STAMPED & REDACTED - FOR AGENDA ATTACHMENT - TRANE US, INC..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

Wickenburg Dist #9 Trane US, Inc. 3700725195 $628.76

Office of the Maricopa County Finance Desk

School Superintendent min 2020016

Warrant Void/Stop Request

Date

Amount

Relssue WT #.

District Name / Number: Wickenburg Unified School District #9

Contact Name: Lisa Smith

Attachments:
LC] Original Warrant
Lost Warrant Affidavit (required for ALL reissues)
L] Vendor Letter (if requesting Vendor reissue)

Werrant. Number Warrant Date | Amount | Payee ; ss af
(starting with "377] (mm/aa/yyyy) fas it appears in’ Check Manager) 2 é FA
3700725195] 12/27/2024|$ 628.76 TRANE US, INC. @©ou

© OU

©O0

©O0

Notes | OST CHECK, PLEASE VOID

District Approver: Date: 3/41/2024
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.

Trane US Inc, Deanne (Cn (1), being first sworn, upon oath deposes and says:

On or about 12/27/2023 (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 he issued to him/her in the sum of $628.76 »(3)

(4)

(5) Subscribed and sworn to before me this 11 day of March

Up =f A OHtRtNA 9,
NOTARY For
My commissi

Note; Please attach a copy of the warrant/check if
evidence that a warrant/check was originally issued,

Warrant/Check Numb :
Mearantiheck wumeet” 13700725195 / 9621998
Orne iam) {12/27/2023

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

@ For Services or Goods furnished _HV4-2.
0 Other:

S:\PROCESSES\Warrants - Duplicate or State\02 Forms\Sehools\Sc
Revised June 2015

3/11/24

West Territory Central Territory East Tersitory
Chris Dayton Mike Goryi Kristin Lakey
Jeremy Krempasky | Andrea Koenig Todd Baumer
Maureen Runyon | Michelle Koski Anna Balkonls
Brandon Uffelman | Lexia Neitzel Marty Smith
April Crowder Waide Fisher Julie Mehren
Ben Hendel Courtney Faith Mike Aleckson
Jenny Levendoski | Stasla Burr Jim Luedtke
Gina Troyanek Deanna Cina Laurie Schneider
Janice Lambert Emily Ennis Katrina Montgomery
Jeremy Grove Jacque Walby Leanne Anderson
Cassandra Hogan _| Gerty Kondarinis Megan Page
Steve Mueller Tina Tew Pam Jambois
Mike Hosch Morgan Ayed ‘Lisa Johnson
Kalee Sanders John Kendhammer__| Bob Skemp
Carli Mae Nelson Bob Roers

Gavin Olson

CERTIFICATION

|, Scott W. Smilite, Assistant Secretary of Trane U.S. Inc., a Delaware corporation (“Trane”), hereby
certify that the above individuals have the authority to act for Trane as follows:

Authority to sign in the name and on behalf of Trane (i) mechanics’ materlatmans’ and other tlans used to
secure the indebtedness of a customer of Trane; (Ii) notices thereof; and (iil) other documents relating
thereto, including walvers and releases thereof.

IN WITNESS WHEREOF, | have hereunto affixed my name as Assistant Secretary and have caused the
corporate seal of said Corporation to be hereunto affixed on the date set forth below.

Scott W. soe fsian Secretary

CORPORATE SEAL January 29,2024

Date

3/11/24, 2:17 PM VMware Horizon |

4) jad) ©)
Status | Print | Attachments

aa

[ed | Warrant

Maintain New | Status | Setup | Attachments
3700725195

4 Warrant header

General Posting i
Warrant number: Invoice:

Holder: Invoice date:

Issued date: 12/27/2023, 12:00; am Paid date:

Status: Stopped Positive pay sent date: 12/28/2023 (09:00:42 am

Exception flag: | Agency detatts

Exception teason; Mone

Agency voucher number 2450

Queued for positive pay: “i Agency cleim numbers

Agency low arig:
Lockedfor reconcile: || Agency PO number:
Registered Agency sub fund:
Date registered: Agency dept num:
No of days interest: 0

Annual interest rate: 0.00000

4 Warrant Lines

(ma Amount Payee Account
628.76 TRANE US, INC,

4d bm BL,

2 | 9} | Wentification of the warrant

https://horizon.maricopa.gow/portal/webclient/#/desktop WM