STAMPED & REDACTED- VIVIANA MUNOZ.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: 10/10/2025

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

Avondale Elementary #44 | Munoz, Viviana M 3700823615 $111.06

Office of the Maricopa County Finance Desk

School Superintendent mm 20201016

Warrant Void/Stop Request
District Name / Number: AVONDALE #44

Attachments:
Contact Name: McWilliams, Noemi LJ Original Warrant

Contact e-mail: Po Lost Warrant Affidavit (required for ALL reissues)

[| Vendor Letter (if requesting Vendor reissue)

“Warrant Number. © | Warrant: Date .| Amount © Payee = ; Oa ao
2(Saring with™87%) 0 2 4] Imm/de/yyyy) : | ae appears in Check Manager) on Sao
i Hoge

3700823615 | 11/22/2024 | $111.06 MUNOZ, VIVIANA M @)

Notes: Digase re-issue. Thank you.

District Approver: Noemi McWilliams Date: 40/08/2025

For Internal Use Ondy

Clerk of Board Date: Void Report Date:

Application for a Duplicate or Stale-Dated Warrant/Check

Affidavit/Claim Form

This application is for: Duplicate or O 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.
MUNOZ, VIVIANA M

(1), being first sworn, upon oath deposes and says:

Name/Claimant

On or about 11/22/2024 (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

a Ae be issued to him/her in the sum of $1 11.06 (3)
Signed:

(4)

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

(5) Subscribed and sworn to before me this_@* day of CWO 29 2G

NOTARY ‘vin |

My commission expires:

~RITAM. LUPIAN

= Notary Public - Arizona
S) Maricopa County

Somemesn # 649549

5|O2)| 202] (seal)
Warrant/Check Number
(if known) (6) 3700823615 |
Original Date of Issue
(if known) (7) ft tfe2i2024 10/17/25 —

Reason for original issue of Warrant/Check (8):
= Payroll

O For Services or Goods fumished

O Treasurer's refund/payment
O Other:

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

Warrant (1 - mcto) - Warrant number: 3700823615, Stopped, Status: Stopped

Ms Di ts
A LOS
Warrant Status Print | Attachments
aa
Maintain New Status Setup Attachments
3700823615
4 Warrant header
Warrant number: Invoice:
Holder: Invoice date:
Issued date: Paid date:
Status: Positive pay sent date: 11/21/2024 09:00:22 am
Exception flag:
= = ig}
t Ss
ioctl _ mene Agency voucher number: 21
Queued for positive pay: Agency claim number:
: Agency low orig:
Locked for reconcile: Agency PO number:
Registered Agency sub fund: te
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00000
4 Warrant Lines
oO Amount Payee Account

111.06 MUNOZ, VIVIANA M

4 <¢ & DP Pl | a | 9) | Identification of the warrant