 606,72 4 1 42 1 12 0 1275 3074 1059 47 -1 5 1 42 1 12 1 1275 3092 175 28 89.138062 VOUCHER: 5 1 42 1 12 2 1524 3090 66 25 36.597908 1958 5 1 42 1 12 3 1770 3074 118 47 96.354202 TOTAL: 5 1 42 1 12 4 2226 3077 108 30 39.464054 $834.72 2 1 43 0 0 0 160 3169 402 22 -1 3 1 43 1 0 0 160 3169 402 22 -1 4 1 43 1 1 0 160 3169 402 22 -1 5 1 43 1 1 1 160 3165 98 34 91.239563 HARLANO 5 1 43 1 1 2 263 3173 83 17 92.703743 CLARKE 5 1 43 1 1 3 367 3174 71 16 35.050983 M22692 5 1 43 1 1 4 459 3169 103 19 93.811012 90325231 2 1 44 0 0 0 2472 253 47 10 -1 3 1 44 1 0 0 2472 253 47 10 -1 4 1 44 1 1 0 2472 253 47 10 -1 5 1 44 1 1 1 2472 253 47 10 95.000000 2 1 45 0 0 0 2459 567 42 2133 -1 3 1 45 1 0 0 2459 567 42 2133 -1 4 1 45 1 1 0 2459 567 42 2133 -1 5 1 45 1 1 1 2459 567 42 2133 95.000000 2 1 46 0 0 0 2473 2706 12 373 -1 3 1 46 1 0 0 2473 2706 12 373 -1 4 1 46 1 1 0 2473 2706 12 373 -1 5 1 46 1 1 1 2473 2706 12 373 95.000000 INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 11-638, ARS1956) ISAAC SCHOOL DISTRICT NO. 5 PAY “Eight Hundred Thirty Four and 72/100" Dollars Terri Ysaguirre (CSS) From: Valtierra, Theresa < > Sent: Wednesday, April 14, 2021 8:20 AM To: Terri Ysaguirre (CSS) Subject: Fwd: Lost. Check Letter Hi T, Will this work? Theresa Valtierra Isaac School District No. 5 Accounts Payable Fax. woeeneneee Forwarded message --------- From: Credit Accounting - > Date: Wed, Apr 14, 2021 at 7:54 AM Subject: RE: Lost Check Letter To: Valtierra, Theresa <_. To Whom it May Concern: Regarding thee Lost check For Andrew’s Refrigeration, The signer of the affidavit that was requested by your company was from our CEO Jon Phillips and Notarized. Jon Philips as our CEO is an Authorized Signer for the affidavit we filled out and completed per your instructions and was not only scanned and emailed, but also mailed to you for a physical copy. Please advise this email is sufficient in issuing a new check for the past due invoices which remain open. If not, please advise as we need this taken care of. Thank you again for your help in this matter, | look forward to your response. Ciara Woods Credit/Collections andrews REFRIGERATION » HVAC - PLUMBING ELECTRICAL » CONCRETE From: Valtierra, Theresa < ; > Sent: Wednesday, April 14, 2021 7:50 AM... To: Credit Accounting < > Subject: Lost Check Letter Good morning Cierra, The county is following up the lost check for your company. They requested a Letter to be sent stating the signer of the Affidavit is authorized for their company and now they are suggesting you send an email stating this request. Please let me know if you have any questions or concerns. Thank you, Theresa Valtierra See the counties email request below, Terri Ysaguirre (CSS) Tue, At tome Suggest them to email you directly stating: Signer of the Affidavit is Authorized for their Company And They did not receive the Warrant Perhaps that will help. Theresa Valtierra Isaac School District No. 5 Accounts Payable Fax.