STAMPED & REDACTED - FOR AGENDA ATTACHMENT - KRISTAL ALONSO.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: 04/04/2024

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

Queen Creek Dist #95 Alonzo, Kristal 3700746423 $584.12

Date

Amount

Reissue WT #

Finance Desk

Office of the Maricopa County
mm 20201016

School Superintendent

Warrant Void/Stop Request

Cal
Contact Name: Kathy Saxton vY Original Warrant
Contact e-mail: ee Lost Warrant Affidavit (required for ALL reissues)
Vendor Letter (if requesting Vendor reissue}

Warrant Number Warrant Date | Amount Payee O oH)

(starting with “37”) (mm/dd/yyyy) (as it appears in Check Manager) () £ r

v

oe

3700746423) 3/19/2024 |$ 584.12 ALONZO, KRISTAL OO-v

Notes: damaged check

District Approver: Date: i au

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)

Ee On, VME (definiionsaresonpage2)
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.

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

On or about 3\\9 | 2 OY (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 $ 084.12 (3)
Signed: (4)
(5) Subscribed and sworn to b for} me this a day of Apr 1) 20 A= |
NOTARY PUBLIC KADE DAVIDSON
Public - State of Arizona
My commission expires: Aieheg gy Aan

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
(if known) (6) 3/00/746423

Original Date of Issue
‘ (if known) (7) of 9/2 O24

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

For Services or Goods furnished
Other: : i

4/4/24

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Wartaits Checks mouce Ul Clallm.aoc
Revised June 2015 A.R.S. 11-632 & 15-999

SCHOOL EXPENSE WARRANT. 7

TREASURER OF MARICOPA COUNTY.
PHOENIX, ARIZONA

THIS WARRANT DRA\ WS INTEREST FROM DATE MARKED “INSUFFICIENT FUNDS" DATE CONTROL NO. |

INTEREST STOPS ON DATE FUNDS AVAILABLE. (SEC 11-636, ARS1956)
03/19/2024 £$722463

SS a ee

Queen Creek Unified District #95

WARRANT AMOUNT
PAY f

“Five Hundred Eighty Four and 12/100*** Dollars $484.12
ee Crismon High School VOID AFTE 365 DAYS |
10 ALONZO, KRISTAL :
THE E >
ORDER Gt Stev é

4/4/24, 9 37 AM

Attachments

Warrant Status Print

v

Warrant (1 - mcto) - Warrant number: 3700746423, Void

VMware Horizon

Maintain New Status Setup Attachments
3700746423
« Warrant header
General Posting
Warrant number: Invoice:
Holder: Invoice date:
Issued date: 3/19/2024 12:00:00 am Paid date:
Status: Void Positive pay sent date: 3/15/2024 09:00:04 am
Exception flag: Agency details
Exception reason: None Agency voucher number:
Queued for positive pay: Agency claim number:
Agency low orig:
.ocked for reconcile: Beene PO unbe.
Agency sub fund:
Registered Aaency dept num:
Date registered:
No of days interest: 0
Annual interest rate: 0.000(
« Warrant Lines
C] Amount Payee
584.12 ALONZO, KRISTAL
Ke << D> DI | 4 | ©) | Identification of the warrant

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