STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ERIC SAWYER.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: 05/14/2024

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

Arlington Dist #47 Sawyer, Eric 3700668696 $81.13

Office of the Maricopa County Finance Desk
School Superintendent ram 20201016

Warrant Void/Stop Request

District Name / Number: ARLINGTON ELEM. #47 Attachments:
Contact Name: KATHY TURNER [| Original Warrant

Contact e-mail: Po Lost Warrant Affidavit (required for ALL reissues)
C] Vendor Letter (if requesting Vendor reissue)

3700668696] 7/12/2023 | $ 81.13 ERIC SAWYER |©O

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Notes: WARRANT WAS LOST. PLEASE REISSUE.

District Approver: YY l (/} (F, Date:
if, Va Ltd, MALY 5/14/2024

For Internal Use Onhy

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 on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

(1), being first sworn, upon oath deposes and says:
ame/Claiman

On or about uly Li, WOLF (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

res
warrant/check be issued to him/her in the sum of $ be VA — (3)

signed Z. 5S (4)

UAV), and sworn,to before me this__7__day of Wet 20 aK
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aoa
SOLO KATHY TURNER
Ke = Notary Public - Arizona
P Maricopa County

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‘ Coinmission # 642826} (seal)

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My Comm, Expires Mar 17, 2027

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

eon LNG LO VIEVEUS.

Original Date of Issue

(if known) (7) Lill: Wa

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

1 For Services or Goods furnished
C1 Other:

5/14/24

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

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SCHOOL EXPENSE WARRANT Po 3700668696

Kee

TREASURER OF MARICOPA COUNTY
PHOENIX, ARIZONA 91-2224

THIS WARRANT ORAWS INTEREST FROM DATE MARKED "INSUFFICIENT FUNDS"
INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 11-636, ARS1956)

CONTROL NO. | :

07/12/2023 47548915] :
Arlington Elementary District #47 — ~ we
y WARRANTAMOUNT | &
*“Eighty One and 13/400*** Dollars $84.13 3
a VOID AFTER SES DAYS
TO SAWYER. ERIC Gl \
Rt P ms i ; en i
ORDER ams "7 :
ets AUTHORIZED SIGNATURES = ¢
_ 07/12/2023 Check: 47548915 EXPENSE
MARICOPA COUNTY SCHOOLS +» PHOENIX, ARIZONA AP 20230742 3700668696
SAWYER, ERIC - | . |_o7s12/2023_ | .
Payee | T Check Date | ~~

“Account Number PO Number Invoice “Amount

VOUCHER: 5572 TOTAL: 381.13

HARLAND CLARKE Mez692 20129912

5/14/24, 9:47 AM

Warrant (1 - meto) - Warrant number: 3700668696, Stopped

ali Warrant | Status

VMware Horizon

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Maintain New Status
3700668696
4 Warrant header
General Posting
Warrant number: 3700068696} lavoice:
Holder: Invoice date:
Issued dates 7/12/2023 Paid date:
Status: Stopped Positive pay sent date: 7/13/2023 09:00:07 am
Exception flag:
nen, mong (I Agency details
ti H
eepiion teason: None Agency voucher number; 5872
Queued for positive pay: |] Agency claim number:
Agency low orig:
Lockedforreconcile: | | Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest; a
Annual interest rate: 0.00000
4 Warrant Lines
oO Amount: Payee Account
81.13 SAWYER, ERIC
Kd do: Bm bl | we | %) | Identification of the warrant

https://horizon.maricopa.gov/portal/webellent#/desktop

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