STAMPED & REDACTE - SPIKER SPORTS LLC.PDF

v
MARICOPA

COUNTY

INTEROFFICE MEMORANDUM

TO:
FROM:
SUBJECT:

DATE:

MARICOPA COUNTY CLERK OF THE BOARD
MCSS FINANCE DESK (CHRISTY ADAMS)
AFFIDAVITS — REPLACEMENT OF LOST WARRANTS

08/05/2025

Please find attached | 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.

Ifyou 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

Roosevelt SD #066 Spiker Sports 3700876722 $390.00

Office of the Maricopa County Finance Desk

School Superi ntendent mann 2020 HEE

Warrant Void/Stop Request

+ District Name / Number: Roosevelt School District 66 Attachments:
| Comact Name: Gabriela German L_] ovisinat warrant
* Contact e-mall: Po Lost Warrant Affidavit {required for ALL reissues)
Vendor Letter (if requesting Vendor relssue}
3700876722|6/3/2025|$ 390.00 Spiker Sports ©O

| Noles Lost warrant - Reissue S
a

. District worel ) pI Date: 8/5/9095 Sept to Bos

Var laternal Ue Onby

js
Clerk of Board “Dd 0 Report Date: ZS

Schools Affidavit/Claim Form

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

STATE OF ARIZONA Note: Numbers on this form cosraspond to numbers on the
COUNTY OF MARICOPA instruction sheet which is page 2 of this form.
Spiker Sports LLC (1), being first sworn, upon cath deposes and says:

RamalCramant

On or about Ol |o4| W25 (sate)(2) a warrant/check was Issued to the
above named person/entity in the amount as stated below. Such warrant/check was
elther never received or was subsequently Inadvertently fost 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 |s due and owing, and the applicant requests that a replacement

warrant/check eee 3)
Signed: (4)
Lo eA

(5) Subscribed and sworn to before me this_ 27 __day of deh y 207s,

[a= Fe

NOTARY PUBLIC

DEVIN REASOR

ly Sommission pes: Rotary Public - Arizona
Jus), Bone viene By

My Comin, Expires Jul 34, 2078

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

Warrant/Check Number 40 O8AWAZZ

oral ram {06/03/2025

Reason for original Issue of Warrant/Check (8);
O Payroll 8/5/25

& For Services or Goods furnished
OD Other:

S:\PROCESSES\Werrants - Duplicate or State\02 Forms\Schaols\Schoos- Warrants Checks notice of daim.doc
Rewsed June 2015 ARS, 11-632 & 15-999

RECEIVED
AUG 05 2025

Business Services

<—_

Spiker Sports, LLC

2300 E, Binner Drive, Chandler, AZ 85225 * 480-213-5082

07/29/25

Roosevelt School District;

Spiker Sports, LLC is requesting a re-issue of check in the amount of $390 issued on June 3, 2025. The check
mentioned never arrived to our business and hence has not been cash/deposited, The writer of this request is the sole
business owner (Gene Spiker), Gene, myself, Is the only authorized requestor for this business.

Thank you for your time and attention to this matter, Hf there are any further questions you may contact me directly.

Sincerely,

Gene Spiker
Spiker Sports

GECEWED
AUG 05 2025

Business Services

Microsaht Oynardics AX: Wavicopa dsenciation of Gowermments 42 (TRSPYD AS sslon ID - M3) - [b- mete}

Warrant (1 - meto) - Warrant number: 3700876722, Stopped

Ei | Warrant |

Klehis EE ar i
he Warrant | Status | Print | Attachments
Warra ¥ |
N Maintain New Status | Setup | Attachments
ew a
“") 3700876722
4 Fay coe ~
ry 4 Warrant header
General Posting
4 ie Warrant number: Invoice:
4 Holder: Invoice date:
, Issued date: 6/3/2025 12:00:00 am Paid date:
‘ Status: Stopped Positive pay sent date: 6/4/2025 09:30:32 am
_ Exception flag:
l F ception Neg || Agency details
“eeepuion reason None Agency voucher number: 2090
Queued for positive pay: |-/1 Agency claim number:
Agency low orig:
Locked forreconcile: | | 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
[J] Amount Payee Account