STAMPED & REDACTED - DHE COMPUTER SYSTEMS.PDF

Office of the Maricopa County
School Superintendent

Steve Watson

INTEROFFICE MEMORANDUM

TO:
FROM:
SUBJECT:

DATE:

MARICOPA COUNTY CLERK OF THE BOARD
MCSS FINANCE DESK (ANDIE DE LA ROSA)
AFFIDAVITS — REPLACEMENT OF LOST WARRANTS

01/27/2025

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 Watrant # Amount
Buckeye Elem #33 DHE Computer Systems 3700825135 | $166,037.50

Date

Reissue WT #

Office of the Maricopa County
School Superintendent

Finance Desk
mum 202i5016

Warrant Void/Stop Request

District Name / Number Buckeye Elementary SD #33

. Contact Name: Aigjandrina Trujillo

Attachments:
C] Onginal Warrant
Lost Warrant Affidavit (required for ALL reissues)
Vendor Letter (if requesting Vendor relssue}

Warrant Number Warrant Date | Amount
[Mortiog with *377) nnfdd/yyyy)

Payee

(ast appeors in Check Manager)

é

Void

Re-Issue

3700825135] 11/25/2024 /$ 166,037.50

DHE Computer Systems © OV)

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Notes ost in the mall

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District Approverr bre fa
ey

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Dates 4/23/2025

For Internal Use Ondy

Clerk of Board Date: Vold Report Date:

Schools Affidavit/Claim Form

Application for a Duplicate Warrant/Check (dofinitions aro on pago 2)

STATE OF ARIZONA Note! Numbers on this form correspond lo numbers on the
COUNTY OF MARICOPA Instruction sheet which Is page 2 of thle form,

DHE Computer SystemsLLC (4), being first sworn,
Remercreiment

i pon oath deposes and says:

On or about //-P5-POIY _ (aate(2) a warrdnt/check was Issued to the
above named person/entity In the amount as stated a 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 |

uance,

Therefore, under penalty of perjury, clalmant hereby affitms that thls clalm Is correct
and the amount shown fs due and owlng, and the applicant requests that a replacement

warrant/check be Issued to him/her In the sum of $, 166,0 97.50 (3)
Signed: <<“ | 3)
Cy SN
(5) Subscribed antkswornAo befgre me this _ADd day of sAanaart. MAD
Le TIEN Yockin dot “G EQ 4 _ i
NOTARY PUBLIC 4 VCIA YOCKIM
ae ‘OF COLORADO |
wv comimissian expires: Ar CONES BES ero (seal

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

Warrant/Check Number 13700826135/33636036

Original Date of esue [11/26/2024 |

Reason for original issue of Warrant/Check (8):
O Payroli

f@ For Services or Goods furnished, INV-75645
CO Other; INV-75645

iD = Duplicate or Stale\02 Forms\Schools\Schools-Werrants Checks notice of ciaim,toc
eneed peers Pont “ ARGS, 11-632 & 15-999

1/31/25

a

January 1, 2025

To whom it may concern,

Greg Ingram Is an authorized signer of DHE Computer Systems LLC as the company’s Chief Financial
Officer regarding the affidavit/claims statement for missing Warrant: 3700825135, Check: 33636036.

Sincerely,

Elena Hammack

Chairman of the Board

1127126, 10:54 AM

ae

taht Warrant | Status | Print | Attachments
|
|

i Warrant (1 - meto) - Warrant number: 3700825135, Stopped

VMware Horizon

.
Maintain | New Status | Setup | Attachments
3700825135
4 Warrant header ee
Genera! Posting
Warrant number: ERINICPEEES invoice:
Holder: Invoice date:
Issued date: 11/25/2024 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 17/25/2024 09.09:55.am
fection flag: tt Agency details
ception ese: None Agency voucher number: 1083
Queued for positive pay: /-} Agency claim number:
Agency low orig:
Locked for reconcile: {J Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00009
4 Warrant Lines
oO Amount : Payee : Account

166,037.50 DHE Computer Systems.

hitps://horizon.maricopa.gov/portal/webolient/#/desktop

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