STAMPED & REDACTED - ACME MECHANICAL.PDF

v
MAR)COPA
COUNTY

INTEROFFICE MEMORANDUM

TO: MARICOPA COUNTY CLERK OF THE BOARD
FROM: MCSS FINANCE DESK (MIKE MARTINEZ)
SUBJECT: AFFIDAVITS - REPLACEMENT OF LOST WARRANTS

DATE: 10/17/2025

Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the
next available Board agenda.

The attached item(s) have been researched to ensure that the warrant(s) in question
have not been cashed or previously re-issued.

The original warrant(s) have had a stop payment done.
If you have any questions, please contact the MCSS Finance Desk at 602-372-4833
(Option 1) or via e-mail at FinanceDesk@maricopa.gov. Approved Affidavits may be

routed back to the Superintendent of Schools - Finance Desk at 4041 N. Central Ave
#1100.

Thank you

District Payee Warrant # Amount

Osborn Elementary #8 ACME Mechanical 3700895246 $1,967.00

Date

Amount

Reissue WT #

Warrant Void/Stop Request

District Name / Number: Osborn School District #8

Contact Name: Yvonne Lopez

Attachments:
[| Original Warrant
Lost Warrant Affidavit (required for ALL reissues)

LJ Vendor Letter (if requesting Vendor reissue)

Warrant Number Warrant Date | Amount Payee a] ao o|

(starting with “37") (mm/dd/yyyy) (cs it appears in Check Manager) 2 2 a
4 |
o |

3700895246] 8/12/2025 | $ 1,967.00 ACME MECHANICAL QO

© OU

©O0

©OUO

Notes: ost in mail. Never received. Please replace

For Internal Use Only

Clerk of Board Date:

Void Report Date:

PF 3700895246
SOUNTY z a is a

9412/1221

NT FUNDS

08/12/2025 | 8853182 | -

OSBORN ELEMENTARY SCHOOL DISTRICT #8

|
PAY L— |
**One Thousand Nine Hundred Sixty Seven and 00/100*** Dollars | z
| 3
VOIDAFTER 365DAYS————«*E
TO ACME MECHANICAL ‘ £
ORDER a 2
_ ; _ sepecpesipin, Oe _ Superintendent of 5238 2c SIGNATURES — &
MARICOPA COUNTY SCHOOLS - PHOENIX, ARIZONA 08/12/2025 Check: 8853182 EXPENSE
AP 20250813 ___ 3700895246
_ ACME MECHANICAL | [08/12/2025 |
——___ Payee I [CheckDate | ___
PO Number Invoice Amount
260269 4603 1,987.00
VOUCHER: 8013 TOTAL: $1,967.00

HARLANDCLARKE 1

ee een

Schools Affidavit/Claim Form

Application for a Duplicate Warrant/Check (definitions are on page 2)

| Note: Nambers orrims form correspond to NunTbers OTT te — |

STATE OF ARIZONA A ris Ke 7
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
ACME MECHANICAL (1), being first sworn, upon oath deposes and says:
—wamerClamant
On or about 8/12/2025 (date)(2) a warrant/check was issued to the
Such warrant/check was

above named person/entityin-the-amount as stated below.
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 g! ,967.00 (3)

Signed: LAVA: v (4)

en ee ee 4. 3.
| 5 day of (’*to bei 20 25)

Subscribed and sworn to before me thi

| ja Te 5 ack

Nor Notary Public - Arizona
|, Mv.gommission empires, Commission #685508 |
| Juni 25, 202") My Commission Expires June 25, (seal) |

— |
= -— J

Note. Please atiach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

— PWearrantichec Number+37 0895946 ————

ifknown 6

(if known) (7, | 08/1 2/2025
y / 10/17/25

——$$__—___._,

Reason for original issue of Warrant/Check (8): r
i
@ For Services or Goods furnished ACME
@ Other: ACME MECHANICAL

eee ~ Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim doc
‘ : A.R.S. 11-632 & 15-999

ACME MECHANICAL LLC
14032 NORTH 38" STREET
PHOENIX, AZ 85032

602 502-8282

JO WHOM IT MAY CONCERN,

This letter is to inform you that I, Steve MacDonald am the sole owner of
ACME Mechanical LLC.

Best regards,

AS Wee Teal

Steve MacDonald

Warrant (1 - mcto) - Warrant number: 3700895246, Stopped

a a

y, | || 1)
Warrant Status Print | Attachments
aa
Maintain New Status Setup Attachments
3700895246
4 Warrant header
Warrant number: Invoice:
Holder: Invoice date:
Issued date: Paid date:
Status: Stopped Positive pay sent date:
om flag:
t son:
ioctl _ mene Agency voucher number: 8013
Queued for positive pay: Agency claim number:
Agency low orig:
Locked for reconcile: Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00000
4 Warrant Lines
oO Amount Payee Account
4 <4@o&: Pm Pl | 2 ») | Identification of the warrant