STAMPED & REDACTED ZAVA GLOBAL PARTNERS LLC.PDF

INTEROFFICE MEMORANDUM
Maricopa County Schools Superintendent Office
RECEIVED Meth
TO: CLERK OF THE BOARD
.
FROM: Terri Ysaguirre : APR 2 0 2021
SUBJECT: Affidavits — Replacement of Lost Warrants MARICGPA COUNTY
CLERK BOARD OF SUPERVISO
.
DATE: 4/19/2021
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.
#65 Littleton Elementary ——Zava Global Partners, LLC $5,788.66

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.
Zava Global Partners, LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about a /; DS]. AOA (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 ¢ 9,788.66 (3)
a
Ke
Signed: } - (4)
(5) Subscribed and sworn to before me this G_dayof_Aow\ 202.
a
NOTARY PUBLIC
iin, Notary Public State of Arizona
My commission expires: ASPET) Gonald Lee Stark
6-5-3003 SE Wevmtosion Numberseas0s (seal)
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
13799401656
(if known) (6)
04/20/2021
Original Date of Issue 02/25/2021
(if known) (7)
Reason for original issue of Warrant/Check (8):
O Payroll
BLUEINK electronic signature services
f For Services or Goods furnished
BLUEINK electronic signature services
CO 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

blueink.com
()
(480)
BLvEINK
April 8, 2021
Accounts Payable
Littleton Elementary SD
Cashion, AZ 85329
To whom it may concern,
I, Faizaan Sharif, President and CEO of BluelInk, am an authorized signer.
Sincerely,
Faizaan Sharif

NK ARIZONA
THIS INTEREST STOPS ON DATE FUNDS AVAILABLE, DATE MARKED INSUFFICIENT
5	1	14	1	1	7	1296	226	86	19	94.431259	FUNDS : CONTROL NO,
(SEC 11-636, ARS1956)
| 02/25/2021 65839077
LITTLETON ELEMENTARY SCHOOL DISTRICT #65
PAY WARRANT. es =
AMOUNT
**Five Thousand Seven Hundred Eighty Eight and 66/100*** Dollars
$5,788.66
* VOID AFTER 365 DAYS
TO ZAVA GLOBAL PARTNERS, LLC
ORDER
oe
SCOTTSDALE ,AZ85260 2 “me 2 Stew I eo
Superinten ent oS Bizep
SIGNATURES
MARICOPA COUNTY SCHOOLS - PHOENIX, ARIZONA 02/25/2021 Check: 65839077 BAREPSE
AP 20210225
3700401656
ZAVA GLOBAL PARTNERS, LLC /
: | 02/25/2021 |
Payee Wi
| Check Date |
Account Number PO Number Invoice /
Amount
210914 3892150001 5,788.66
VOUCHER: 1059 TOTAL:
$5,788.66
HARLAND CLARKE M22692 00229286

MARICOPA COUNTY SCHOOL SUPERINTENDENT
PHOENIX, AZ 85012
TO: PAYROLL —- ACCOUNTS PAYABLE
PLEASE STOP PAYMENT AND REISSUE THE FOLLOWING WARRANT:
DISTRICT NUMBER: (0
PERSON REQUESTING
STOP PAYMENT: Mary heque PHONE #: (023-476-5734 EXT:
WARRANT NUMBER: 57 -_bo%o1/@5¢ WARRANT DATE: 0 /25 / 2/
(prefix) (number) (mm) (dd) (yy)
PAYABLE TO: Zava Globa| Rartners, LLC
AMOUNT: $5,788.64
FUND NO: O4¢O VOUCHERNO: (0 57
CHECK ONE: EXPENSE PAYROLL
REASON FOR STOP:
Warrantis lost in _ ma! due te
Inc orrec+ Zip Code. On maj lina
(LOST, DESTROYED, ETC.)
ONE ORIGINAL AFFIDAVIT AND ONE COPY OF THE AFFIDAVIT ARE ATTACHED. PLEASE
ISSUE A REPLACEMENT WARRANT.
ee ee ee
(FOR COUNTY USE ONLY)
STATUS VERIFIED: - Pit
STOP DATE: REPLACED:
STOP VERIFIED: WARRANT #:
AFFIDAVIT SENT:
AFFIDAVIT APPROVED:
RECONS RETURNED: STOP PREPAID
Revised 4/5/07
\\Mcss_411\data\Repository\Share\PayRoll\Front Desk (finance) sample memos, etc\LOST WARRANT STOP-REISSUE COVER SHEET.doc