080316 DUPLICATE WARRANTS 3 - SCHOOLS.PDF

INTEROFFICE MEMORANDUM
Waricopa County School "Superintendent's Office
TO: CLERK OE TOE 00.ARD
FROM: Willie 'Thompson
SUBJECT: Affidavits
DATE: 7/15/2016
Please _find attached 2 Affidavit/Arotice of Cfaim(s)for lost warrants for inclusion on
the neki available Ooard 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 Willie Thompson at 506.3898 or via e-mail at
mthompson@mcesa.maricopa.gov . Approved Affidavits may be routed back to the
Superintendent of School - Finance Division at 4041 X. Central Avenue #1200, ( 12 th
Floor) Thankyou.
#44 AVONDALE RACICEL .7fELGAGER $ 784. 72
'110 \
ECENED
JUL 15 2015
MARCO PA COUNTY
CLERK BOARD OF SUPERVISORS

AFFIDAVIT
APPROVED
STATE OF ARIZONA pAyff i5' 16
COUNTY OF MARICOPA
CLERK. BOARD OF SUPERVISORS
MAnICDPA COUNTY
ftQch1 1--( ( C-)C1. (-Cs being duly sworn, upon oath deposes and says:
That on the (9 - 01 day of c-54 a Dij he/she presented to
the Avondale Elementary School District of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of bu % - r , C-) , said claim being the
:13_(tw
sum of 5olon ho,n6mck -Wilr\N-t1lAr dollars ($17) 14 in payment of which the
Superintendent of Schools caused his/her Warrant Number tQ7C-00645 to be issued on
RUCDU`ak 0+11 , aon , drawn on the 0'60 Fund of Avondale Elementary School District of
Maricopa County, Arizona.
Claimant further says that although he/she was informed and believed that the above-
mentioned warrant was regularly issued, the same has never been received or has been lost. Under
penalty of perjury, claimant hereby affirms that this claim is correct and the amount shown is due
and owing.
Wherefore, claimant requests that the Board of Supervisors order and in the Superintendent
of Schools issue him/her a duplicate of Warrant Number I (-0 0000:3-5 in the sum of
Claimant Signature / 24,
Subscribed and sworn before me this I day of J L&J2 , O) .
f\ r& N1 &t Son My commission expires: Dec.
(Notary Public)
Seal:
grI ea g OFFICIAL SEAL
AURA NELSON 11
-' Notary Public -State cf Arizona I;
(....:Ntap...v My MARICOPA COUNTY
Comm. EvIrea Doc. 28, 2019 1
Following approval please return this affidavit to Maricopa County Education Service Agency