042016 DUPLICATE WARRANTS - 5.PDF

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: 3/31/2016
Please find attached 2 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.
#201 Buckeye Union Kalob S. Claucherty $308.71
#31 Balsz Twotrees Technology $112675.20
AP1- - 4 20 6
CLERK BOARD OF :;
4,6 0-0a0

AFFIDAVIT AtikiOlie—kOVEIL.)
DA) A 1O 4 )06
STATE OF ARIZONA
LEAK. BOARD OF SUPERVISORS
MARICOPA COUNTY
COUNTY OF MARICOPA
Kolob Claucher4-1 , being first duly sworn, upon oath deposes and says:
That on the ledav of Feb 20_ _ , he presented to 3ucKEyE 1.11.110A1 141614 Stik.01-
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of Pe8RUAR_NI 20 , said claim being in the sum of
PRE.E 14UAIDIZED EIGRT I/DO —Dollars, ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1600062.79Z to be
issued on FebruCir,/ 18 , 20 16 , drawn on the Fund of 3cickE.1/416_, uNioN 1-1/P EcilooL
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
to 00 Co 2792. in the sum of $ 30S . 1-11 .
) Notary LESLIE Pu0110 DOUD - Arizona
Signed: Maricopa County
My Comm. Expires Nov 14, 2017
Subscribed and sworn to before me this 4-7 nolk day of TY19A,C ,20 1(to
NOTARY PUBLIC
My commission expires: 4)00, 1 (4)i r7
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

APPR 0 VED
AFFIDAVIT
STATE OF ARIZONA
SOAR S CP SUPERViSORS
MARICOPA COUNTY
COUNTY OF MARICOPA
)toorgEE_S 1iet4 NOG_Okls.0 , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on r.3I , 20 /.< , he/she presented to ?Set-160 I- .L 4:# I of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of beCE(Y)13,42, 20 ,L1 , said claim being in the sum of ($ 675. PC) )
brie urn fccolo kos'i-lousAND Slx PC.44(: \SE,OENTti E (id 11/0 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 4-)60010 4'0.17/(i to be issued
on /4) \_114(Uult-to, , 20 /Go , drawn on the JO ! Fund of 261-SZ CHOU— 1) I S V. 4-01 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 *owe, g.-1/ 14 in the sum of $ .
M a IA et
day of 'Zk t; L\ , 20 \. tz.) 00‘1 111 1111//N.
4%401 A14E ,, "/
i?.."/41-0TAfrIN.
NOTARY PUBLIC: (//'/W i&( 2tAaL 5. f #12002121 S
LI E EXP. 03i05/16 I E
My commission expires: 3/v y/'& VA\ 145,
0/ Op
/4//11111100
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

TWOT RI IS
200 North Emporia
Suite 300
Emporia, KS 67202
3/10/16
To Whom It May Concern:
Chauncey Braucher is a representative of Twotrees Technologies as well as SageNet of Tulsa.
Best Regards,
Megaen Breuer
Controller
SageNet of Tulsa, LLC
Twotrees Technologies, LLC