STAMPED & REDACTED - FOR AGENDA ATTACHMENT - JESSICA BAILEY.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: 09/03/2024

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 JESSICA BAILEY 3700796226 | $3,607.50

Date

Amount

Reissue WT #

Office of the Maricopa County

School Superintendent

Warrant Void/Stop Request

District Name / Number: Osborn School District #8

Contact Name: Yyonne Lopez

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)

Void
Stop
Re-issue

3700796226 | 8/13/2024 |$ 3,607.50 Jessica Bailey

eXO}F/)

©OoOU

©OU

©OU

Notes: -
Never received-Please reissue.

District a oe re . Vauqac Date: vat | \A \Qy

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
Jessica Bailey (1), being first sworn, upon oath deposes and says:
~ NamelClaimant
On or about 8/13/2024 (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 issued to him/her in the sum of $9:607.50 3)
Signed: ! fi (4)
( AY
scribed and sworn.to before methis_/3 day of Qgplink 02 Y.

PAULA TALMANSON Me
set JUSTICE OF THE PEACE or aS
Mv commission expires: State of New Hampshire ae
My Commission Expires aa
March 27, 2029 a)
= ——— 4

ORT

Note: Please attach a copy of the warrant/check if available and/or anyother mo
evidence that a warrant/check was originally issued. ~

Warrant/Check Number 3700796226

(if known) (6)

Original Date of Issue | 8/43/2024

(if known) (7)

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

© For Services or Goods furnished Jessica Bailey
O Other; Jessica Bailey

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\S
Revised June 2015

Scanned with
‘kK CamScanner™

Jessica Bailey
Special Education Consultant

To Whom It May Concern:

This letter is to confirm that I, Jessica Bailey, owner of the services rendered from July 15, 2024
to August 8, 2024 for Special Education Consulting, did not receive warrant/check #
3700796226, dated August 13, 2024 for the amount of $3,607.50. | am requesting a reissued

check for these services.

- Thank You,
ae

Jessica Bailey
Special Education Consultant

Scanned with
CamScanner

y SCHOOL: EXPENSE WARRANT Fo 370079 \
AED TREASURER OF MARICOPA COUNTY 0796226 |

ARIZONA PHOENIX 91-2/1221
(ee | Bae) =A THIS WARRANT Sige ine DATE MARKED “INSUFFICIENT FUNDS" DATE CONTROL NO. t
INTEREST STOPS ON DATE FUNDS AVAILASLE. (SEC 11-636, ARS1255)
08/13/2024 8850110

Se,

OSBORN ELEMENTARY SCHOOL DISTRICT #8

WARRANT AMOUNT =] §
PAY
“Three Thousand Six Hundred Seven and 50/100** Dollars $3,607.50 i

VOID AFTER 365 DAYS
TO JESSICA BAILEY

ORDER
iil : supeitendedt ToS Okiz: ED SIGNATURES
MARICOPA COUNTY SCHOOLS - PHOENIX, ARIZONA 08/13/2024 Check: 8850110 EXPENSE
AP 20240823 3700796226
JESSICA BAILEY | |__08/13/2024 | |
Payee | | Check Date | |
Account Number PO Number Invoice Amount
250308 001 3,607.50
VOUCHER: 7013 TOTAL: $3,607.50

HARLAND CLARKE I 40038910

9/13/24, 12:51 PM
Warrant (1 - mcto) - Warrant number: 3700796226, Stopped

Warrant

Warrant Status Print Attachments

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Maintain New Status Setup Attachments
3700796226
4 Warrant header
Warrant number: Invoice:
Holder: Invoice date:
Issued date: 8/13/2024 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 8/23/2024 09:00:15 am
colon flag:
ccna — mene Agency voucher number: 7013
Queued for positive pay: Agency claim number:
: Agency low orig:
Locked for reconcile: Agency PO number:
Registered Agency sub fund: re
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00000
4 Warrant Lines
oO Amount Payee Account
3,607.50 JESSICA BAILEY PCs
4 <¢ & DP Pl | a | 9) | Identification of the warrant

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