STAMPED & REDACTED - FOR AGENDA ATTACHMENT - MICHAEL NEU.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: 08/12/2024

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

Buckeye UHSD #201 Neu, Michael 3700783780 $701.16

Date: =

Amount

© Reissue WT #

Office of the Maricopa County Finance Desk

School Superintendent ram 20201016

Warrant Void/Stop Request

District Name / Number: Buckeye Union High School Dist. #201

Attachments:
Contact Name: Laura Blake [| Original Warrant

Contact e-mail: P Lost Warrant Affidavit (required for ALL reissues)

[] Vendor Letter (if requesting Vendor reissue)

Warrant Number Warrant:Date |. Amount : Payee

{starting with *377} : {mm/dd/yyyy) “2 ) (as-it:appears in‘Check Manager} £ “SB &
He oe
3700783780 07/25/2024 | 701.16 MICHAEL NEU MOL

© OU
®©®OU
©OoOU

Notes: LOST CHECK

District Approver: . f Date: oe _f
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.
MICHAEL NEU (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about _97/25/2024 (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 wie sum of $__ 701.18 3)
Signed: cami | DY Y_)o4 Ae (4)
\e Lo

(5) Su ed an’Sworn to before me this 4 | day of yo I 20 24.

NOTARY PUBLIC MEGHAN Rose
Notary Public - Arizona
My commission expires: Sj Maricopa Co. / #614649
{Oo ly 512072 Expires 10/16/2026 (seal)
. q

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

(if known) (6) 3700783780
Original Date of Issue ;
(if known) (7) 07/25/2024

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

XH For Services or Goods furnished___
0 Other:

8/13/24

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

PHOENIX, ARIZONA

THIS WARRANT. DRAWS INTEREST FROM DATE MARKED ‘INSUFFICIENT FUNDS"
INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 11-835, ARNS1956)

Buckeye Union High School District #201
‘AY

“Seven Hundred One and 16/100** Dotlars

MICHAEL NEU
ClO CTE

o.
DER ( at
KA

AARICOPA COUNTY SCHOOLS » PHOENIX, ARIZONA

912221

_ CONTROL NO. |

"07/28/2024 201660435

bh

$701.16

fy | VOID AFTER 365 DAYS

Stev oO i
_substttcone ES FGBR eo sionaTures — ¢

aettae Eanrtenene tee lenelaned

07/25/2024 Check: 201660435 EXPENSE

AP 20240724 _ 3700783780
MICHAELNEU | | _o7i2sy2024_|
Payee i | Check Date | __
Account Number PO Number Invoice Amount
250503. ACTEAZ CONF 2024 302.06
VOUCHER: 2840 TOTAL: $701.16

HARLAND CLARKE M22692 30106562

8/12/24, 7:49 AM VMware Horizon
Warrant (1 - mcto) - Warrant number 3700783780, Stopped

id y
iit Warrant | Status | Print | Attachrnents |

r

Maintain New Status | Setup | Attachments
3700783780
“a Warrantheader : oo
General Posting
Warrant number: 3700783780) Invoice:
Halder: invoice date:
Issued date; 7/25/2024 42:00:00 am Paid date:
Status: Stopped Positive pay sent date: T2ap2o2a 09:00:05 am
becepfion flag hi Agency details
Ef ti Or!
xeepton rea en: None Agency vouchernumben 2840
Queued for positive pay: | “| Agency claim number:
Agency low orig:
Locked farrecancite, {| Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0
Annual interest rater 0.00000
~ Warrant Lines weeturureee ware unrrnanaeene —

oO Amount | Payee Account

i rr ae | | ao | 2) | Identification of the warrant

httos://horizon.maricopa.gov/portal/webctient/#/desktop. Ww