NATIONAL INSTITUTE FOR EXCELLENCE.PDF

INTEROFFICE MEMORANDUM

Maricopa County Schools Superintendent Office

(nar
TO: CLERK OF THE BOARD RECEIVED Beek

FROM: _ Terri Ysaguirre OCT 21 2020

SUBJECT: Affidavits — Replacement of Lost Warrants MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
DATE: 10/20/2020

Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next
available Board agenda

Vv The attached item(s) have been researched to ensure that the warrant(s) in question have
not been cashed or previously re-issued.

v The original warrant(s) have had a stop payment done.
If you have any questions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at

terri.ysaguirre@maricopa.gov. Approved Affidavits may be routed back to the Superintendent
of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor)

Thank you.

#08 Osborn Elementary National Institue of Excellence in Teaching
$2,250.00

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.

National Institute for Excellence in Teaching (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about __ 20/31/2019 (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.

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 $2,250.00 (3)

Signed: Ynelhaf— (4)
( G-

(5) Subscribed aid sworn to before me this _2 on day of Pas

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NOTARY. yas a

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My 9 mission expires:
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Note. Please attach a copy of the warrant/check if available and/or any r
evidence that a warrant/check was originally issued.

Warrant/Check Number
(if known) (6) 8813670

Original Date of Issue OG
(if known) (7) 10/31/2019 DAA Tip Wy
Reason for original issue of Warrant/Check (8): ERK ‘BOARD SF SUPERVIS!

0 Payroll : ‘

@ For Services or Goods furnished_Evaluation Training 9/3-9/5/2019

1 Other:

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S. 11-632 & 15-999

National Institute for Excellence in Teaching

INVOICE

INVOICE #: INV-2370
DATE: 09/09/2019

DUE DATE: 10/09/2019
1250 Fourth Street
Santa Monica, CA 90401
Phone 310-570-4860 Fax 310-570-4863
BILL Osborn School District #8
TO: 1226 W. Osborn Road
Phoenix, AZ 85013
Reference: NIET Evaluation Training
TEM #2005) | DESCRIPTION Ee “AMOUNTS 52
EVAL CERT 9/3 - 9/5, 2019, See attached. $450.00 $2,250.00
SUBTOTAL $2,250.00
TOTAL $2,250.00

National Institute for Excellence
1250 Fourth Street
Santa Monica, CA 90401

i

in Teaching

Phone 310-570-4860 Fax 310-570-4863

accounting@niet.org

Customer ID - Name: C-0190 - Osborn School District #8

Invoice #; INV-2370

BILL Osborn Schoot District #8

TO; 1226 W. Osborn Road
Phoenix, AZ 85013

TOTAL AMOUNT DUE: $2,250.00

AMOUNT ENCLOSED:

REMIT
TO:

NIET Processing Center
3589-3 N Shiloh Dr

Box 161

Fayetteville, AR 72703

Purchase Order Osborn School District No. 210232
1226 W. Osborn Rd.

Phoenix AZ 85013

Mail 2 copies of invoices to above Purchase Order number must be on all
address. invoices/documents from vendor.
P.O. Date: 07/15/2020 Questions ? Purchasing (602) 707-2023 Ext: Account:
P.O. Issued To: Ship To:
NIET OSBORN SCHOOL DISTRICT
1801 W. END AVENUE Attn: Jennifer Page
SUITE 920 1226 WEST OSBORN ROAD
NASHVILLE TN 37203 PHOENIX AZ 85013-0000
Contact: TAMARA W. SCHIFF Location: CURRICULUM (602) 707-2000
Phone: (310) 570-4858 Fax: (310) 570-4863 Project: Undesignated Req# 323
Reference: Date Required: 07/29/2020 Award Number: SOUL SOURCE
Line Qty Unit Part# Description Account Number Unit Price = Extended Tax Freight
1 1 EA Evaluation Certification 001.100.2210.6360,502.520.0000 450.00 450.00 0.00 0.00
4 1 EA Evaluation Certification 001.100.2210.6360.503.520.0000 450.00 450.00 0.00 0.00
1 1 EA Evaluation Certification 001.100.2210.6360.504.520.0000 450.00 450.00 0.00 0.00
1 1 EA Evaluation Certification 001.100.2210.6360.506.520.0000 450.00 450.00 0.00 0.00
4 1 EA Evaluation Certification 001.100.2210.6360.507.520.0000 450.00 450.00 0.00 0.00
4 Sub-Total: 2,250.00
APPROVAL SIGNATURES: /) / if _ Freight: =
A i} Tax: 0.00
. / Wa = Total Amount: 2,250.00
NOTES:
Order Via: RTS
ENTITY COPY

Friday, August 21, 2020 Page 1 of 1

Terri Ysaguirre (CSS)

= si
From: Jennifer Page <jpage@osbornsd.org>

Sent: Thursday, October 1, 2020 11:46 AM 7
To: Terri Ysaguirre (CSS)

Ce: Sonny Villacorta; Christina Faas (cfaas@niet.org)

Subject: Fwd: Message from "RNP002673C40C85"

Attachments: NIET W9.pdf

Hi Terri,

Christina Faas from NIET sent the attached W9 and stated that NIET's CFO was the person that signed it. Please let us
know what else they need to provide. Thanks.

Jennifer Page

Curriculum Dept Admin Assistant
Osborn School District
602-707-2006

woe Forwarded message ---------

From: Christina Faas (cfaas@niet.org) <cfaas@niet.org>
Date: Thu, Oct 1, 2020 at 11:38 AM

Subject: RE: Message from "RNP002673C40C85"

To: Jennifer Page <jpage@osbornsd.org>

Sure, would a copy of our W9 suffice?

Molly Sears, NIET’S CFO, was the person who signed the affidavit form and got it notarized.

Christina Faas | Grant Specialist

NIET | National Institute for Excellence in Teaching
1801 West End Ave., Suite 920 | Nashville, TN 3
Phone: 1-800-57S-NIET (Ext, 208}

www.niet.org

@NIETteach

From: Jennifer Page <jpage@osbornsd.org>

Sent: Thursday, October 1, 2020 1:35 PM

To: Christina Faas (cfaas@niet.org) <cfaas@niet.org>
Subject: Fwd: Message from "RNP002673C40C85"

Here's the next questions, see below.

From: Terri Ysaguirre (CSS) <Terri.Ysaguirre@maricopa.gov>
Date: Thu, Oct 1, 2020 at 11:30 AM

Subject: RE: Message from "RNP002673C40C85"

To: Sonny Villacorta <svillacorta@osbornsd.org>

Can someone from the Company email you and state that she is an Authorized signer for them?

That’s if She signed the Affidavit... Whoever signed it, the Clerk of the Board needs a statement that includes that the
person is an Authorized Signer for the Company.

Terri Ysaguirre
Accounting Specialist
Office of the Maricopa County School Superintendent

FinanceDesk@maricopa.gov

Office: 602-372-4833 Option 2

Office of the Maricopa County

School Superintendent
Steve Watson

From: Sonny Villacorta <svillacorta@osbornsd.org>

Sent: Thursday, October 1, 2020 11:28 AM

To: Terri Ysaguirre (CSS) <Terri.Ysaguirre@maricopa.gov>
Subject: Fwd: Message from "RNP002673C40C85"

Tia T will this work for the reissue? This is what the company had sent.

Sonny Villacorta
Accounts Payable

Osborn School District

602-707-2000 Ext 2024

wecneneeee Forwarded message ---------

From: Jennifer Page <jpage@osbornsd.org>
Date: Thu, Oct 1, 2020 at 11:22 AM

Subject: Fwd: Message from "RNP0OO2673C40C85"
To: Sonny Villacorta <svillacorta@osbornsd.org>

Will this work?

Jennifer Page
Curriculum Dept Admin Assistant
Osborn School District

602-707-2006

woeeseeeee Forwarded message ---------

From: <ricohpro@osbornsd.org>

Date: Thu, Oct 1, 2020 at 11:21 AM

Subject: Message from "RNP002673C40C85"
To: Jennifer <jpage@osbornsd.org>

This E-mail was sent from "RNP002673C40C85" (MP C4504).

Scan Date: 10.01.2020 14:18:34 (-0400)
Queries to: ricohpro@osbornsd.org

10/1/2020 FW: Lost Affidavlt for Osborn Schoo! District - jpage@osbornsd.org

Subject: FW: Lost Affidavit for Osborn School District

4 Christina Faas (cfaas@niet.org) <cfaas@niet.org> Tue, Sep 8, 1:55 PM
. to Jennifer Page

You are viewing an attached message. Osborn
School District Mail can't verify the authenticity of
attached messages.

Hey Jennifer,

| hope this email finds you well. | just wanted to follow up and see if you received the
original signed Affidavit form, and if the check was reissued as we have not yet received
payment for the attached invoices. Also, is there a way to double check our mailing
address on your end to be sure it's the Nashville address?

Thanks so much!

Christina Faas | Grant Specialist

NIET | National Institute for Excellence in Teaching
1801 West End Ave., Suite 920 | Nashville, TN 37203
Phone: 1-800-575-NIET (Ext. 208)

www.niet.org

@NIETteach

From: Christina Faas (cfaas@niet.org)

Sent: Friday, August 21, 2020 8:59 AM

To: Jennifer Page' <jpage@osbornsd.org>

Subject: FW: Lost Affidavit for Osborn School District

Hi Jennifer,
ij

Attached is a copy of the notarized document and the original is going out today in the
mail. Is there a way to double check our mailing address on your end has been updated to
the Nashville office?

Please let me know if there is anything else needed from our end.
Thanks again for your assistance in getting this process completed!

Christina Faas | Grant Specialist

NIET | National Institute for Excellence in Teaching

1801 West End Ave., Suite 920 | Nashville, TN 37203

Phone: 1-800-575-NIET (Ext. 208)

www.niet.org

@NIETteach v

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