STAMPED & REDACTED - FOR AGENDA ATTACHMENT - TRIGGER MEMORY CO, INC.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: 08/29/2024 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 Paloma Dist #94 Trigger Memory Co, LLC 3700781801 $229.85 Date Amount Reissue WT # Office of the Maricopa County School Superintendent Finance Desk mm 20201016 Warrant Void/Stop Request District Name / Number: Paloma School District #94 Contact Name: Irma Garcia Attachments: [| Original Warrant Lost Warrant Affidavit (required for ALL reissues) Vendor Letter (if requesting Vendor reissue) Warrant Number Warrant Date | Amount Payee o Qo (starting with “37") (mm/dd/yyyy) (as it oppears in Check Manager) 2 2 3700781801 7/5/2024 $ 229.85 Trigger Memory CO,LLC O® ©Oo C] [s] Re-issue Notes: As of 8/27/2024 vendor has not received check. Please reissue a check. District Approver: Irma carcia YN Onrurh Date: g/27/2024 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 an the COUNTY OF MARICOPA Instruction sheet which ts page 2 of this form. Trigger Memory Co, LLC (4), being first sworn, upon oath deposes and says: on or about (07/05/24 (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 rar be yin in the sum of $229-85 3) Signed:, 4 _ AAA L (4) a (5) Subscribed and swort to before me this 220 day of Fu ee at, duno. Sf: NOTARY PUBLIC Note: Pease attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. Warrant/Check Number 3700781 801 (if known) (6) Original Date of Issue 07/05/2024 (if knawn) (7) Reason for original issue of Warrant/Check (8): C} Payroll ia For Services or Goods furnished umes Tales Products Purchased with a bo, OF Other: §:\PROCESSES\Warrants - Duplicate or Stale\02 Form Revised June 2015 8/30/24 Trigger Memory Co. LLC Out-of-the-Box Learning! 309 Pinetree Ct,. Richland, WA 99352 August 22, 2024 Irma Garcia Accounting Specialist Paloma Elementary School District 94 Re: Invoice #3217K Hello Irma, This letter 1s regarding invoice #3217K. It appears the payment is lost in the mail. We are requesting that a check be reissued for this invoice. An affidavit/claim form 1s attached that has been signed and notarized by a representative of our company. This representative is an authorized signer for our company. Marillee Flanagan, Co-Owner Trigger Memory Co., LLC TimesTales.com 8/29/24, 11:56 AM Warrant (1 - mcto) - Warrant number: 3700781801, Stopped ¥ 7 CO =| Warrant Status Print Attachments aa Maintain New Status Setup Attachments 3700781801 4 Warrant header General Warrant number: Holder: Issued date: Status: Stopped Exception flag: Exception reason “rae Queued for positive pay: Locked for reconcile: Registered Date registered: No of days interest: 0 Annual interest rate: 0.00000 4 Warrant Lines oO Amount Payee 229.85 TRIGGER MEMORY CO, LLC VMware Horizon Posting Invoice: Invoice date: Paid date: Positive pay sent date: Agency details Agency voucher number: 1001 Agency claim number: Agency low orig: Agency PO number: Agency sub fund: Agency dept num: Iq <4 Pm Pl | | ©) | Identification of the warrant https://horizon.maricopa.gov/portal/webclient/#/desktop 1/1