STAMPED & REDACTED-FOUNDATION FOR BLIND CHILDREN.PDF

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MAR) COPA
COUNTY

INTEROFFICE MEMORANDUM

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

DATE: 07/24/2025

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.goy. 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

Isaac SD #5 Foundation for Blind Children 3700826977 | $9,946.36

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Schools Affidavit/Ciaim 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
Foundet;

COUNTY OF MARICOPA instruction sheet which Is page 2 of this form.
(1), being first sworn, upon oath deposes and says:
On or about _ (date)(2) a warrant/check was issued to the
above named person/éntity In the amount as stated below. Such warrant/check was
either never recelved 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 $ 4, 1%. 56 (3)
Signed: Crna Kahan (4)

° Sub ae [gh day of fine 2026.

Near eS ed

My commission expires:
Getler B20)

NANCY V SALVATIERRA
Rotary Public - Arizona
Maricopa County
Commission # 637545 (seal)
My Comm, Expires Oct 24, 2026

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

Meron rene 3700826977 |
Oriana Poomo | 13/05/eay |

Reason for original issue of Warrant/Check (8):
QO Payroll 7/24/25

& For Services or Goods furntshed ;
CO) Other:

S:\PROCESSES\Warrants - Duplicate or Stale\O2 Forms\Schools\Schools-Warrants Checks notice of dalm.doc
Revised June 2015 ARS, 11-632 & 15-999

seg se

Foundation for

FBC Blind Children

July 24, 2025

Good morning,

We have not received your warrant 3700826977 dated 12/05/24, issued to
Foundation for Blind Children.

Please re-issue at your earliest convenience.
Donna Lollar is an authorized representative of Foundation for Blind Children.
Thank you,

CY be

Ronald Rosas

Director of Accounting

Foundation for Blind Children
1234 E. Northern Ave.
Phoenix, AZ. 85020

secitourway.org 1234 E Northern Ave, Phoenix, AZ 85020

ches

_ TREASURER OF MARICOPA COUNTY - | tC oo (37100826977

KS

PHOENIX, ARIZONA _ . oven “Date CONTROLNO. |:

THIS WARRANT DRAWS INTEREST FROM DATE MARKED “INSUFFICIENT FUNDS' ce

INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 11-636, ARS1956) 6S

12/05/2024 53884 2

ISAAC SCHOOL DISTRICT NO. 5 °

WARRANT AMOUNT &

AY 3
“Nine Thousand Nine Hundred Forty Six and 36/100" Dollars $9,946.36 3
VOID AFTER 365 DAYS g

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ro Supe en FRB 2e0 SIGNATURES 3

. 42/05/2024 Check: 53884 EXPENSE
JARICOPA COUNTY SCHOOLS « PHOENIX, ARIZONA AP 20241205 3700826977
FOUNDATION FOR BLIND | [12/08/2024 _ | |
Payee | | Check Date | |
Account Number PO Number Invoice Amount

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DEC 4 ayy

VOUCHER; 6315 TOTAL: $9,946.36

HARLAND CLARKE 1422692 40038910

6/23/25, 1:34 PM VMware Horizon
Warrant (1 - mcto) - Warrant number: 3700826977, Stopped

Warrant |

aS | G i
' a Loa
ba Warrant | Status | Print | Attachments
¥
Maintain New Status | Setup | Attachments
3700826977
4 Warrant header
General Posting
Warrant number: Invoice:
Holder: Invoice date:
lssued date: 12/5/2024 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 12/5/2024 09:00:32 am
Exception flag: 1} Agency details
Exception reason: None Agency voucher number 6315
Queued for positive pay: [| Agency claim nurober:
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

ID: Amount ; Payee
9,946,36 FOUNDATION FOR BLIND

lq acs eB PR | oe | 8 | Identification of the warrant

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