STALE MADISON SCHOOL DIST FIN .PDF
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Mo Hand MARICOPA COUNTY conrn oftERR | Han Department of Finance HaRicees comeee S — Qehiak 301 West Jefferson, Ste 960 Phoenix, Arizona 85003 2020 JUL ~! Pi 3: 12 ? ‘ c INTEROFFICE MEMORANDUM Date: July 1, 2020 To: Clerk of the Board From: Walter Chang Department of Finance Subject: Affidavits - Replacement of Lost Warrants Please find attached 1 Affidavits for lost warrants to be included on the next available Board Agenda. e The attached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. e The original warrants have a void/stale date/stop payment done. Please call me at 506 - 8747 if you have any questions. Please return the approved Affidavits to my attention in the Department of Finance, Suite 960. Thank you. Re: Fund: 532 / Dept: D860 , Public Health / Company : MADISON SCHOOL DIST FINANCE Application for a Duplicate or Stale-Dated Warrant/ Check Affidavit/Claim Form This application is for: Duplicate or C) state-Dated (definitions are on page 2} STATE OF ARIZONA Note: Numbers an this form correspond to COUNTY OF MARICOPA numbers on the Instruction sheet which is page 2 of this form. MADISON SCHOOL DIST. FIN (1), being first sworn, upon oath deposes and says! Name/Claimant On or about 09-Jun-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 $2,500.00 .(3) Signed: E9Q.. 4p Coancen Directoy of Fanance (4) Note. Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. (5) Subscribed and sworn to before me this © day of yp “at 20,20. Qt Onunalle- NOTARY PUBLIC(/ CS My commission expires: Anita Gammaga aN iD4 aDad we eens) (Seal) “Tl Warrant/Check Number 3010042599 (if known) (6) Original Date of Issue 9 (if known) (7) 09-Jun-2019 Reason for original issue of Warrant/Check (8): © Payroll 0 For Services or Goods furnished, (] Treasurer's refund/payment 2 Other: LOST CHECK 5601 North 16" Street, Phoenix, AZ 85016 + (602) 664-7900 + madisonaz.org Dr. Kenneth R, Baca Lori Garvey, CPA Superintendent Deputy Superintendent April 7, 2020 To Whom It May Concern: |, Lori Garvey, Deputy Superintendent authorize Ella Conroy, Director of Finance, to execute an affidavit on behalf of Madison School District. Thank you Lori Garvey Deputy Superintendent Madison School District Internationally Accredited through AdvancED Page 1 of 1 Walter Chang (FIN) SE From: Walter Chang (FIN) Sent: Wednesday, June 24, 2020 11:20 AM To: Alice Shedd (PHS) Cec: Joyce Maurmann (FIN); Kathy Baskom (FIN); Teresa Finley (FIN); Walter Chang (FIN); Beth Brown (FIN) Subject: RE : Reissue Lost Check | Attachments: AFFIDAVIT CLAIM MADISON SCHOOL DIST. FINANCE.pdf; AFFIDAVIT LETTER revised 1-28-2020.doc.docx Importance: High Warrant # 3010042599 Invoice(IN)Dept: D860 ID: 200000007824 Ver.: 1 Function: New Phase: Final Matching PR - Normal(PRM)Dept: D860 ID: 200000006771 Ver.: 1 Function: New Phase: Final Automated Disbursement(AD)Dept: D180 ID: WARO00129967 Ver.: 1 Function: New Phase: Final Hello Alice , Please forward this email and the docs attached to the vendor per the email chain below. DOF AP will wait for the completed docs in the meanwhile. Thank you. Walter Chang Maricopa County Department of Finance Walter.Chang@maricopa.gov ap@maricopa.gov AP Phone: 602-506-1379 From: Kathy Baskom (FIN) <Kathy.Baskom@Maricopa.Gov> Sent: Wednesday, June 24, 2020 10:25 AM To: Joyce Maurmann (FIN) <Joyce.Maurmann@maricopa.gov>; Alice Shedd (PHS) <Alice.Shedd@Maricopa.Gov> Cc: Teresa Finley (FIN) <Teresa.Finley@Maricopa.Gov>; Walter Chang (FIN) <Walter.Chang@Maricopa.Gov>; Beth Brown (FIN) <Beth.Brown@Maricopa.Gov> Subject: RE: Reissue Lost Check Joyce, | haven’t heard if vendor sent the Affidavit back to DOF for payout.