STAMPED & REDACTED - FOR AGENDA ATTACHMENT - GLORIA CHADWICK.PDF
Extracted text (via ocr_local)
4148 characters
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: 06/27/2024
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 Chadwick, Gloria 3700678547 $530.64
Date
Amount
Reissue WT #
Office of the Maricopa County
School Superintendent
Warrant Void/Stop Request
Finance Desk
min 20202016
District Name / Number: Littleton Elementary School District #65 | Asachments:
Contact Name: Juanita Morin
[| Original Warrant
Lost Warrant Affidavit (required for ALL reissues)
[ ] Vendor Letter (if requesting Vendor reissue)
Warrant Number Warrant Date; Amount Payee co 8 8
(starting with 377) (am/dd/yyyy) {as it appears in Check Manager) 2 & 3
3700678547] 8/8/2023 | $ 530.64 Gloria Chadwick O®
©O
©O
©O
Notes: [ost in mail never recd
‘
District Approve j L ~
f 0
_ ee
Date:
Clerk of Board Date:
For Internal Use Only.
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.
Gloria Chadwick (1), being first sworn, upon oath deposes and says:
Nafrie/Claimant
On or about August 5 2U-273 (date\(2) a warrant/check was issued to the
above named pergon/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 to him/her in the sum of ¢ 530.64 (3)
Signed: Zh Get la CD. coll, ae & (4)
(5) Subscribed and sworn to before me this 20M day of Ju ne. 224,
NOTARY PUBLIC{
. P MARIA D. KRIEGER
My commission expires: REGAN’) Notary Public - State of Arizona
February pt, 2025 4) _Commisaan #887514
U ra
S/ _ Comielssion # 597913
| Cue Explres February 01, 2025)
(seal)
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 3700678547
iginal Date of I
Original (i bce) oO August 8, 2023
Reason for original issue of Warrant/Check (8):
Payroll
0 For Services or Goods furnished
OO Other:
6/28/24
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schor
Revised June 2015
6/27/24, 5:24 PM
Werrant. |
i) Warrant (1 - meto) - Warrant number: 3700678547, Stopped
VMware Horizon
hay Warrant | Status ; Print | Attachments
Y
——Maintoin __|_New | Status | Selup | Attachments
3700678547
4 Warrantheader — a
General Posting
Warrant number: 370067854 7] Invoices
Holder Invoice date:
issued date: 8/8/2023 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 8/4/2023 12:00:55 pm
Exception flag: i4
cep von "9 Agency details
Exception reason: fone
. Agency voucher number 5
Queued for positive pay: || Agency claim number:
Agency low orig:
Locked for reconcile: | | Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of clays interest: 0
Annual interest rate: Q,00000
“4 Warrant Lines
oO Amount Payee
930,64 CHADWICK, GLORIA
hitps:/fhorizon.maricopa.gov/portal/webolient#/desktop
sta)
;
i
i
i