STAMPED & REDACTED- AZ ASPIRE ACADEMY.PDF

v
MARICOPA
COUNTY

INTEROFFICE MEMORANDUM

TO: MARICOPA COUNTY CLERK OF THE BOARD
FROM: MCSS FINANCE DESK (ANDIE DE LA ROSA)
SUBJECT; AFFIDAVITS —-REPLACEMENT OF LOST WARRANTS

DATE: 08/07/2025

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

Buckeye Elm #33 AZ Aspire Academy 3700851888 | $3,483.15

Dete

Reissue WT #

Office of ihe Maricopa County Finance Desk

School Superintendent vo 2201016

Warrant Void/Stop Request
District Name / Numbers Buckeye Elementary Sd #33 Attachments:

Contact Namer Alejandrina Trujillo LC] Original Warrant

Contact e-malt fF Lost Warrant Affidavit (requlred for ALL relssues)

C] Vendor Letter (If requesting Vendor reissue}

Warrant Number Warrant Date | Amount Payee a ea 6
(starting with "37"} tmm/ds/yrvy) {os 1 oppenrs in Check Manager) 3 & a
3700851888]|3/10/2025]$ 3,483.15 AZ Aspire Academy © OW]

Notes: Lost in the mail RM
District vee TE Dater 6/30/2025

For Internal Use Only

Clerk of Board Date: Vaid Report Date:

Schools Affidavit/Claim Form

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

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF M ARICOPA Instruction sheet which is page 2 of this form,
{| H\ (1), being first sworn, upon oath deposes and says:

fame/Claimpo

On or about a] {0 la0a% (date)(2) a warrant/check was Issued to the
above named person/entity 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 ciaim is correct
and the amount shown {is due and owing, and the applicant requests that a replacement

veal in the sum of $ 4 U %$ eo ‘ WS (3)
Signed: -f- 1G hy (4)

(5) Subscribed and sworn to beforeme this JOvuk day of dU WY 20295.

< Yet? LO
NOTARY PUBLIC
aI, STEPHANIE STGNEROS
. . . é Notary Public - Stale of Arizona
My comission expres: (i) eer
Va Le & Sy id Exnires Aust 18 2998 (seal)

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 a7] ‘o) OD \ SVS

(if known) (6)

Original Date of Issue DI | 0 [2 025

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

0 For Services or Goods furnished___
Q Other: Danie Drs

S:\PROCESSES\Warrants - Ouplicate or Stale\02 Forms\Schools\Schoals-Warrants Checks notice of claim.doc
Revised June 2015 ARS, 11-632 & 15-999

AZ ASPIRE

ACADEMY

To whom it may concern,

|, Sonia Gonzales Founder of AZ Aspire Academy, grant permission for Monique Terrazas
AP/AR Specialist of AZ Aspire Academy authorization to sign the Schools Affidavit/Claim Form
on behalf of the organization.

Please reach out to me ‘Te any further information is needed.

Sincerely,

Sonia Gonzales

Maintain New | Status | Setup | Attachments

3700851888

a Warrant header
General Posting
Warrant number: 3700851288 Invoice:
Holder: Invoice date:
issued date: 3410/2025 12:00.00 am Paid date:
Status: Stopped Positive pay sent date: 3/7/2025 03:00,13 amy
peceicn flag: I Agency detaits
veeption teasers Rene Agency voucher number: 1133
Queued for positive pays Agency claim number,

Agency love orig:

Locked for reconcite: i Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept nun:
He of days interest: o
Annual interest rate: 0.00000

‘a Warrant Lines
1 Amount Payee Account
i 3,483.15 AZ Aspire Academy
{
\
i

te od om BE” f 8) | tdentification of the warrant

{ <e@) | USD | meto