STAMPED & REDACTED LIONS CLUB BUCKEYE.PDF
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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits —- Replacement of Lost Warrants DATE: 12/27/2021 Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next available Board agenda v The attached item(s) have been researched to ensure that the warrant(s) in question have not been cashed or previously re-issued. v The original warrant(s) have had a stop payment done. If you have any questions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at terri.ysaguirre@maricopa.gov. Approved Affidavits may be routed back to the Superintendent of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor) Thank you. #33 Buckeye Elementary Lions Club - Buckeye $800.00 Schools Affidavit/Claim Form Application for a Duplicate Warrant/Check (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the COUNTY OF MARICOPA Instruction sheet which is page 2 of this form. Rick Duncan Treasurer Buckeye Lions Club (1) being first sworn, upon oath deposes and says: Name/Claimant ; On or about 4 [30 | A\ (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. 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 i 2 sum of ¢800.00 (3) Signed: 77 pple (4) \C —— ne ic 8 December 3921 (5) Subscribed and sworn to before me this day of 20 NOTARY PUBLIC TARY BU Timmy Douglass Notery Public - Arizona My commission expires: May cartmiccione 692610 Ock QY, doa £7 Expires October 28, 2024 (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 | 3799461532/33626381 (if known) (6) Original Date of Issue (if known) (7) 8/30/21 Reason for original issue of Warrant/Check (8): 0 Payroll C For Services or Goods furnished Dues 5 jl Other; Dues 01/03/2022 S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc Revised June 2015 A.R.S, 11-632 & 15-999 ‘To whom it may concern Rick Duncan is Treasurer of the Buckeye Lions Club and therefore authorized to sign documents on behalf of the club. Signed by Lon Sage Secretary aa | Gmail Alejandrina Trujillo Re: Membership dues, PO 220230 1 message Rick Duncan Wed, Dec 8, 2021 at 10:50 AM To: Alejandrina Trujillo I'm sorry but | have no record of receiving that payment. Would it be possible to issue a new check for payment of the $800. Sent from my iPhone On Dec 8, 2021, at 10:33 AM, Alejandrina Trujillo Thank you so much! Alejandrina Trujillo Accounts Payable -- Buckeye AZ 85326 Phone + Fax On Wed, Dec 8, 2021 at 10:32 AM Rick Duncan wrote: | will check and let you know today. Sent from my iPhone On Dec 8, 2021, at 10:23 AM, Alejandrina Trujillo - wrote: Good morning Rick, I have your email as reference when we received the Buckeye Lions Club invoice back in August 2021. We processed payment for invoice 7-2019 paying memberships dues for Drew Davis, Mike Lee, Lon Sage & Kristi Wilson, reference: Warrant 3700461532, ck 33626381, amount $800.00, dated 08/30/2021. i Apparently this check hasn't cleared the County's bank account. Would you please check your records and let me know if perhaps this check is saved in a "special drawer" and missed to be deposited? or maybe it got lost in the mail? Please let me know. Thank you Alejandrina Trujillo Accounts Payable Phone ext + Fax i=} PHOENIX, AFUZON FROM DATE MARKED "INSUFFICIENT FUNDS* CONTROL NO. 1 INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 11-636, ARS1856) a 08/30/2021 | 33626381| | ‘ Buckeye Elementary District #33 WARRANT AMOUNT 6 AY . Eight Hundred and 00/100" Dollars $800.00 : : VOID AFTER 365 DAYS . ie) Lions Club - Buckeye . HE 08 HE, ~ — . )RDER va : : Buckeye, AZ 2 ) 2 E St Wi F, me superintendent AG eORIZED SIGNATURES ‘ wou EXPENSE MARICOPA COUNTY SCHOOLS + PHOENIX, ARIZONA 08/30/2021 Check: 33626381 AP 20210827 3700461532 Lions Club - Buckeye 08/30/2021 Payee Check Date Account Number PO Number Invoice Amount 220230 © 7-2019-08/24/2021 160.00 220230 = 7-2019-08/24/2021 160.00 220230 = 7-2019-08/24/2021 200.00 220230 = 7-2019-08/24/2021 280.00 VOUCHER: TOTAL: $800.00 HARLAND CLARKE M22692 00229286