STAMPED AND REDACTED - FOR AGENDA ATTACHMENT - DESERT CHOICE SCHOOLS.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: 03/18/2024

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

Wickenburg Dist #9 Desert Choice Schools 3700726664 $5,794.16

Office of the Maricopa County Finance Desk
mm 20201016

School Superintendent

Warrant Void/Stop Request

District Name / Number: Wickenburg Unified Schoo! District #9 Attachments:

L] Original Warrant
Lost Warrant Affidavit (required for ALL reissues)

LJ Vendor Letter (if requesting Vendor reissue}

$ 5,794.16

* LOST CHECK, PLEASE VOID

District Approver: 4 j , Date:
prroren Ph Ve 3/14/2024
For Iaternal Use Only

Clerk of Board Date: Yoid 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.
—Pesert Choice Schools (1), being first sworn, upon oath deposes and says:

On or about __ January 9, 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 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/chéak be issued to him/| e sum of $9,794.16 (3)
Signed: | LoL | VE (4)

(5) Subscribed and swom to before me this

nature) AndsoA

NOTARY PuByic l . .
SICILEY A JOHNSON
. NOTARY PUBLIC
My commission expires; BALTIMORE COUNTY
oa MARYLAND (seal)
My Commission Expires July 28, 2027

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

Warrant/Check Number” 13700726664 19622027

\}
Original Date of issue (01/09/2024
Reason for original issue of Warrant/Check (8):
O) Payroll

i For Services or Goods furnished November 2023
0 Other; November 2023

~ Duplicate or Stale\02 Forms\Scho
Revised June 2015

3/19/24

ton CHOICE
SCHOOLS

=a Learn It

March 12, 2024

To Whom it May Concern:

It has come to our attention that Wickenburg Unified School District issued Check
#9622027 as payment for Invoice L1S0023740 in January 2024. This invoice was for
services provided by Desert Choice Schools in November 2023, and totaled $5,794.16. As
of today, we have not received this check, and the invoice in question remains unpaid.

A signed, notarized Affidavit accompanies this letter. Nona Hatch, the person who
signed the Affidavit, is an authorized representative of Desert Choice Schools.

Please contact me directly at (should you have any questions,

Sincerely,
VA
Theresa Jamison

Vice President of Finance & Accounting

Learn It Systems, LLC dba Desert Choice Schools

3/48/24, 8:13 AM
Warrant (1 - meto) - Warrant number: 3700726664, Stopped

VMware Horizon

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Maintain New Status | Setup ; Attachments |
3700726664
“a Warrantheader
General Posting
Warrant number: 3700726664 Invoice: |
Holder: Invoice date:
Issued date: Paid date:
Status; Stopped Positive pay sent date:
Exception flag: || Agency details
Exception reason: None Agency voucher number: 2453
Queued for positive pay: | | Agency claim number:
Agency low orig:
Locked forreconcile = |_| Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: fi) |
Annual interest rate: ©,00000

a Warrant Lines

Oo Amount | Payee
5,794.16 DESERT CHOICE SCHOOLS

Account

lq = b Pl | oe | } | Identification of the warrant

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