STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ARIANA SUAREZ.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: 05/09/2024

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

Tolleson El Dist #17 Suarez, Ariana 3700708731 $353.84

a | District Name / Number: TOLLESON ELEMENTARY SCHOOL
Contact Name: TRACY GRAVES Original Warrant

“= Contact e-mail: Po WA Lost Warrant Affidavit (required for ALL reissues)

‘Date Fe ee

: Reissue WT #_ ; ieee ho oan)

2 «Notes:

Office of the Maricopa County Finance Desk

School Superintendent rm 20201016

Warrant Void/Stop Request

Attachments:

Vendor Letter {if requesting Vendor reissue}

-Watrant Number: }' Warrant: Date | Amount

“if Payee: i:
(starting with "37". os Werdaslove)

fas Li appears In: Check Mm age

3700708731 | 11/7/2023 $ 353.84 | - SOARED ARIANA 10 OY

STOP AND REISSUE FOR SAME AMOUNT

J

District Approver: Leaner (LQ .) ye Date: 3/99/9924
For Internal Use Only
Clerk of Board Date: Void Report Date:

Schools Affidavit/Claim Form

Application fora 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.

ARIANA SUAREZ (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about tl | 7] 12023 (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

rer in the sum of $393.84 (3)
Signed: (4)
—~TN

7
(5) Subscribed and sworn to before me this __( day of May 20 ay.
NOTARY PUBLIC SARBARA M VEGA

Notary Public. State of Arizona|

Maricopa County
My commission expires: My Commission Expires
pal r=) 20 Apri 23, 2027 (seal)

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

W Check Numb
orrante «nown) © a 3700708731

Original Date of I
gine Pee OF awue 11/07/2023

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

OO For Services or Goods furnished__
O Other:

5/10/24

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schoolk
Revised June 2015

5/9/24, 8 06 AM VMware Horizon
Warrant (1 - mcto) - Warrant number: 3700708731, Stopped
Py j @
=| a
Warrant Status Print Attachments
7
Maintain | New Status | Setup | Attachments |

3700708731

4 Warrant header
General Posting
Wasiencaetie 3700708731] ota
Holder: Invoice date:
Issued date: 11/7/2023 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 11/3/2023 09:00:05 am
Exception flag:

ss an None Agency voucher number: 772
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 days interest: 0
Annual interest rate: 0.00000

« Warrant Lines
oO Amount Payee

353.84 SUAREZ, ARIANA
<4 Pm DPI | 4 | ©) | Identification of the warrant

https //horizon maricopa gov/portal/webclient/#/desktop

1/1