STAMPED & REDACTED - FOR AGENDA ATTACHMENT - AZ BUSINESS & EDUCATION COALITION.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: 06/21/2024

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
Saddle Mtn Dist #90 AZ Business & Education Coalition _| 3700755491 $495.00

Date

Amount

Relssue WT #

Office of the Maricopa County

School Superintendent

District Name / Number: SMUSD 90

Contact Name: Crystal Mondragon

Warrant Void/Stop Request

Finance Desk
mm 20201016

Attachments:

[| Original Warrant

Lost Warrant Affidavit {required for ALL reissues)
Vendor Letter {if requesting Vendor reissue}

Warrant Number Warrant Date | Amount Payee zs a
{srarting with 37°) (om/ad/yryy| {02 appears in Chock Manoger) 2s 2

é
3700755491| 4/10/2024 $495.00} AZBUSINESS & EDUCATION COALITION |C) ©

0@U

OC

Notes: Per the vendor, the check was never received. Will need to reissue.

District Approver: Linh lhe Date: 6/42/2024

O@U

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 onthe ;
COUNTY OF MARICOPA instruction sheal which !s page 2 of this form.

AZ Business & Education Coalition (a), belng first sworn, upon oath deposas and says:

On or about. ul Danas} (date)(2) a warrant/check wag issued to the
above named person/entity in the araount as stated below. Such warrant/check.was

elther never received or was subsequently inadvertently lost or destrdyed 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 pefjury, claimant hereby affirms: that this claim |s-corract
_and:the amount shown Is due and-owing, and the applicant requests that a replacement

warrant/chéc sed 3 him/her In the sum of g495 (3)

CO (4)

ssaraemaart a SS

(5) Subscribed! and:sworn to before me this Ao‘ dayof “Sine 20.ak

NOTARY PUBLIC ;

My commission expires:
fo=~ 14 - SY

(seal)

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

varenigiea am [a7OO765401

ordinate or [4/10/2024

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

@ For Services or Goods furnished Registration fora summit
CO Other; Registration fora summit

8: Warrants ~ Cuplicaté or Stata\b2 Forms\Schooll\$el
sevnorecewaree upicore or State | 6/21/24

ABEG Board of
Directors Executive
Committee

Vispl Karanjla
Oreutt{Winslove
Chalnan

Paul Ulan
Primary Consultants
Past Chairnvan

Shelley Metion

RL Jones Insurance
Services

Vice Chairman,
Business

Tom Tyree
Southwest Technical
Education Disteict of
Yura

Vice Chairman,
Education

Paul Stanton
Washington
Elementary School
Distdct

Treasurer

Kristi Wilson
Culture Rocket LLC
Secretary

ARIZONA
BUSINESS & EDUCATION
COALITION

Connecting feaders to develop and advocale solutions to graw Anzona’s future

June 12, 2024

Accounts Payables Department

Saddle Mountain Unified Schoo! District
38201 W. tndian School Rd

Tonopah, AZ 85354

This Is to confirm that Arizona Business & Education Coalition has not received the check
issued/mailed by Saddie Mountain Unified School District on April 10" in the amount of $495.00
(PO #209128). This payment is for Dr. Mike Winters’ registration for the 2024 Safety Summit April
1 & 2 (Invoice # 2980).

Per your request | am submitting this letter and the notarized affidavit stating that we have
not received this check and are requesting the check be re-issued. Tracey Benson,
President & CEO of Arizona Business & Education Coalition has signed the affidavit.

The person

Sincerely,

aren Lilie dich.

Karen Kehlenbach
Director of Business & Event Services
Arizona Business & Education Coalition

21C0 14, Central Avenue, Suite 210 + Prosnix, AZ 85004 + 602-244-8596 + wi ozieC.org

6/21/24, 9:15AM VMware Horizon i

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5 stig Warrant | Status [ Print | Attachments
¥
Maintain New Status | Setup | Attachments
3700755491
a Warrant header ~
Genera! Pasting
Warrant number: 3700755491 Invoice:
Hotder: Invoice date:
issued date; 4/10/2024 12:00:00 am Paid date:
Status: Stopped Positive pay sent date; 4/11/2024 09:00:37 am
ne flag: Agency details '
reception ‘mason None Agency voucher number: 2483 {
Queued for positive pays} Agency claim number:
Agency iow orig:
Locked forreconcile; | | Agency PC number
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0
Anouat interest rate: 0.00000
a Warrant Lines _ :
my Amount Payee Account

| ral | Identification of the warrant

Wis & pL

https://horizon.maricopa.gov/portalwebclienv#/dosktep 1