060717 DUPLICATE WARRANTS 2.PDF

Maricopa County — Formal (2017-06-07)

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INTEROFFICE MEMORANDUM RECEIVED
Waricopa County Schoot -Superintendent's Office MAY 1 7 2017
MARICOPA COUNTY
TO: CLERK OF TJ-PE 00.ARD CLERK BOARD OF SUPERVISORS
FROM: WilTie 'Thompson
SUBJECT: Affidavits
DATE: 5/17/2017
Prease find attached 1 Affidavit/NOtice of Craim(s)for Cost warrants for incrusion on
the next avairaffe Ooard agenda
The attached item(s) have heen researched to ensure that the warrant(s) in
question have not heen cashed or previous(); re-issued
The original-warrant(s) have had a stop payment done.
If you have any questions, ',Cease contact Millie Thompson at 372-1244 or via e-maifat
mthompson@mcesa.maficopa.gov . Approved Affidavits may be routed hack to the
Superintendent of School - finance (Division at 4041 W: Central-)venue #1200, ( 12 th
Tibor) Thankyou.
#31 W)ILSZ SODEXO INC esATTILIATES $8170.28

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
&OE X0 I v.) C. rk-/-i(---1 1.--1(;)'-is, being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on 1 P PKIL , 20 1 -7 , he/she presented to -- 81--$5.'Z 6)04-406 ST. 4:1.31 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of A---legckt , 20 / '7, said claim being in the sum of ($ C 11 . )
0 o 1oz. P ioo JE-08./0 c12._ 048 A60 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 'Y 10 es7 to be issued
on , 20 I -7, drawn on the 560 Fund of c9ci-tco . 11731 of
(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 Ap20 6 S) 85-9 in the sum of $ g, 1 70 ,
Signed: Cf()..1a.A CR\ t\ f:iavk
(Name and Title of Authorized Personnel)
Subscribed and sworn to before me this day of Mt/ ,20 /7
NOTARY PUBLIC:
My commission expires: AupsF 2.2.67.0)
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
N7TVIAN1EL SANCHEZ
Noir/ Pao- State of Arizona
MAI_ COUNTY
Nty Commission Expires
August 22, 2020