050416 DUPLICATE WARRANTS - 3.PDF

INTEROFFICE MEMORANDUM
liarkopa County School-Superintendent's 0,
TO: CLERK OE00ARD
FROM: Willie Thompson
SUBJECT: Affidavits
DATE: 4/8/2016
Pase find attached 1 _Affidavit/g\rotice of Cfaim(s)for Cost warrants for incrusion on
the next avaita6 oard agenda
The attached item(s) have been researched to ensure that the warrant(s) in
question have not been cashed or previousCy re-issued
The original" warrant(s) have had a stop payment done.
If you have any questions, .pase contact .911dlie Thompson at 506.3898 or via e-mad at
mthompson@mcesa.maricopa.gov . Approved Affidavits may be routed back to the
Superintendent of SchoofEinance Division at 4041 N. Central Avenue #1200, ( 12 th
Efoor) Thankyou.
#90 SADDLE 110VIVT.A11 I1 CORE CONSTRVCTION $15,585.30
?016
MA
CLERK BOAL,

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
t (4-)
being first duly sworn, upon oath deposes and says:
Iname and title of person )*
That on the g(-7_da y of 2O j , he/she presented to ___VIIIDSa b
District of Maricopa C nty, Arizoi a, for paymegj . , a claim for services rendered or supplies furnished
during the month of . 20 , said claim being in the sum of ($1 fScat,2
FAaarY a %VA)! - att."; 0-el) 04ars in pWrWof
Which the Superintendent of Schools caused his/her Warrant Number 9o55 to be
Issued on th Sc.4 O., drawn on thet.baund
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 SuiVors or0r. apd the Superintendent ofSchools*e.
to him/her a duplicate of said Warrant Number S (=Kt.+ in the sum of $ tbteRS,
Signed: * *
'Name & title of aV'florized personnel)"
Subscribed and sworn to before me this SC.) day of , 20/
NOTARY PUBLIC :
AcISZ3›, Notary Public State of Arizona
My commission expires: Maficopa County
Megan Washington
My onin;i5si on Expires 05/20/2017
l'sAA/Vs"AfNeSpA/4"of
Following approval please return this affidavit to the Maricopa County Education Service Agency 'Office.

.•,• , •
• OOLEXPE . „ A.AANr.„ ".-41:1YI:6f0:4!1 chOP°46niNt.
.TREASURER 1C.OPA COU
PHOENIX, ARIZONA 91-2/1221
THIS INTEREST WARRANT STOPS DRAWS ON DATE INTEREST FUNDS FROM AVAILABLE. DATE (SEC MARKED 11-636, INSUFFICIENT ARS1956) FUNDS' DATE CONTROL NO.
, 02/25/2016 90551694
Saddle Mountain Unified District #90
)4Yfteen Thousand Five Hundred Eighty Five and 30/100*** Dollars WARRANT AMOUNT
$15,585.30
CORE CONSTRUCTION
'0
"1-1E 3036 E. GREEN WAY RD
)RDER PHOENIX, AZ 85032-4414
)F Dr: Donald Covey:
Superintendent of Schools.
AUTHORIZED SIGNATURES
11'4 600759 9 20 L 22 /000 241: 9 70 4 3 911 9 311'
4ARICOPA COUNTY SCHOOLS • PHOENIX, ARIZONA 02/25/2016 Check: 90551694 EXPENSE
AP/D-Batch Run Date 2/24/16 460075992
CORE CONSTRUCTION
Payee E I 02/25/2016 I
Check Date
Account Number PO Number invoice Amount
630100460064501010001420 160254 APP 1 & 2-160254 15,585.30
VOUCHER: 1083 TOTAL: $15,585.30
HARLAND CLARKE M22692 50151186

623 474 5190 SMUSD DISTRICT OFFICE 12:08:27 p.m. 04-07-2016 1/1
CONSTRUCTION
Itulationships. Solutions. Valium ...Since 1937,
April 7, 2016
Saddle Mountain Unified School District
38201 West Indian School Road
Tonopah, AZ 85354
To Whom It May Concern:
I, Mark Steffen, President of CORE Construction Group Services, Inc (CCG Services, Inc.) hereby confirms
that John Verhoff, Controller for CCG Services, Inc. is duly authorized to sign the attached affidavit for
the District of Maricopa County, Arizona.
Any questions please do not hesitate to contact me.
Thank you
Zg.IL
Mark Steffen
President
CCG Services, Inc.
3038 East Greenway Road Phoenix, Az 135032 P II: 602.494,0000 PAX: 602.992.0640 www.COREconstruction.com
IIIW A-11 0313, 1141I (11i9/1,5, II-1097211