STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ARACELY VAZQUEZ.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: 03/11/2024

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 Vazquez, Aracely 3700659943 $43.81

Amount Date

Reissue WT #

Office of the Maricopa County

School Superintendent

Contact Name: ANGELICA SUAREZ

Contact e-mail:

Warrant Void/Stop Request

District Name / Number: LITTLETON ELEMENTARY SCHOOL 9 | attachments:

Finance Desk
mmm 20201016

LC] Original Warrant

Lost Warrant Affidavit (required for ALL reissues)
[| Vendor Letter (if requesting Vendor reissue)

Warrant Number Warrant Date: | Amount Payee xo] a2
(storting with *377) tmm/dd/yyyy) {os it appears in Check Manager) 2 FS 3
3700659943] 6/8/2023} $ 43.81 ARACELY VAZQUEZ O ©
©oOU
®OU
©OU
Notes: :

District Approver: Ac C

Date: Shi fay

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.
ARACELY VAZQUEZ (1), being first sworn, upon oath deposes and says:

“WamerClatmant
On or about for fro3 (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 sabsequently 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 is correct
and the amount shown Is due and owing, and the applicant requests that a replacement

maa) be Issued to hir/her In the sum of $43. 8 (3)
Signed: | oe D Ay a af a_i (4)

(5) Subscribed and sworn to before me this_')1 day of_NViaich  202Y.

poahlause DD Auwun >
NOTARY PUBLIC . \
MARIA D. KRIEGER

My commission expires: MARICOPA COUNTY
Ot, 207 papivs Fobrunty Or ans (seal)

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

Numbe!
Warrant/Check meer 13700659943

Original Date of Issue 06/08/2023

(if known) (7)

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

0 For Services or Goods furnished.

JS other:_Trave] &xpense

CHU S ULES pas RN ARES AS LEY ay Pa ae TORRE SREB FEDS DDE AIRES

SCHOOL EXPENSE WARRANT
PHOENDE art OF WTUBOPA ¢ COUNTY -

LITTLETON ELEMENTARY SCHOOL DISTRICT #65

PA fogs WARRANT AMOUNT. | f

AN wy Three and 61/100" Dollars ‘ $43,814 J

wo ‘ VOID AFTER 965 DAYS
To —e VAZQUEZ WW
THE
ORDER Z
ir subsea AERC

 _—
ee

06/08/2023 Check: ~ 66862144 EXPENSE"

AUTHORIZED SIGNATURES ‘

MARICOPA COUNTY SCHOOLS + PHOENIX, ARIZONA AP 20230608 3700659943
ARACELY VAZQUEZ | |_osrog/2023_| |
Payee | [ Gheck Date | T
Account Number ONumber Invoice Amount
VOUCHER: 1085 TOTAL: $43.81

HARLAND CLARKE 22692 20120952

3/11/24, 2:18 PM

Warrant (1 - mcto) - Warrant number: 3700859943, Stopped

VMware Horizon

| Warrant |
@ jae) 1
SiS Warrant | Status | Print [| Attachments
Maintain | New | Status | Setup | Attachments |
3700659943
4 Warrant header : -
General Posting
Warrant number 3700659943 lavoice:
Holden invoice date:
Issued date: 6/8/2023 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 6/8/2023. »—(09,00:51 am
Exception flag: ul Agency detaits
Exception reason: None

Queued for positive pay: !]

Agency voucher number 1035
Agency claim number:

Agency tow orig:
Locked forreconcile: |__| Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept nura:
No of days interest: °
Annual interest rate: 9.00000
4 Warrant Lines
oO Amount : Payee Account

43,81 ARACELY VAZQUEZ

210100-510-5065-5040-S0447-4100-.., |

ttf iB PL [ 2) | teentification of the warrant

https://horizon.maricopa.gov/portalvebclient/#/desktop

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