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INTEROFFICE MEMORANDUM Maricopa County Education Service Agency (aka Maricopa County Superintendent of Schools Office) TO: CLERK OF THE BOARD FROM: Denise Weihe SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 9/29/2016 Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next available Board agenda V The attached item(s) have been researched to ensure that the warrant(s) in question have not been cashed or previously re-issued. V The original warrant(s) have had a stop payment done. If you have any questions, please contact Denise Weihe at 602-5-06----7-1-21-or via e-mail at denise.weihe@mcesa.maricopa.gov . Approved Affidavits may be routed back to the Superintendent of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor) Thank you. #95 Queen Creek Game Truck East Valley $970.20 RF.CENE SEP 2 9 2016 MAR1COP', CO" " CLERK BOARD OF S .- , ft/O tO AFFIDAVIT STATE OF ARIZONA COUNTY OF MARICOPA Gt9rac.a.ue_i duly sworn, upon oath deposes and says: That on the 1 k day of „ 201 .„0 , he presented to Aj„ 44= 4-lAu; e*A c,,3.kod 1 4.); sT7Lif 1401 aricopaounty, payment, a claim for services rendered or supplies furnished during the month of L' said claim being in the sum of /.1)1/UE J1ui 84-F.D „5-everti do 854,s .4; dollars ($9 0 .•`) ) in payment of which .aee/0 .54001 ,Aisf 54/ caused Warrant No. 17 66 0 6-lai to be issued on Ci 4A, 20 / drawn on the 110 fund of of Maricopa County, Arizona. Affiant further says that although he was informed and believes that the above mentioned warrant was regularly issued, the same has never been received, or has been lost. WHEREFORE, affiant prays that the Board of Supervisors order and the Ps".0 C4e-e-Zr Z); T 9 s . issue to him a duplicate of said Warrant No. /'7 Ob in the sum of$ °I Sig—nature Subscribed and sworn before me this day of.. 20 i& rathc atacri/L2 QUINCY NELSON Notary Public Notary MARICOPA Public Side COUNTY of Arbxea My Commission Expires My Commission Expires January 31,2020 Following approval please return this affidavit to the Maricopa County Schools Office_ Kirk Keating Owner GameTruck East Valley Mobile Video Game 8: Laser Tag Parties 480.559.9560 - kirk. eating©gametruckparty.com 3798 S Shiloh Way, Gilbert AZ 85297 www.gametruckparty.com 888-602-4263 9/30/2016