STAMPED & REDACTED AED EVERYWHERE, INC.PDF

INTEROFFICE MEMORANDUM 
TO: 
MARICOPA COUNTY CLERK OF THE BOARD 
FROM: 
MCSS FINANCE DESK (ANDIE DE LA ROSA) 
SUBJECT: 
AFFIDAVITS – REPLACEMENT OF LOST WARRANTS 
DATE: 
10/10/2022 
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 (Option 1) or via e-mail at . 
Approved Affidavits may be routed back to the Superintendent of Schools - Finance Desk at . 
Thank you 
District 
Payee 
Warrant # 
Amount 
Queen Creek Dist #95 
AED Everywhere, Inc 
3700543132 
$7,204.66

0 E 
Q 
Reissue WT # 
Office of the Maricopa County 
School Superintendent 
District Name / Number: QCUSD #95 
Contact Name: Susan Kuhn 
Contact e-mail: Skuhn ~d gCUSCI.Org 
Finance Desk 
mm 202010/6 
Warrant Void/Stop Request 
Attachments: 
Original Warrant 
Lost Warrant Affidavit (required for ALL reissues) 
Vendor Letter (if requesting Vendor reissue) 
Warrant Number 
(starting with "37") 
Warrant Date 
(mmlddlyyyy) 
Amount 
Payee 
(as it appears in Check Manager) 
- 
a 
a, 
p 
0 
N 
m 
OC 
3700543132 5/26/2022 
$ 7,204.66 
AED Everywhere, Inc. 
C ® K 
0 
®OH 
0 ~ K 
Notes: Warrant is lost in the mail. 
District Approver: 
Date: 
/d//&/;2- 
I or Internal Use On!y 
Clerk of Board Date: 
Void Report Date:

,t
SCHOOL EXPENSE'WARRANT 
TREASURER OF MARICOPA COUNTY 
PHOENIX, ARIZONA 
THIS WARRANT DRAWS INTEREST FROM DATE MARKED' INSUFFICIENT FUNDS' 
INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 1143$. ARS1956) 
Queen Creek Unified District #95 
PAY 
***Seven Thousand Two Hundred Four and 66/100"' Dollars 
TO 
THE 
ORDER 
OF 
AED EVERYWHERE, INC 
3241 NITE COURT 
FORT COLLINS, CO 80525 
.JPMor 
A
gan Chase Bank; N.A. , 
Phoenix. AZ 
r s 
91.211221 
DATE 
CONTROL NO. 
03/26/2022 
95704133 
WARRANT'AMOUNT 
$7,204.66 
VOID AFTER 365 DAYS 
z 
7 
1 
y~ 
Supertinefen~dent o
g
zED SIGNATURES 
II'3?OO543L3211' r:L22LOOO24u: 
97O43949311' 
MARICOPA COUNTY SCHOOLS . PHOENIX, ARIZONA 
AED EVERYWHERE. INC 
Payee 
1 
Account Number 
PO Number Invoice 
Amount 
612354100067312030001203 
21224745 
22340 
7.204.66 
05/2612022 Check: 
95704133 
AP 20220527 
05/26/2022 
f Check Date 
EXPENSE 
3700543132 
NARLAN0 CLARKE L122eB2 10135771 
VOUCHER: 
5227 
TOTAL: 
57,204.66

Schools Affidavit/Claim Form 
Application for a Duplicate Warrant/Check (definitions are on page 2) 
STATE OF 
d
AoloPIc10 
COUNTY OF MAfiFCOPA :~ 
AED EVERYWHERE, INC. 
Name/Claimant 
On or about 05/26/22 
(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 received 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. 
Note: Numbers on this form correspond to numbers on the 
Instruction sheet which is page 2 of this form. 
(1), being first sworn, upon oath deposes and says: 
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct 
and the amount shown is due and owing, and the applicant requests that a replacement 
warrant/check be issued to him/her in the sum of $7,204.66 
Signed: 
 
(4) 
.(3) 
(5) Subscribed and sworn to before me this  
1 
 day of 
—~ --1 9 
NOTARY PUBLIC 
My commission expires: 
&
22
i).'- 
i).'- 
! I / r q! 2 5 
TRAVIS M. KIMBALL 
NOTARY PUBLIC - STATE OF COLORADO 
NOTARY ID 20214045658 
MY COMMISSION EXPIRES NOV 19. 2025 
20 ZL 
(seal) 
Note: P/ease attach a copy of the warrant/check if available and/or any other 
evidence that a warrant/check was originally issued. 
Warrant/Check Number 
if known 
6 
3700543132 
Original Date of Issue 
if known) (7) 
05/26/22 
Reason for original issue of Warrant/Check (8): 
K Payroll 
For Services or Goods furnished INVOICE 22340 
K Other: INVOICE 22340 
S:\PROCESSES\bWarrants - Duplicate or Stale\02 Forms\Schools\schcols-warrants Checks notice of claim.dcc 
Revised June 2015 
A.R.S. 11-632 & 15-999

fie, E 
August 11, 2022 
Queen Creek Unified School District 
Accounts Payable 
20217 E Chandler Hts Road 
Queen Creek, AZ 85142 
To whom it may concern, 
EVERYWHERE 
David Robertson is the VP of sales for AED Everywhere, Inc. and has full 
authority to sign for the corporation. 
Let us know if you have any questions or need anything else. 
Thanks, 
3241 Nite Court, Fort Collins, CO 80525 
Phone & FAX 877-751-5300

10/10/22, 3:23 PM
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