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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office ,v RECEIVED TO: CLERK OF THE BOARD ,9? \ JUN 26 2019 FROM: Terri Ysaguirre MARICOPA COUNTY SUBJECT: Affidavits — Replacement of Lost Warrants CLERK BOARD OF SUPERVISORS DATE: 6/24/2019 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.vsaguirre@mcesa.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. #216 Agua Fria Union Netop Tech Inc. $450.00 Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form • This application is for: Duplicate or 0 Stale-Dated (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. on his Ne p vit.-. 14ft I SNnl 61ftf-6NiCCI,E. (1), being first sworn, upon oath deposes and says: Nanne/Claimant On or about November 27, 2018 (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 $ 450.00 .(3) Signed: (4) Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued, (5) Suir7grfsi rr1 irt.,00 before me this / (7 day of A 20 / . , NOTARY PUBLt 5 OFFICIAL STAMP RICK DEAN PHILLIPS O7 N..; TARY PUBLIC-OREGON I My conrission expire : CGMMISSION NO. 945894 MY COto/MISAkiNIlli9S DECEMBER 30, 201A (seal) Warrant/Check Number 3700114633 (if known) (6) Original Date of Issue November 27, 2018 JUL 09 (if known) (7) D T Reason for original issue of Warrant/Check (8): ID Payroll • MARICOPA COUNTY 111 For Services or Goods furnished LI Treasurer's refund/payment Ig Other: renewal of classroom management software S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc Revised April 2015 A.R.S. 11-632 & 11-644 USPS TRACKING # 9114 9014 9646 1286 2392 09 & CUSTOMER For Tracking or inquiries go to USPS.com RECEIPT LABEL (ROLL) or call 1-800-222-1811. Ne.top JUN &e 220 NW Second Avenue, . Suite 940, Portland, OR 97209 Tel: 866 725-7833 • Fax: 503 224-9103 apus@netop.com Agua Fria Union High School District ATTN: Accounts Payable 1481 N. Eliseo Felix Jr. Way Avondale, AZ 85323 RE: Agua Fria Union HSD I Netop Tech Inc Customer # US-ZA196 I Application for Duplicate Warrant Check Claim Form - NOTARIZED (3.4.19) I Check Amount: $450.00 To Whom It May Concern: Netop Tech Inc is submitting this formal letter, in conjunction with a notarized Application for Duplicate Warrant Check Claim Form, due to a Warrant Check (in the amount of $45o.00) that was never received from Agua Fria Union High School District. Below are the outstanding Netop Tech Inc invoices, for Agua Fria Union High School District, and their corresponding balances due: IUS0144489 1 $150.00 1 PO# 192839 I Due Date: 12.9.18 2) IUSo144490 1 $150.00 I PO# 192839 1 Due Date: 12.9.18 3) IUSo144496 1 $150.00 1 PO# 192839 I Due Date: 12.9.18 These three (3) $150.00/each invoices, total $450.00 - the past due balance on account for Agua Fria Union High School District and the declared amount of the Warrant Check that was never received. Included with this letter is the notarized Application for Duplicate Warrant Check Claim Form, along with copies of all the outstanding Netop Tech Inc invoices. Please issue a replacement payment for the lost check, so that Agua Fria Union High School District can bring its account current, with Netop Tech Inc. Thank you, in advance, for your time and assistance. With regards, Matt Hall 1 Business Unit Mager - EDU, Executive Vice President mahanetop.com 1 Skype: live:mhall 3641 Dir 503 239 2294 • Ne.top 220 NW 2nd Avenue, Ste 940 1 Portland OR 972091 USA www.netop.com cc: Mette Burchardt Rasmussen, Netop Finance Assistant Agua Fria Union High School District ATTN: Accounts Payable 1481 N. Eliseo Felix Jr. Way Avondale, AZ 85323 RE: Agua Fria Union HSD I Netop Tech Inc Customer # US-ZAt96 I Application for Duplicate Warrant Check Claim Form - NOTARIZED (3.14.19) I Check Amount: $450.00 To Whom It May Concern: Netop Tech Inc is submitting this formal letter, in conjunction with a notarized Application for Duplicate Warrant Check Claim Form, due to a Warrant Check (in the amount of $45o.00) that was never received from Agua Fria Union High School District. Below are the outstanding Netop Tech Inc invoices, for Agua Fria Union High School District, and their corresponding balances due: IUSm44489 I $150.00 I PO# 192839 I Due Date: 12.9.18 2) IU5o144490 J $15o,00 I PO# 192839 I Due Date: 12.9.18 3) IUSo44496 I $150.00 I PO# 192839 I Due Date: 12.9.18 These three (3) $150.00/each invoices, total $450.00 - the past due balance on account for Agua Fria Union High School District and the declared amount of the Warrant Check that was never received. Included with this letter is the notarized Application for Duplicate Warrant Check Claim Form, along with copies of all the outstanding Netop Tech Inc invoices. Please issue a replacement payment for the lost check, so that Agua Fria Union High School District can bring its account current, with Netop Tech Inc. Thank you, in advance, for your time and assistance. KhriS Greenidge I Office Assistant 1(hgrai)netop.com I Skype: Khris GI Dir 5o3 239 2299 220 NW znd Avenue, Ste 940 I Portland OR 972091 USA vww.netop.com cc: Mette Burchardt Rasmussen, Netop Finance Assistant LISPS CUSTOMER TRACKING # 9114 For 9014 Tracking 9646 or Inquiries 1286 go to 2391 USPS.com 24 RECEIPT LABEL (ROLL) or call 1-000-222-1811,