STAMPED & REDACTED - FOR AGENDA ATTACHMENT - AMERICAN SCHOOL COUNSELOR ASSOC.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: 09/13/2024

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
Osborn Elementary #8 American School Counselor Assoc. _ | 3700774173 $709.00

Date

Amount

Reissue WT #

Warrant Void/Stop Request

District Name / Number: Osborn School District #8

Contact Name: Yvonne Lopez

wnseene Pe

Attachments:
[| Original Warrant
Lost Warrant Affidavit (required for ALL reissues}
[] Vendor Letter (if requesting Vendor reissue}

Warrant Number Warrant Date | Amount
(starting with “37"} (mm/dd/yyyy)

Payee
{as it appears in Check Manager}

Vold
Stop

3700774173) 6/1 1/2024'$ 709.00| AMERICAN SCHOOL COUNSELOR ASSOC.

N = . . .
tes: | ost in the mail. Request re-issue.

i —

par penton | 6 AQUI CROQUILE- ome 7) AY

Por luternal Use Oud

Clerk of Board Date:

Void Report Date:

| Schools Affidavit/ Claim Form

Application fora Duplicate Warrant/Check (definitions are’on page 2)

Naive/Clainant

On or about 6/11/2024 (date)(2) a watrant/check was issued to the
above named person/entity in the amount as stated below. Such wartrant/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 i
presented for payment within one year after the date of issuance,

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARIGOPA Instruction sheet which Is page 2 of this farn,
American School Councelor Assoc. (1), peing first sworn, upon oath deposes and says:

Therefore, under penalty of perjury, claimant hereby affirms that this clalrn Is correct
and the amount shown Is due and owing, and the applicant requests that a replacement

warrant/check *e issued to him/her in the sum of £09.00 (3)
Signed: Leia - (4) |

(5) Sutbgcr d synorn to before me this 2%  dayof Sune 2027,

-

ett
NOTARYPUBLIC
SEAN M, MARTIN
COMMONWEALTH OF VIRGINIA
y ton expires: MY COMMISSION EXPIRES NOV. 80, 2026

En
4 &, @OvS CONMISBION 4 740072 | (seal)

Note, Please attach a copy of the warrant/check If available and/or any other
evidence that a warrant/check was originally issued.

rrant/Check Number |
Warrant/Check Number 13700774173 |

igi 9/17/24
Original Date of Issue / :
9 (if known) (7) 6/1 1/2024

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

For Services or Goods furnished American School Counsel Assoc.
C1) Other; American School Counsel Assoc.

|
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of clalm.doc
Revised June 2015 ARS, 11-632 & 15-999

if

September 13, 2024

Osborn School District

Attn: Accounts _

To Whom it May Concern:

1 am the Executive Director and an authorized representative of the American School Counselor
Association. We did not receive warrant # 3700774173, dated 6/11/2024 for the amount of
$709,00 from Osborn School District. The person who signed the Application for a duplicate
warrant/check is Eric Sparks, our Deputy Executive Director. He is an authorized representative
of the American School Counselor Association.

We request that the check be voided, and that payment be reissued and sent to:

a School _ Association
4.

Jill Cook
Executive Director

VER UREBES Pa NEGRO! COMMU ALES GINGA Pana,

SEA Ct At AY EAE LAN SN ETAT IR SAL LERNER SE MOND Te

“SCHOOL EXPENSE WARRANT _ £4&~#f 3700774173
“TREASURER OF MARICOPA COUNTY

. oi-afi22t * Tz ‘
FHOEN NIX, ARIZONA ae MARKED YSUFFICIENT FUNDS" DATE” “] . CONTROL NO. ‘
INTEREST STOPS ON DATE FUNDS AVAILABLE. {SEC 11-636, ARS! 1850) i
06/11/2024 8849511 | :
OSBORN ELEMENTARY SCHOOL DISTRICT #8 : é
, . WARRANT AMOUNT -: 1
PAY ° oY
Seven Hundred Nine and 00/100** Dollars $709.00 i
: y VOID AFTER S65DAYS SCS
TO AMERICAN SCHOOL COUNSELOR ASSOC, . |
THE ; ch aa i
ORDER y ve :
OF rq i Steve on . i
aamienen ve ; 06/11/2024 Check: «8849511. XPENSE
MARICOPA COUNTY SCHOOLS + PHOENIX, ARIZONA AP 20240812 a 3700774173
AMERICAN SCHOOL COUNSELOR ASSOC, | | osintrz024 | |
Payee _ | Check Date | T ;
count Numbe O Number Involce Amount ~
VOUCHER: 6147 TOTAL: $709.00

HARLAND CLARKE 1422592 20106562

712/24, 3:33 PM

Warrant

Warrant (1 - mcto) - Warrant number: 3700774173, Stopped

VMware Horizon

intiot Sy td as
| ed) |
be Warrant | Status | Print | Attachments |
Y
Maintain New {Status | Setup | Attachments ‘
3700774173
: 4 Warrant header - ~ : — CE
General Posting
Warrant number: 3700774172} Invoice:
Holden Invoice date:
Issued date: 6/11/2024 12:09:00 am Paid date:
Status: Stopped Positive pay sent date: 6/12/2024 42:00:37 pm
cepti H |

ecceien flag Agency details

xcepti sont oh

Feeprion ree en None Agency voucher number: 6147
Queued for positive pay: || Agency claim number

Agency low orig:
Locked forreconcile: | { Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept nura:
No of days interest: 0
Annual interest rate: 0,00000
4 Warrant Lines a
0. Amount | Payee Account

709,00 AMERICAN SCHOOL COUNSELOR ASSOC,

lq

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

» bl | we | 0) | Identification of the warrant

Ta)

|