STAMPED & REDACTED - FOR AGENDA ATTACHMENT - DELIA L TARANGO-HALLEY.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: 05/03/2024

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 Tarango-Halley,Delia L. 3700665945 | $1,539.12

Date.

Amount

Relssue WT. #

Office of the Maricopa County
School Superintendent

District Name / Number: Qvrie--ors 2K niet “ us

Finance Desk
mm 20201016

Warrant Void/Stop Request

Contact Name: .) on wha Whey

xX

Attachments:

Original Warrant
Lost Warrant Affidavit (required for ALL reissues)

Vendor Letter (if requesting Vendor reissue)

Warrant:!Number Warrant Date: | Amount Payee oO oo
(starting with #37) {mm/ad/yyyy) (as it dppears in Check Manager) 2 2 3 ;
2
. — ! ;
WOO USO 7/3 [28 ISasid | Bie  bevcuwe elegy ©
| ©O
Notes:

District Approver:

For Internal Use Only
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.
Delia L Tarango-Halley (1), being first sworn, upon oath deposes and says:

Name/Clatmant

On or about oly 3,30a3 (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 hea (3)
Signedi_# MAAK, uf, LO (4)

0
(5) Subscribed and sworn to before me this _ “/ day of _2&@ 2023.
—)
Wilta Suare

NOTARY PUBLIC Y

ANGELICA HARO SUAREZ
My corns ion expires: B ‘Maricom soon

STAB/20A ” Eepen an 4620808 (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 13700665945

Original Date of Issue
9 (if known) (7) 7/3/23

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

O For Services or Goods furnished
0 Other:

5/3/24

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

5/3/24, 8:10 AM

VMware Horizon

‘Warrant (1 - meto) - Warrant number, 3700665945, Stopped
| Warrant |

Warrant | Status | Print | Attachments
a

Maintain New Status | Setup | Attachments
3700665945
« Warrant header
General Posting
Warrant numbec 3700665945) Invoice:
Holder: Invoice date:
Issued date: 7/3/2023 12:09:00 arm Paid date:
Status: Stopped Positive pay sent date: 6/30/2023 (09:00:02 arn
Exception flag: rm Agency details
Exception rearon: None

Agency voucher number, 32
Agency claim number
Agency low orig:

Agency PO numben

Queued for positive pay: [-]

Locked for reconciles |]

Registered Agency sub fund:
Date registered: Agency dept nun
No of days interest: 0

Annual interest rate: 0.00000

4 Warrant Lines

oO Amount | Payee * Account

td. DE]. | 2) | tdentitication of the warrant

https://norizon.maricopa.gov/portalAvebclient/#/desktop

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