STAMPED & REDACTED - SKYLINE BUILDERS & RESTORATION, INC.PDF

Office of the Maricopa County

School Superintendent
Steve Watson

INTEROFFICE MEMORANDUM

TO: MARICOPA COUNTY CLERK OF THE BOARD

FROM: MCSS FINANCE DESK (ANDIE DE LA ROSA)

SUBJECT: AFFIDAVITS -REPLACEMENT OF LOST WARRANTS

DATE: 01/10/2025

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
Nadaburg Dist #81 Skyline Builders & Restoration, Inc | 3700819779 | $147,964.99

Date

Amount

Reissue WT #

Office of the Maricopa County
School Superintendent

Finance Desk
mum 20201016

Warrant Void/Stop Request

District Name / Number: Nadaburg Unified Schoo! District #81

Contact Name: Gerri-Ann Whigham

Attachments:

[| Original Warrant
Lost Warrant Affidavit (required for ALL reissues)
[Yj Vendor Letter (if requesting Vendor reissue)

| Warrant Number {| Warrant Date: |:Amount
i {starting with “377) {mm/dd/yyyy)

Payee

{as it Gppears in Check Manager)

Bove. e@
Cee) 2
> Ge
o
a

3700819779! 11/6/2024 | $ 147,964.99

Skyline Builders & Restoration, INC |@ ©

Notes: Warrant lost in mail, never arrived to vendor.

District Approver: ALU Hyaby

Date:

For Internal Use Only

Clerk of Board Date:

Void Report Date:

Appiication for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Clalm Form

Thts application is for: is Duplicate or C1 stata-pated (doflnitions are on paye 2)

STATE OF ARIZONA Note: Numbai's on this form aorrespond to numbera on the
COUNTY OF MARIGOPA (natruoflon shaat which Is page 2 of this form.

we ldud ee, Seale Boulders REY, Baing Hirst Sworn, upon oath deposes and says:
Namo/Clalivant

On of about _ Lf -lo-2024} {date)(2) @ warrant/check was Issued to the
above named person/entity In the amount as stated helow. Such warrant/check was
elther never racaived or was subsequently Inadvertently fost or destroyed and there Is
no reasonable probability of {ts being found or presented for payment, or it was not
presented for payment within ona year after the date of Issuance.

Therefore, under penalty of perjury, clatmant hereby affirms that this daim fs correct
and the amount shown Is due and owing, and the applicant requests that a replacement

warrant/chack be Issued to him/her In the sum of § 1477, Yfo4/,94 (3)

“uh ee (4)
Print née! (required) MIChwel Lee:

Note: Please attach a copy of tha warrant/check if avallable and/or any other
evidence that a warrant/check was originally issued.

(8)Subsctibed and sworn to before me this, T°" day of Sa&huntry 2098.

NOTARY PUBLIC aD Fes Notary Public.
‘fs Marlcopa County, Arizona
My commission expires: Q My Comm, Expites 07-28-25

Commission No, 608874

O7- %4~ 95

Warranyycheck Number | eto | SHUGIIFIA TUL
Original Pate te I= We 2024

Reason for original Issue of Warrant/Check (8):
C1 Payroll

s For Services or Goods furnished (to niva ctor | Const rectory

O Treasurer's refund/payment
pyarie Dra

Other:

& \PROCESSES Warrants » Duplicate or Stale\02. Farms\Cusrant Claim
Revised 100540

To Whom it May Concern:

In following up on an outstanding invoice, it has been found that check#81566116 sent on 11/6/2024 to
Skyline Builders and Restoration, Inc. has not been delivered to or received by Skyline Builders &
Restoration, Inc. for payment n Invoice 9813, dated 10/30/2024.

Please accept this as request to reissue the check per the owners, Michael Lee (President) and Anthony
Cohill (Vice President), both owners of the company.

Thank you so much!

Sincerely,

Michael N. Lee, President

Skyline Bullders & Restoration, Inc.

LICENSED + BONDED » IASUAGD: B- ROCIO7643 +» B-Ol - ROCIO7623 + L-61 - AOCO72610 » -G-34 ROCOI4O77 + L-34 ROCOSO] 3D

+ wwwW.azsli.com

12/20/24, 7:53 AM
Warrant (1 - meto) - Warrant number: 3700819779, Stopped

va Bh Velets ia 2) aid . 05

bahia Warrant | Status | Print | Attachments

v

Maintain New

3700819779

Status } Setup | Attachments

“4 Warrant header

General

Warrant number:

Holder:

Issued date: 11/6/2024 12:00:00 am
Status: Stopped

Exception flag: lf

Exception reason: None

Queued for positive pay: |]

Locked for reconcile: {| |
Registered

Date registered:

No of days interest: 0
Annual interest rate: 0.00000

VMware Horizon

Posting

Invoice:

Invoice date:

Paid date:

Positive pay sent date:

11/7/2024 09:00:25 am

Agency details

Agency voucher number; 1043
Agency claim number:

Agency low orig:

Agency PO number:

Agency sub fund:

Agency dept num:

a Warrant Lines

Oo Amount i Payee

147,964.99 Skytine Builders & Restoration, inc
|

i Account i

Iq iis pl] | 4} | Identification of the warrant

https://horizon.maricopa.gov/partalwebclient/#/desktop

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