STAMPED & REDACTED - FOR AGENDA ATTACHMENT - FOUNDATION FOR BLIND CHILDREN.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: 11/07/2024

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
Avondale El Dist #44 Foundation for Blind Children 3700797827 $5,349.96

Date

Amount

Reissue WT #

Office of the Maricopa County Finance Desk

School Superintendent rom 20201016

Warrant Void/Stop Request

District Name / Number: Avondale Elementary School Dist. #44 | Attachments:

Contact Name: Rheinschmidt Catherine LE] Original Warrant

Contact e-mail: Po Lost Warrant Affidavit (required for ALL reissues)

Vendor Letter (if requesting Vendor reissue)

Warrant Number Warrant Date | Amount Payee zs 2 @g
{starting with "37") fmen/dd/yyyy) {os it appecrs in Check Manager) o 2 38
> & 8
Fd

3700797827 | 08/27/2024 | 5349.96 Foundation for Blind Children O®

©ou
| | ®©®ou
| ©OU

Notes: Check lost in the mail - address on check is correct 1234 E Northern Ave, Phoenix, AZ 85020

: a

District Approvers-—>

pa ate 10/90/04

For Internal Use Only

Clerk of Board Date: Void Report Date:

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.
Foundation for Blind Children (1), being first sworn, upon oath deposes and says:

Name/Clalmant

On or about Bl 27]202V (date)(2) @ 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/her in the sum of $5,349.96 (3)
(7
Signed: Prrnber & ohne 2 (4)
“

(5) Subscribed and sworn to before me this |4@ day or October 29 y_,

Nidncy Vv. Calvatera OR LIL)

NOTARY PUBLIC ;
NANCY V SALVATIERRA
Notary Public - Arizona
My commission expires: alten County
Veer PS, QvRe commission # 637545 (seal)

My Comm, Expires Oct 25, 2026 B

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 |

____Aitknown (68700797827 |
Original Date of Issue
(iF known) (7) 8/27/2024

Reason for original issue of Warrant/Check (8):
0 Payroll

& For Services or Goods furnished
11/8/24

O Other: 2 Q

S;\PROCESSES\Werrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of daim.doc
Revised June 2085 ARS. 11-632 & 15-999

eon oe
oe
FBC
fouscation for
Mind Childvets

October 17, 2024

To Whom It May Concern:

Please accept this letter as confirmation that Barbra Smith has the
authority to sign the affidavit for a duplicate warrant/check for
Foundation for Blind Children.

Sincerely,
jared Kittelson
Chief Executive Officer

8 botudation for
FBC ihiad Chileren

THIS DOCUMENT CONTAINS A: TAUS WATERMARK = HOLO-KG CIGHT-TO MEW:

“PHOENIX, ARIZONA

NT ORAWS INTEREST FROM DATE MARKED “INSUFFICIENT FUNDS DATE CONTROL NO,

THIS WARAAI
INTEREST STOPS ON DATE FUNDS AVAILABLE, (SEC 11-638, ARS1956)
08/27/2024 44798759

Avondale Elementary District #44
WARRANT AMOUNT _|

"AY . 7 ——
*“Eive Thousand Three Hundred Forty Nine and 96/100** Dollars $5,349.96

' VOID AFTER 365 DAYS
ce) FOUNDATION FOR BLIND CHILDREN
JROER a 4
FS a GavsG 3.
r ese iene ieenneenen eeescoein ye nn Sine ze0 stannrunes a

WARICOPA COUNTY SCHOOLS - PHOENIX, ARIZONA 08/27/2024 Check: 44798759 EXPENSE

AP 20240828 _ S700797827
FOUNDATION FOR BLIND CHILDREN | | 08/27/2024
Payee | | Check Date
Account Number PO Number Invoice Amount
242181 6806892 4,890.00
240518 = 60671 $49.95 *
LX I
: ‘|
AUG 29 2024 ]
U
By.
VOUCHER: 2464 TOTAL: $5,349.96

HARLAND CLARKE 422692 40058910

11/7/24, 3:18 PM
Warrant (1 - mcto) - Warrant number: 3700797827, Stopped

Warrant
, « Y— o
Warrant Status Print Attachments
Maintain New Status Setup Attachments _
3700797827
4 Warrant header
General
Warrant number:
Holder:
Issued date: 8/27/2024 12:00:00 am
Status: Stopped
Exception flag:
Exception reason: None

Queued for positive pay:

Locked for reconcile:

VMware Horizon

Posting

Invoice:

Invoice date:

Paid date:

Positive pay sent date: 8/28/2024 09:00:16 am

Agency details
Agency voucher number: 2464
Agency claim number:

Agency low orig:

Agency PO number:

Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00000

« Warrant Lines
oO Amount Payee Account

5,349.96 FOUNDATION FOR BLIND CHILDREN
<q pm pl Z| 9) | Identification of the warrant

https://horizon.maricopa.gov/portal/webclient/#/desktop

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