STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ODP BUSINESS SOLUTIONS, LLC.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: 04/17/2024

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

Osborn Dist #8 ODP Business Solutions, LLC 3700728713 $120.75

Date

Amount

~ Reissue WT'#

Office of fhe Maricopa County

Schoei Superintendent

Warrant Void/Stop Request

District Name / Number: Osborn School District #8

Contact Name: Yyonne Lopez

Attachments:
[| Original Warrant
Lost Warrant Affidavit (required for ALL reissues}

[] Vendor Letter (if requesting Vendor reissue}

Warrant:Number: | Warrant Date’; Amount.
(eterting with 377) | teamfeld/yyyy) :

| Payee

{os it ‘appears in Check: Manager):

2 ze 8
2 4 8

ED

ce

37007287 13)1/12/2024|$ 120.75

ODP Business Solutions, LLC |@ ©

Notes: + . :
Lost in the mail. Please re-issue.

LQ District avprover LD ONVO. J Naseao

Date: B\2a2& lay

For Internal Use Only

Clerk of Board Date:

Void Report Date:

Schools Affidavit/Claim Form

Application for a Duplicate Warrant/Check (detinitlons are on page 2)

STATE OF ARIZONA Note: Numbers on this form corraspond to numbers on the
COUNTY OF MARICOPA Instruction sheel which is page 2 of this form.

ODP Business Solutions, LLC (4), being first sworn, upon oath deposes and says:
Name/Clamant

On or about 12/2024 (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 belng 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 Js 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 $4 20.75 (3)

Signed: Ware, Lyfiliyol (4)

(5) Subscribed and swom to before me this_ / day of Ze he 92 Sf

a eer oe

NOTARY PUBLIC
oh, iar Ra Btale of Flodda
My commisslop expires: ‘ g My Commission H fu 481401
. TL le, ZOOS (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 370072 871 3

(if known) (6)

Original D f I
Original hen a {01/12/2024

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

ll For Services or Goods furnished ODP Business Solutions, LLC

© Other; ODP Business Solutions, LLC

S:APROCESSES\Wanants - Duplicate or Stale\02 Forms\Scho
Revised June 2015

4/17/24

© Office DEPOT. OfficeMax:

BUSINESS? SOLUTIONS,LLC Now one company. Now great savings.
‘

April 15, 2024

Osborn School District

To Whom It May Concern:

This letter is to confirm that ODP Business Solutions, LLC did not receive Warrant/Check Number 3700728713
dated 1/12/24 in the amount of $120.75 and the person that signed the affidavit, Wanda Goldfield, is an
authorized representative of The ODP Corporation.

If you have any questions, piease do not hesitate to contact me.

Sincerely,

JAAS cA

Gabriel Grijalva
Sr. Manager, Collections and Dispute Resolution
The ODP Corporation

SEEM RASA ES LIS ACY by aoe eA SPEND I AAC ASA PRAISED BO MRSCAL RESIS

ARIZONA.

THIS WARRA AWS INTEREST FROM DATE MARKED ‘INSUFFICIENT FU
TEREST Sore ON DATE FUNDS AVAILAGLE. (SEC 11-636, ARS1955)

OSBORN ELEMENTARY. SCHOOL DISTRICT #8”

PAY oe

‘One Hundred Twenty and 75/100" Dollars

TO S, LLC
THE
ORDER
OF

nde

en LEAS

Ca nlictins Hanteume tented

"EXPENSE

star, SNA 01/12/2024 Check: 8848173
MARICOPA COUNTY SCHOOLS - PHOENIX, ARIZONA AP 20240147 3700728713 __ |
ODP BUSINESS SOLUTIONS, LLC _ | [01/42/2024 _{
a Payee I Check Date |
PO Number Invoice Amount
249709 © 345610840001 81,78
240700 © 345613539001 38,97
‘COPY’
VOUCHER: 8077 TOTAL: $120.75

HARLAND CLARKE Mez6g2 30105562

4/12/24, 3:21 PM
Warrant {1 - mcto)} ~ Warrant numben 3700728713, Stopped
=| | Warrant |

VMware Horizon

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{elit Warrant | Status | Print | Attachments
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Maintain New Status | Setup | Attachments
3700728713
“4 Warrant header oe
General Posting
Warrant number 3700728735 Invoice:
Holder: invoice date:
Issued cate: 1/12/2024 12:00:00 am Paid date:
Status: Stopped Positive pay sent cate: 1717/2024 09:00:18 am
a flag: | Agency details
Meeption reason: None Agency voucher nurnber: 6077
OQueued for positive pay: |] Agency claim number:
Agency low orig:
Locked! for reconcile: Li Agency PO number
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0
Annual interest rate: 0.00000
« Warrant Lines

0 Amiount : Payee Account

120,75 ODP BUSINESS SOLUTIONS, Tk

lq od ic. fb Pl | oe | 9) | Identification of the warrant

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