STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ALEXJANDRO CASTANEDA.PDF
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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: 10/21/2024 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 Liberty Dist. #25 Castaneda, Alexjandro 3700811535 | $1,050.42 Date Amount Reissue WT # Office of the Maricopa County Finance Desk School Superintendent jos 20201016 Warrant Void/Stop Request District Name / Number: Liberty Elementary School District #25 Attachments: Contact Name: Addison Dunlap [] Original Warrant Contact e-mail: Lost Warrant Affidavit (required for ALL reissues) pe [| Vendor Letter (if requesting Vendor reissue) Warrant Number Warrant Date | Amount | Payee 7 a (starting with “37") (mm/dd/yyyy) (as it oppears in Check Manager) 2 é Re-issue 3700811535] 10/15/2024 |$ 1,050.42 Castaneda, Alexjandro One) Oxe]m ©O @©®OU — Check was mailed to the wrong address. We have updated address so all mail will be going to correct location. District Approver: Done Belden Date: pla3!o4 For Internal Use Only Clerk of Board Date: Void Report Date: Schools Affidavit/ Claim Form Application fora 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. Alexjandro Castaneda (1), being first sworn, upon oath deposes and says: Name/Claimant On or about _10/15/2024 (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 issuedto_h im/her in the sum of $ 1050.42 - (3) signea HZ. (4) befo re me this ay day of Octtlag nH . r KARINA MATSUURA / Notary Public - Arizona Maricopa County y Commission # 641869 Tat My Comm, Expires Dec 15, 2026 My commission expir' Ss: (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 370081 1535 (if. known) (6) Original Date of Issue 10/15/2024 (if. known) (7) Reason for original issue of Warrant/Check (8): Payroll 1 For Services or Goods furrished OO Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-War Revised June 2015 Ditties ta ve wae eee 10/24/24, 9:04 AM VMware Horizon Warrant (1 - mcto) - Warrant number: 3700811535, Stopped ox 7 fy Warrant Status Print Attachments aa Maintain New Status Setup Attachments 3700811535 « Warrant header General Posting Warrant number: Invoice: Holder: Invoice date: Issued date: Paid date: Status: Stopped Positive pay sent date: Exception flag: Exception reason: None Agency voucher number: 111 Queued for positive pay: Agency claim number: Agency low orig: Locked for reconcile: 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 1,050.42 Castaneda, Alexjandro https://horizon.maricopa.gov/portal/webclient/#/desktop