STAMPED & REDACTED - FOR AGENDA ATTACHMENT - DESIREE L CASTILLO.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: 06/13/2024

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

Fowler Dist #45 Castillo, Desiree L 3700755944 $653.57

* Date

“Amount:

Reissue WT HE. :

Office of the Maricopa County

Schoo! Superintendent

Contact Name: YVETTE ORTIZ

Finance Desk

imum 26201046

' Warrant Void/Stop Request

- District Name / Number: FOWLER ELEMENTARY #45

Attachments:

Original Warrant

| Lost Warrant Affidavit {required for ALL reissues)

Vendor Letter (if requesting Vendor reissue)

_ WarraaE Number = .; Warrant Date | Amount. | Payee Se cy
_ eects wih "S7") Cel (eim/dd/yyyy) os ae ror mereess jet oppran Check erect 2 & ae
3700755944 | 4/16/2024 |$ 653.57 CASTILLO, DESIREE L ©OOoVv

©O

©O

ifoxesm

Notes: LOST WARRANT - RE-ISSUE

* District Approver: YVETTE ORTIZ era + Date: 5/14/2024

For Internal Use Only

Clerk of Board Date:

Void Report Date:

Gat

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.

CASTILLO, DESIREE L

Name/Claimant

On or about 4116/2024 (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.

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

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/chi ay e issued ') in the sum of $653.57 (3)

anneal (4)

(5) etd an wa 5 me thisZ day of Mes 202.

NOTARY PUBLIC

ission expires:
# Cole

Signed:

Matthew Timothy Camacho

aaa Notary Pubtlo
{ (est } Maricopa County, Arizona

SAF My Comm. Expires 08-19-28
Commission Ne: 689608 (seal)

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

W. t/Check Numb

arrant/Check Number 13700755944
Original Date of I .

1a Oe _4/16/2024

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

OF For Services or Goods furnished
O Other:

6/14/24

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

5/24/24, 7:51 AM

Warrant (1 - meta) - Warrant number: 3700755944, Stopped

i 7 | Warrant |
eR deh | HE

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Ti

(shi Warrant | Status | Print

VMware Rorizon

Attachments
¥
Maintain New Status | Setup | Attachments
3700755944
4 Warrant header
General Posting
Warrant number; 3700755944) Invoice:
Holder: Invoice date:
issued date: Paid date:
Status: Stopped Positive pay sent date:
Exception flag:
cepon meg rd Agency details
Exception reason: None

Queued for positive pay: | |

Locked forreconcile: i |
Registered

Date registered:

No of days interest: 0
Annual interest rate: 0.00000

farrant Lines

oO Amount | Payee
653,57 CASTILLO, DESIREEL

Agency voucher number: 37
Agency claim number:
Agency low orig:

Agency PO number;

Agency sub fund:

Agency dept num:

Account

lq edo bl p> Pl | a | ®) | Identification of the warrant

https://horizon.maricopa.gov/portalAvebclient/#/desktop

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