062216 DUPLICATE WARRANTS - 3 - SCHOOLS.PDF

INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency (aka
Maricopa County Superintendent of Schools Office)
TO: CLERK OF THE BOARD
FROM: Denise Weihe JUN 03 2015
MiTflu Qpi COUNTY
SUBJECT: Affidavits — Replacement of Lost Warrants CLERK BOARD OF SUPERVISORS
DATE: 6/2/2016 1/6 ,A,evti2j0 0
Please find attached 6 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 602-506-7121 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.
#31 Balsz Doyel Chancey $22.47
#31 Balsz Elizabeth Bartels $20.19
#31 Balsz Elizabeth Bartels $210.29
#31 Balsz Elizabeth Gonzales $580.15
#31 Balsz Erika Hand $19.26
#31 Balsz Ashley A Smith $508.52

AFFIDAVIT
STATE OF ARIZONA RD OF SUPERVISORS
=.ICOPA COUNTY
COUNTY OF MARICOPA
'7)(:)9EL OHAQC , being first duly sworn, upon oath deposes and sa ys:
Name and Title of Person)
That on I IF S. , 20 / c, he/she presented to-Zel—SZ <S)Ct-t0G;-. 7)/ SI'. 44 3! of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of rE,I5 e_k4 Ail, 20 / (.0 , said claim being in the sum of ($ 66Z. )
Ctx)CQ- 447 / CO Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 1)6,o O Ze26',5,:' to be issued
on A PEAS ,20 / (p, drawn on the 00/ Fund of SScRôct. r.,43/ of
(School District Name)
Maricopa County, Arizona.
Affiant further sa ys that althou gh 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 (i6,06 ''53 in the sum of $ cga iv .
Signed:
Name an itle f ut orized Pers nnel)
Subscribed ancrsworn to before me this
NOTARY PUB
My commissi
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
DESIRE JASMINE DALEY
NOTARY PUBUC - ARIZONA
MARIGOPA COUNTY
My Commission Expires
November 14, 2016

AFFIDAVIT
.1741 0 3 2013
STATE OF ARIZONA
COUNTY OF MARICOPA
* 147Y .8n-At77-5 , being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the ake day of M1- 20 /4 , he/she presented to
4sz •EL) 7P37
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of .J.7./A)E-- 20 /5 , said claim being in the sum of ($ 40.17 )
71:4*-3v7Y1 —1:Tollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number /50(77027 7 to be
Issued on the 6/a. ,20/5, drawn on the M2Fund of 154f-e52. zEs0--#3'/
District of 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 /52)7A7,7 in the sum of $ 02e2 .
Signed:**
(Name & title of authorized personnel)**
Subscribed and sworn to before me this old, day of
NOTARY PUBLIC :
RIE M. COLTER
NOTARY PUBLIC - ARIZONA
My commission expires: MARICOPA COUNTY
My Commission Expires
March 29,2019
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
* ,36tAszs , being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the (94 day of 311— 20 /6, , he/she presented to
.9'49 z_
District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished
during the month of 0.--tety 20 , said claim being in the sum of ($ 02/12. 02/ )
--71- 4) ititm)2:Ie.• -'7/ca.5,1 Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number /642,o1...502_ to be
Issued on the .3 ,2045 , drawn on t h e C2/o1 Fund of
District of 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 /60CasZ.5.5igg in the sum of $ ,.2/0.4 .
Signed:**
(Name & tittle of authorized personnel)**
Subscribed and sworn to before me this p/4 day of 20
NOTARY PUBLIC :
LAURIE M. COLTER
My commission expires: NOTARY PUBLIC - ARIZONA
MARICOPA COUNTY
My Commission Expires
March 29, 2019
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

APPROVED
DATE. J 0 3 201)
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
el—a46' 7lig41Z41 being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the 146' day of 20 , he/she presented to
District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished
during the month of (n(IVE 20/5 , said claim being in the sum of ($ )
A-1-/e---AvEae Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number /.../Vg72.5..0Z to be
Issued on the ,207-, drawn on the CiVi Fund of ,e1.49-46.z.,t5sb 4P, /
District of 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 /508702.5,02 in the sum of $ .
k-ck
Signed: ,A1(1bA
(Name & title of authorized personnel)**
Subscribed and sworn to before me this r-26 day of , 20/4
NOTARY PUBLIC :
.55v-aai7 LAURIE M. COLTER
My commission expires: NOTARY PUBLIC - ARIZONA
MARICOPA COUNTY
My Commission Expires
March 29, 2019
L.
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA MARICOPA COUNTY
* , being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the ,day of 20 /6 , he/she presented to
8.4-tsz IE5eb
District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished
during the month of 07,411E— 20j& , said claim being in the sum of ($
26
Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number 1.-27W7.3 to be
Issued on the e ,20 45, drawn on the /fie Fund of E51b131
District of 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 /5(909.26 in the sum of $ /$oV .
Signed:**
(Name & title of authorized personnel)**
Subscribed and sworn to before me this day of 20 /'
LAURIE M. COLTER
NOTARY PUBLIC : LOTARY PUBLIC - ARIZONA
MARICOPA COUNTY
My Commission Expires
My commission expires: March 29,2019
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

A P P
AFFIDAVIT RN 03 20'13
DAT
STATE OF ARIZONA
, -;VISORS
COUNTY OF MARICOPA
745,6/za-t,,A 50-7-7/ , being first duly sworn, upon oath deposes and says:
(name and title of person )*
That on the day of 20 14. , he/she presented to
,afts.z_ ,Esj).463/
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of ;TUNE 20 , said claim being in the sum of ($ )
VC- t76-1-&—.0-5tienalt_ Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number /....452,2a7/41 to be
Issued on the Ab , drawn o n the CO/ Fund of 1341{-5Z- aeZ5frit....4/
District of 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 an the Superintendent of Schools issue
to him/her a duplicate of said Warrant Number /.C299,27/64- in the sum of $ 5O€B.IIZ .
Signed:** Lci 4
(Name & title of authorized personnel)**
Subscribed and sworn to before me this / 34" day of /(4\t/ , 20 1 (,-7
NOTARY PUBLIC: ver, _2'L> —UNE -- M. COLTER
€71 NOTARY PUBLIC - ARIZONA
My commission expires: My MARICOPA Commission COUNTY Expires
March 29, 2019
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.