STAMPED & REDACTED - FOR AGENDA ATTACHMENT - RYDIN DECAL.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 Fountain Hills Dist #98 Rydin Decal 3700749947 $455.00 Amount Date Reissue WT # * Office of the Maricopa County School Superintendent Finance Desk mm 20201016 Warrant Void/Stop Request District Name / Number: Contact Name: Contact e-mail: 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 ae 49447 |3-27a¢ Mss? © O iat Rudin Decal ©OU ©OU ©OU Notes: Vendo /))e per retiaedll Paryrrert , Sly “7 District Approver: Date: S- R 2 Y For Internal Use Only U 0 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 wa OF MARICOPA Instruction sheet which is page 2 of this form. yas WAN 1), being first sworn, upon oath deposes and says: Nameflaimant ( On or about 3hohy (date)(2) a warrant/check was issued to the above named person/enttty 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 im smots___2542° , yj IL rs . (3) warrant/check be i Signed: 5) Subscribe and sworn to before me this [th day of M. AY 20A & 7 NOTARY PUBLIC F OFFICIAL SEAL M _ . MARION L MATTSON 'Y CO} Ission expires: NOTARY PUBLIC, STATE OF ILLINOIS PIES En MY COMMISSION EXPIRES: 7/25/2025 (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 99 YA /, YA 2 uf 3700749947 ADLR (if known) (6) iginal Date of I Origina Det each 3 YA 7 fpf Reason for original issue of Warrant/Check (8): O Payroll WZ For Services or Goods furnished O Other: 8/30/24 -/ S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-\ Revised June 2015 a RYDIN Solutions Driven. Customer Focused. Good morning, Regarding the lost check. Our controller Matt Witecha has the authority to request a new check be mailed out. Michele Torres Financing. Associate _ 8/29/24, 12:38 PM VMware Horizon Warrant (1 - mcto) - Warrant number: 3700749947, Stopped Warrant Warrant Status Print = Attachments. + Maintain New Status Setup Attachments 3700749947 4 Warrant header Warrant number: Invoice: Holder: Invoice date: Issued date: Paid date: Status: Stopped Positive pay sent date: — flag: ept Ss \ saiiaiailaaili pone Agency voucher number: 2036 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 4 Warrant Lines oO Amount Payee Account 4 <4 Pm pl] 4 \ ll | Identification of the warrant https://horizon.maricopa.gov/portal/webclient/#/desktop