STAMPED & REDACTED - FOR AGENDA ATTACHMENT - LAKELAND TOURS LLC DBA WORLDST.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
Littleton Dist #65 Lakeland Tours LLC DBA Worldst 3700665508 $380.00

Date

Amount

Relssue WT #

Office of the Maricopa County
School Superintendent

Frnanee Desk
mm 20201016

Warrant Void/Stop Request

District Name / Number: LITTLETON ELEM SCHOOL DISTRICT

Contact Name: ANGELICA SUAREZ

— Po

Attachments:
L] Original Warrant
Lost Warrant Affidavit (required for ALL reissues)
LJ Vendor Letter (if requesting Vendor reissue)

Warrant:Number Warrant Date
(starting with “37”) (mm/d¢/yyyy)

Amount Payee zB 2. -@
{es it appears in Check Manager} oO 2 2

Pn =

i]

oe

3700665508 | 6/29/2023

$ 380.00| LAKELAND TOURS LLC DBA WORLDST|@) ©

©oU

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Notes:

District Approver: RLory

Date: & . | 9 -24

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 ta numbers on the
COUNTY OF MARICOPA instruction sheet which Is page 2 of this form.

LAKELAND TOURS LLC DBA WORLDST .
HEMaICSATERT (1), being first sworn, upon oath deposes and says:

On or about ofa 9 Box 7, (date)(2) a warrant/check was Issued to the
above named persdn/entitf In the amount as stated below, — Such warrant/check was
elther never recelved or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its belng 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 issu os In the sum of $380.00 3)
~ (4)

__
5) Subscribed and sworn to before me this Fi t \ day of [ May moet
Ling,

Signed: Pa
7 Y

Ba :
notes rustic = (_) SKVE HENRY 0 DONNELL
NOTARY PUBLIC
My conamissign expires ate Trea
: REGIST! 1BAs
i vi ey EY: a2 My COMMISSION EXPIRES JANUARY 31,2026] (1)

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 Numb
arrant/Check Num er 13700665508

Original Date of Issue 06/29/2023

{if known) (7)

Reason for original issue of Warrant/Check (8):
O Payroll
1 For Services or Goods furnishe
Other; Washington DC Course Leader charges for March 15, 2023

d Washington OC Course Leader charges for March 15, 2023

S:APROCESSES\Warrants - Duplicate or Stale\0z Forms\S
Revised June 201S

6/14/24

|

DocuSign Envelope 1D; 2FA05C40-4A1C-462F-SEB6-84F0869D6BC6

== WorldStrides

Educational Travel & Experiences

June 12, 2024

To whom it may concern,

Mike Amodie, Head of Tax and Treasury at Lakeland Tours, LLC dba WortdStrides, is authorized
to sign the Affidavit on behalf of the company.

Wawreer. Roiaverk
Maureen Boisvert, SVP of Accounting and Financial Operations

worldstrides.com

8$-2/1221

OF RICOPA COUNTY an
PHOE AR DATE CONTROL NO,

gopio ore 2 Bt ry «3700665508

THIS WARRANT, WS INFEREST DATE ED “INSUFFICIENT FUNOS"
INTEREST STOPS OH DATE FUNDS AVAILABLE (SEG 11-638, ARS1B56)

06/29/2023 65882617

LITTLETON ELEMENTARY SCHOOL DISTRICT #65

WARRANT AMOUNT.
PAY
Three Hundred Eighty anti 00/100"* Dotlars . $380.00
” VOID AFTER 365 DAYS
TO LAKELAND TOURS LLC DBA WORLDST

on Bee

THE
ORDER o :
?
OF + ‘super indent 8 RENPGnIzED SIQNATURES

MARICOPA COUNTY SCHOOLS + PHOENIX, ARIZONA

06/29/2023 Check: 66882617 EXPENSE =

AP 20230629 3700665508
LAKELAND TOURS LLC DBA WORLDST | |_ 06/29/2023 | i
Payee I [Chock Date { !
AscountNumber PONumbey [nvolce Amount
231267 «310 00.00
VOUCHER; 1089 TOTAL: $380.00

BARLANO CLARKE bz28ee 20129912

6/43/24, 2:27 PM VMware Horizon
Warrant (1 - mcto) - Warrant number, 3700665508, Stopped
Z Warrant

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fohi Warrant | Status ; Print | Attachments
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Maintain New Status | Setup | Attachments

3700665508

aWarantheader ——issi—(i‘“‘aié‘sSO™s™S™S™S™:S:S™
General Posting
Warrant number: 3.700665 505) Invoice:
Holder: Invoice date:
Issued cate: Paid clate:
Status: Stopped Positive pay sent date:
veerion flag: | Agency details
Except sont
*eeption reason None Agency voucher number: 1089
Queued for positive pay: { | Agency claim number:

Agency low orig:

Locked forreconcile: {| Agency PO number
Registered Agency sub funds
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00000

4 Warrant Lines
oO Amount ; Payee | Account

380.00 LAKELAND TOURS LLC DBA WORLDST

i > pl | eo | 8) | identification of the warrant

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