STAMPED & REDACTED - FOR AGENDA ATTACHMENT - THE READING ALLIANCE.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: 08/28/2024

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

Balsz Dist #31 The Reading Alliance 3700788435 | $20,331.00

Date

Amount

Reissue WT #

Office of the Maricopa County

School Superintendent

Finance Desk

mm 20201016

Warrant Void/Stop Request

District Name / Number: Balsz School District #31

Contact Name: Jareth Sanchez

Attachments:

Original Warrant

WY | 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

3700788435) 8/2/2024 |$ 20,331.00

The Reading Alliance O ©

Notes: Check has not been received by vendor.

District Approves: : See

Date: rw PRANK

For Iniernal 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.

The Reading Alliance

Name/Claimant

(1), being first sworn, upon oath deposes and says:

On or about ini (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

f\
warrant/check be issued td iy her in the sum of $20:331-00 (3)

Signed:

(4)

bAVvL

NOTARY PUBLIC 7

My commission expires:
Moa LU 2D,Z074

KIRSTEN LEE WiGIL
Ferarsevte, NOTARY PUBLIC - ARIZONA
Maricopa County
Commission # 630936
My Commission Expires

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

Warrant/Check Number ,
aren (6) 3100168435
Original Date of Issue
(if known) (7) Prigust Z2,2024

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

O Payroll

[tor Services or Goods furnished

OO Other: 8/30/24

S:\PROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Schools\Schools O :
Revised June 2015

THE

READING

ALLIANCE

We build them into Leaders of tomorrow

Human Resource Department
The Reading Alliance

Aug 23rd, 2024
Balsz School District #31

To whom it may concern,

The Reading Alliance would like to request a check to be re-issued for services rendered in the
month of August. The original invoice was sent out via email on August 1, 2024 and payment
was never received. Per our conversation, a check in the amount of $20,331.00 was originally
mailed to The Reading Alliance the week of August 02, 2024 and has been assumed lost in the
mail, due to its still not being received as of August 26, 2024. An application for a duplicate
check affidavit has been signed by our CEO, Navarro Whitaker, and included with this
document. Thank you for your assistance.

Courtney Whitaker
Director of Human Resources
The Reading Alliance

8/28/24, 4:22 PM
Warrant (1 - mcto) - Warrant number: 3700788435, Stopped

HE arent
ox a 0

Warrant Status Print =~ Attachments

VMware Horizon

Maintain New Status Setup | Attachments
3700788435
4 Warrant header
General Posting
Warrant number: Invoice:
Holder: Invoice date:
Issued date: Paid date:
Status: Stopped Positive pay sent date:
Exception flag:
Exception reason: None Ai me peeenterer ts
Queued for positive pay:

Locked for reconcile:

Registered

Date registered:

No of days interest: 0
Annual interest rate: 0.00000

« Warrant Lines

oO Amount Payee
20,331.00 The Reading Alliance

Agency claim number:
Agency low orig:
‘Agency PO number:
Agency sub fund:
Agency dept num:

Account

I <4 > DI | Z | ©) | Identification of the warrant

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