072617 DUPLICATE WARRANTS 10.PDF

INTEROFFICE MEMORANDUM
Ilaricopa County Scfioof Superintendent's Office RECEIVED
TO: CLERK OE TOE WAW9-) JUL 1 3 2017
FROM: Witrie 'Thompson MARICOPA COUNTY
SUBJECT: Affidavits CLERK BOARD OF SUPERVISORS
DATE: 7/13/2017
Please find attached 2 Afficravii/g\rotice of Claim(s)for lost warrants for inclusion on
the neki avada6Ce oard agenda
The attached item(s) have 6een researched to ensure that the warrant(s) in
question have not 6een cashed or previously re-issued
The original warrant(s) have had a stop payment done.
If you have any questions, please contact Mate 'Thompson at 372-1244 or via e-mail at
mthompson@mcesa.maricopa.gov . :Approved Affidavits may he routed 6ack to the
Superintendent of School - finance Division at 4041 W. CentralAvenue #1200, ( 12 th
ECoor) Thankyou.
#79 LETWEIELD ZAMA KY 514IC7CAEL, JAGER $ 159.43
#79 LPTCHEIELD (BONNIE CD S14/D-f $291,05

v ED
AFFIDAVIT
. APP
STATE OF ARIZONA
..11,111L FFiiiD OF §-1)- PEPVT-S.:%-rTS
COUNTY OF MARICOPA OF'A COUNTY
,zoblut 41( chop I , -cicie , being first duly sworn, upon oath deposes and says:
m
That on 1 1L4LLa1— , 20 110 , he/she presented to Ldrkt-cf.e(d . ç.Lj #2"? of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of 47)14L.S+ , 20 I to, said claim being in the sum of ($ i5 1. q3
.1 62444 LI 3//ev Dollars in payment of which
the Superintendent of Schools ca`dsed his/her Warrant Number I (IX 8538 to be issued
1.151" , 20 go, drawn on the Fund of LA 'e(ei ""(4i1A 30 41 gq of
on (School District Name)
Maricopa County, Arizona.
Affiant further says that although he/she was informed and believes that the above mentioned warrant
was regularly issued, the same has never been received, or has been lost.
WHEREFORE, affiant prays that the Board of Supervisors order and the Superintendent of Schools issue
him/her a duplicate of said Warrant Number 11 — &YID g in • the sum of $ 159, (./ 5
to
Signed:
(Narne,pt15,rtkrof Authorized Personnel)
Subscriland swi-i—to before me this Li-, day of MI 1/41 , 20 17
th
NOTARY PUBLIC:
My commission expires: Apr,'
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
BRITTANY CARTER
Notary Public
Maricopa County, AZ
My Commission Expires
April 29, 2019

AFFIDAVIT
STATE OF ARIZONA CLERK, BOARD OF SUPERVIS RS
MARICOPA COUNTY
COUNTY OF MARICOPA
.b.814/j/K_ , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on 20 ILO , he/she presented to Li-INA4k1 DeArl cSb ti9 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of thICSIL,Sf , 20 ILO, said claim being in the sum of ($ A91.0.5 )
hundoedi 4trAdy-- C'A,t( aita 05400 uoltars in payment of which
the Superintendent of Schools caused his/her Warrant Number N-eaLl O/3 to be issued
itucia3-1-- 20 drawn on the 36 Fund of Li-I'M-Weld 14,SO-P- 2 9 of
on , (School District Name)
Maricopa County, Arizona.
Affiant further says that although he/she was informed and believes that the above mentioned warrant
was regularly issued, the same has never been received, or has been lost.
WHEREFORE, affiant prays that the Board of Supervisors order and the Superintendent of Schools issue
to him/her a duplicate of said Warrant Number 11- OOld 613 in the sum of $ W. 05 .
Signed:d
(Name and Title of Authorized Pgronnel)
Subscribed and sworn to before me this 1 day of , 207_
NOTARY PUBLIC:
My commission expires:
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
BRITTANY CARTER
Notary Public
Maricopa County, AZ
'3•0: ,.. 7" My Commission Expires
April 29,2019