STAMPED & REDACTED - FOR AGENDA ATTACHMENT - JUSTIN P MEIER.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: 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

Avondale Dist. #44 Meier, Justin P 3700713346 $1,293.85

Date

Amount

Reissue WT #

Office of the Maricopa County Finance Desk

School Superintendent mn 20201016

Warrant Void/Stop Request

District Name / Number: AVONDALE #44 Attachments:
Contact Name: McWilliams, Noemi [| 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 Bo. 2: g
(starting with “37") {eim/dd/yyyy) (08 it appears in Check Manage?} 5 2B
pe ee
ae o
a
3700713346 | 11/21/2023 | 1,293.85 MEIER, JUSTIN P @
Notes: please reissue check. Thank you. Q
District Approver: Noemi McWilliams Date: 40/17/2024

For Internal Use Onis

Clerk of Board Date: Void Report Date:

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form

This application is for: fl Duplicate or CI stale-Dated (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.

MEIER, JUSTIN P

Nanie/Claimant

On or about 11/21/2023 (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

ae to him/her in the sum of $1,293.85 (3)

signed aN (4)

Note; phoebe attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

(5) a before me this_[F day of OGteben” 202-4.
ater

NOTARY PUBLIC

M “ie Fo
tA commission expires: jolary
Lomurieslon No. . 02
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Warrant/Check Number 3700713346

(if known) (6)
Original Date of Issue

(if known) (7)

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

C For Services or Goods furnished

O Treasurer's refund/payment ___
O Other:

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Wi j 10/ 22/24
Revised Aprit 2045 -

10/20/24, 11:08 AM
Bh Warrant (1 - mcto) - Warrant number; 3700713346, Stopped

Warrant

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Maintain |

Hy | Warrant | Status | Print Attachments |

New | Status | Setup | Attachments

VMware Horizon

3700713346

4 Warrant header

General

Warrant number: 3700713345)

Halder:

Issued date: 41/24/2023 12:00:00 am
Status: Stopped

Exception flag: id

Exception reason; None

Queued far positive pay: ti

Locked forreconcile: | |

Posting

Invoice:

invoice date:

Paid date:

Positive pay sent date: 41/17/2023 12:00:09 pm

Agency details

Agency voucher number: 14
Agency ciaim 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
4 Warrant Lines
iO Amount Payee Account

1,293.85 MEIER, JUSTIN P

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4 4 cs m& Pl | a | py | Identification of the warrant

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