STAMPED & REDACTED - FOR AGENDA ATTACHMENT - GC3 PROMOTIONS, LLC.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: 02/16/2024

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

Saddle Mtn Dist #90 GC3 Promotions, LLC 3700708255 $200.00

Date

Amount

Reissue WT #

Office of the Maricopa County Finance Desk

School Superintendent mam 20201016
Warrant Void/Stop Request
District Name / Number: SADDLE MOUNTAIN USD #90 Attachments:
Contact Name: JORGE GARCIA Original Warrant
Contact e-mail: Po | Lost Warrant Affidavit (required for ALL reissues)
W| Vendor Letter (if requesting Vendor reissue)
Warrant Number Warrant Date | Amount Payee ae} ao ©
[starting with “37") (mm/dd/yyyy) {as it appears in Check Manager) o 6 £ 8B
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3700708255 11/1/2023 $ 200.00 GC3 PROMOTIONS, LLC |@O

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Notes:

District Approver: Lb Mb Date: 9/44/2024

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.
GC3 Promotions, LLC ;
nae (1), being first sworn, upon oath deposes and says:
On or about _I! | 0112023 (date)(2) a watrant/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

se in the sum of ¢_2 9000 (3)
Signed: _ (4)

(5) Subscribed and sworn to before me this _/2” _day of {2eentier 202%.

NOTARY PUBHIC ~<--—~ .

My commission expires:

SE STEPHANIE GONZALEZ
Notary Pubic - State of Arizona

MARICOPA COUNTY
_Bewo2s ng (seal)

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
rent pem wo (8700708255
Original Date of assue 11/01/2023
Reason for original issue of Warrant/Check (8):
O Payroll
la For Services or Goods furnished gitls basketball tournament
© Other: girls basketball tournament

2/16/2024
S;\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Wi ~
Revised June 2015

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To Whom It May Concern,

My name is George Courtney III and | am the owner of GC3 Promotions LLC. The first
check was lost in the mail In the amount of $200. | contacted Jorge Garcia and he was able to
help me with the proper procedure to request a new check. | was able to get the proper
paperwork filled out and notarized. | was the person who signed the paperwork, had it notarized,

and mailed back to Jorge. If you have any questions or concerns, feel free to contact me at

EE ee
Respectfully,
George S. Courtney ill

Owner

GC3 Promotions LLC

2/16/24, 10:44 AM VMware Horizon
Warrant (1 - mcto) ~ Warrant numben 3700708255, Stopped
| Warrant |

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3700708255
4 Warrant header
General Posting
Warrant number: 3700708255 invoice:
Holder: invoice date:
Issued date: 11/1/2023 12:00:00 am Paid date:
Status: Stopped Positive pay sent date: 11/2/2023 09:00:12 am
Exception flag: LI Agency details
Exception reason! None Agency voucher number: 2435
Queved for positive pay: |-j Agency claim number:
Agency low orig:

Locked forreconcile: | | Agency PO number:
Registered Ageney sub fund:
Date registered: Agency dept num:
No of days interest: Q
Annual interest rate: 0,00000
[J Amount Payee Account

Z0000 C3 ROMOTIONG, LLC es

i er oe | | a | ») | Identification of the warrant

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