STAMPED & REDACTED - FOR AGENDA ATTACHMENT - STEPHANIE BARRAGAN.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: 06/21/2024
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
Avondale Dist #44 Barragan, Stephanie 3700673976 | $2,733.54
Date
_Amownt
| Relssue WT #
|
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Office of the Maricopa County
School Superintendent
District Name / Number: AVONDALE #44
Contact Name: McWilliams, Noemi
Finance Desk
rom 20201016
Warrant Void/Stop Request
Attachments:
LJ Original Warrent
Lost Warrant Affidavit (required for ALL reissues}
[] Vendor Letter (if requesting Vendor reissue)
Warrant Number Warrant Date | Amount Payee .- iced 2.8
(dering with “87% «| em /edfrrry) (ae tt appears in Check Manager) 2 2 2
3700673976 8/3/2023 | $2,733.54 BARRAGAN, STEPHANIE @
_ Notes EE jest check, please reissue. Thank you.
District Approver: Noemi McWilliams
Date: 96/19/2024
For Internal Use Only
Clerk of Board Date:
Void Report Date:
Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application Is for: al Duplicate or OO state-Datea {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,
Stephanie Barragan
Name/Claimant
On or about 8/9/2023 (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 belng 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/check be issued to_him/her In the sum of $2,733.54 (3)
sant HDG ae A (4)
A 0)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally Issued.
(5) Subs¢fibed and sworirta before me this _| ye day of lure 2027,
NOTARY PUBLIC
My commission expires:
oS 1/06 Le 27
PPS eer wrr
Chilstopher Areliin Lugo
Notary Public
Maricopa County, Arzona
My Comm. Expires 05-09-27
Gonwnission No, 040626 (seal)
Warrant/Check Number
(If Kaown) (6) 3700673976
Original Date of Issue
(itknown) () 08/03/2023
Reason for original Issue of Warrant/Check (8):
m@ Payroll 6/21/24
0 For Services or Goods furnished f ~
) Treasurer's refund/payment
Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc
Revised April 2035 ARS, 11-632 & 11-694
6/21/24, 8:04 AM
Warrant (1 - meto) - Warrant number 3700673976, Stopped
VMware Horizon
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bon Warrant | Status | Print | Attachments
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Maintain New | Status | ‘Setup | Attachments
3700673976
“a Warrant header i :
General Posting
Warrant number: 3700673976) Invoice:
Holder: Invoice date:
issued date: 8/3/2023 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 7/28/2023 12:00:07 pm
Exception flag:
cep fon "9 Agency details
Exception reason: None
Queued for positive pay: ||
Locked forreconcile: | |
Registered
Date registered:
No of days interest: 0
Annual interest rate! 0,00000
Agency voucher number 3
Agency claim nuniber:
Agency fow arig:
Agency 90 number:
Agency sub fund:
Agency dept num:
« Warrant Lines
oO Amount Payee
2,733.54 BARRAGAN, STEPHANIE
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https://horizon.maricopa,gov/portal/webclient#/desktop
9) | Ideatification of the warrant
Account
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