STAMPED & REDACTED-KATELYN TELLEZ -3700803411.PDF

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MARICOPA
COUNTY

INTEROFFICE MEMORANDUM

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

DATE: 08/04/2025

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 Watrant # | Amount

EVIT #401 TELLEZ, KATELYN 3700803411 $32.25

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Schools Affidavit/Claim Farm

Application for a Duplicate Warrant/ Check (detisitions ara on page 2)

STATE OF ARIZONA |
GOUNTY OF MARIGOPA

Instruction shool which Is page 2 of this form.

lll clip Koray — athe {st sworn, upon oath deposes and says
On oF about O8b2; [7A "" (date)(2) a warrant/check was Issued to the
above named persdn/artity In the amount as stated below. Such warrant/check was
alther never received or was subsequently inadvertently fost or destroyed and there {s :
ho 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.

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Nolo: Numbors on this form corrospand to numbers on the i
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Therefore, under penalty of perjury, claimant hereby affirms that this clalm Is correct
and the amount shown Is due and owing, and the applicant requests that a replacement

warrant/check be oy tephimyher Iyigum of $32.25 (3) |
Signed: LZ 4dblep ( Mews (4) i
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(5) Subscribed and sworn to before me this__»2 day of Auge 20,26,
VL va Chamncy By Kecte! lyn Té tleai, '
NOTARY PUBLIC

RRIA

My commission expires: (Er emia ula

é Feeens daauory 3h 8! .

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

Warrant/Check Number 3700803414 (KATELYN TELLEZ 401662964)|
Original Date of I E |
ee dtinan)@) (9/12/24 ———— oa a

Reason for original Issue of Warrant/Check (8): Dyer rg
{) Payroll

(1 For Services or Goods furnished EMPLOYEE REUMBRSEMENT
j@ Other; EMPLOYEE REUMBRSEMENT

SHPROCESSES\V/in sols ~ Duplicate or Stala\O2 Formis\Schouls\Schnols-Warranls Checks notica of clainidoc

Revised June 208% ARS. L612 & 15-999 i

TREASURER OF MARICOPA COUNTY
PHOENIX, ARIZONA apenzal

THIS WARRANT ORAVS INTEREST FROM OATE MARKED ‘SUFFICIENT FUNDS?
MHTERESY STOPS OF DATE FUNDS AVAILABLE, {SEC 11-636, ANIRIOSG)

East Valley Institute of Technology District #401

PAY
“Thirty Two atid 26/100" Dollars

"To TELLEZ, KATELYN
THE
ORDER

OF

EI OUCHUEN NUN TAINS ACTOTLE Wate MAN Cen To Vian TO Vaasa

SCHOOL EXPENSE WARRANT PY

3700803411

DATE

GONTROL NO.

09/12/2024

401662964

WARRANT AMOUNT

$32,265

49Nl | VOID AFTER 365 DAYS

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09/12/2024 Chack: 401662964 EXPENSE
MARICOPA COUNTY SCHOOLS + PHOENIX, ARIZONA AP 20240913 3700803414
TJELLEZ, KATELYN i { o9i212024 |
Payee t | Check Date |
Account Number PO Number Invoice Amount
| t~i‘tSOC‘C*S; 26744 HOSA CONFERENCE 3228
VOUCHER: 4010 TOTAL: $32.25

HARLAND CLARKE Mv7592 40096910

Microsett Dynamics AX - Maricopa Association of Governments, 42 [RSEYO As MOS):

selon ID - 2a5] - El - metal

Warrant (1 - micto) - Warrant number: 3700803414, Stopped

| Warrant
PA ieha iy GF a
bslai Warrant | Status | Print | Attachments
Warra + |
N Maintain New Status | Setup | Attachments
“~| 3700803411
4 Fa ae ~
b « Warrant header
General Posting
4 he Warrant number: Invoice:
4 Halder: Invoice date:
, Issued date: 9/12/2024 12:00:00 am Paid date:
4 Status: Stopped Positive pay sent date: 9/13/2024 09:00:13 am
Exception flag:
xeeprion ag) | Agency details
Exception reasen: hone

Queued for positive pay: {1

Locked forreconcile: | |
Registered

Date registered:

No of days interest: 0

0.00000

Annual interest rate:

Agency voucher number: 1010
Agency claim number:

Agency low orig:

Agency PO number:

Agency sub fund:

Agency dept num:

a Warrant Lines

[] Amount Payee
32.25 TELLEZ, KATELYN

Account