STAMPED & REDACTED - AZ CENTER OF AFTER SCHOOL EXCELLANCE.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: 03/08/2024

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
Isaac Dist #5 AZ Center of After School Excellence 3700722594 $2,400.00

School District

aoe Shel Disket “eee

Stop/Cancel/Void Form

cation Service Agen ‘achments: J~ Original Warrant
District #: 5 Education Beswice Agency “ ° - fiat
s [7 Void Report
Voucher Number 50 C7 | Other
Fund abla me Amount Warrant Date System Generated Warrant # Payee
leo [B2,yoo.00 — [/affs/eS” [S7007TFeS7T [AZ Center of APiey Schoo!
|
|
7
| | |
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Reason for Stop, Cancel or Void: o check here if to be reissued by MCESA
Lost nN mail
Prepared By: ; ; Date
Print.Form Frank Mariscal ([ufaee¢ L
Approved By: | Age irae Date: / / fl / ay

StopCancelReleaseForm.pdf aled

44/14/11

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.
AZ. Clore of leSchal tacellagéBeing first sworn, upon oath deposes and says:
On or about (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, ar 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

watrant/check be bo sum of $2 YOO. OO (3)
Signed: Goulus (4)
(5) Subscribed and sworn to before me this _ 4 nA day of glemer4 20 94.
de cx> :
NOTARY PUBLIC ; JOSEPH EGLAN
*\ Notary Public 4 State of Arizona
a . MARICOPA COUNTY
My commission expires: Commission # 641996
+ Expires January 6, 20Bal),

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

WarrantiCheck Number | 2-057 99 50Y

Original Date of Issue
ge" Ektown 0) 1d [1X [a3 |
Reason for original issue of Warrant/Check (8):
D Payroll
& For Services or Goods furnished
O Other:

S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S, 11-632 & 55-999

o
@ Arizona Center
for Aftersehaol
Excellence

BOARD OF DIRECTORS

Eva Harlow, President
Kyrene Schoo! District

Lisa Murphy, Treasurer
GCON, Inc.

Amy Flynn, Secretary
Wells Fargo

Gloria McGinty
Chicanos Por La Causa

Julie Buber
Southern Arizona Research, Science &
Engineering Foundation

Kari Taylor
ICAN

Cynthia Garcia
Kid Zone Enrichment Program

City of Tempe

Manuel Padia
City of Glendale

Asha Devineni
Equality Health
EMERITUS BOARD

JoAnne Hilde
The Education Coalition

The Honorable Ruth Solomon
Former Arizona State Senator

February 5, 2024
To Whom It May Concern:

This letter is to inform your organization that the Arizona Center for
Afterschool Excellence is a 501 (C)3 nonprofit serving the state of
Arizona,

As the Executive Director I am authorized to sign on behalf of the
Arizona Center for Afterschool Excellence.

Q:

Courtney C Sullivan
AZCASE Executive Director

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26/24, 11:08 AM VMware Horizon
Warrant (1 - meto) - Warrant numben 3700722594, Stopped.

| Warrant |
L Els] | =] | et :
tale Warrant | Status { Print | Attachments
¥

New; Status {| Setup | Attachments

4 Warrant header

General Posting

Warrant number Invoices

Holden Invoice date:

Issued date: 42/18/2023 12:00.00 amy Paid date:

Status: Stopped Positive pay sent date: 12/18/2023 09:00:17 am

Exception flag: |

Agency details
Exception reason: None

Agency voucher number 5087

Queued for positive pay: i Agency claim number:

Agency tow origs
Lockedfor reconcile |} Agency 90 numberr
Registered Agency sub fund
Date registered: Agency dept num:
No of days interest: 0

Annual interest rate: 0.00000

2 Warrant Lines

CI Amount ; Payee
2,400.00 AZ CENTER OF AFTERSCHOOL EXCEL

td BL] 2 | 19) | teentification of the warrant

https://horizon.maricopa.gov/portal/webclient/#/desklop 1H