STAMPED & REDACTED - FOR AGENDA ATTACHMENT - TRASSIG CORP.PDF

Maricopa County — Formal (2024-12-11)

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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: 11/14/2024

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

Buckeye Elem Dist #33 Trassig Corp 3700735145 $84.68

Amount Date

Reissue WT #

Office of the Maricopa County Finance Desk

School Superintendent vn 20201016

Warrant Void/Stop Request

District Name / Number: Buckeye Elementary SD #33 Attachments:

Contact Name: Alejandrina Trujillo | 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
(starting with “37") (mm/dd/yyyy) (os it appears in Check Manager)

Void
Stop
e-issue

3700735145] 2/8/2024| $ 84.68 Trassig Corp O®
©ou
©OO
@©OoU

°t€5! Check was lost in the mail, never was received

District Approver: (ste JZ Date: | | jaad
SS

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.

On or about Q | ¥ } | (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.

(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

gu ¢yY (3)

warrant/check be issued to him/her in thi

Signed: tthialgoay (4)
(5) Subscribed and sworn to before me this __l gs day of njoW 20_22y.
Ox
NOTARY PUBLIC
Kimmar Mignott
My commission expires: NOTARY Pua ~
Olplapl dcats uy Consuaion Expres 08072020 (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 3) 0 0738 5 (V5

(if known) (6)

atone 6 02 L 3/2 oh

Reason for original issue of Warrant/Check (8):
© Payroll .
© ror Services or Goods furnished ih orce at gf C4 3 va

© Other:

S:\PROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Schools\Schc
Revised June 2015

“The Playground People”

11/12/2024

To whom it may concern,

Khalid Gourad is an officer of Trassig Corp and is authorized to sign for the company.

If you have any questions, feel free to |

Regards,

Hal Gourad
CD24

General Manager , Trassig.

11/14/24, 6:52 AM
Warrant (1 - mcto) - Warrant number: 3700735145, Stopped

- x ¥ oO
Warrant Status Print = Attachments
¥
Maintain __New Status Setup Attachments
3700735145
« Warrant header
General
Warrant number:
Holder:
Issued date: 2/8/2024 12:00:00 am
Status: Stopped
Exception flag:
Exception reason: None

Queued for positive pay:

Locked for reconcile:

Registered

Date registered:

No of days interest: 0
Annual interest rate: 0.00000

« Warrant Lines

o Amount Payee
84.68 Trassig Corp

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

VMware Horizon

Posting
Invoice:
Invoice date:

Paid date:
Positive pay sent date: 2/7/2024 09:00:08 am

Agency details

Agency voucher number: 1116
Agency claim number:

Agency low orig:

Agency PO number:

Agency sub fund:

Agency dept num:

Account

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