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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: 12/10/2015
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 Schools Finance Division at 4041 N. Central Avenue #1200.
#214 Tolleson Union Christina Frye $668.48
#5 Isaac Maria J Hernandez $971.34
RECE WED
DEC 11 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
I /0 Meal 4-
AFFIDAVIT DECL1 1 211.15
STATE OF ARIZONA BOARC) OF SUPERVISORS VI/471
MARICOPA COUNyv
COUNTY OF MARICOPA
, being first duly sworn, upon oath deposes and says:
That on the ,26- day of tJfiv 20 he presented to To vi oi 14f
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of i\JOV-ghile-r 20/C-, said claim being in the sum of
141109
tatind Stt ($ (.gte' ) in payment of which the
Superintendent of Schools caused his/her Warrant Number IICOOLIO °AO to be
issued on Paleivtg-i I , 20 /C, drawn on the 00/ Fund of I otLe-564 Opicrt Hs
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
Ite00LI0q00 in the sum of $ (f)(k qg
Signed: .
4--
Subscribed and sworn to before me this / day of rd emicec420
JOYCE C. COUNCIL
Notary Public- State of Atha*
MARICOPA COUNTY ('Nuptie,
COMMIS$1011 Expires Sept 111 NOTARY PUBLIC
My commission expires: 9 cR6/7
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
Affidavit
, STATE OF ARIZONA )
COUNTY OF MARICOpA)
11'6"r'6C'
C) . 4li'.2..2 being first duly sworn, .upon oath deposes and . says:
That on the 02_ day of ZIT-e-"k:" , 20 'he presented
to the ita& Cb1,51)( Of 5 Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month °LP said claim
of.flutchemdrei 5tabe ozo e-r- 3 7
being in the sum Dollars
( $ in payment of which the Superintendent of Schools caused his
Warrant No.nieV39‘920 to be issued on_ en44-er-- /Li 20 /37 drawn on the
36) Fund of -17-916{C' Of Maricopa County, Arizona.
Affiant further says that although he was informed and believes that
the above 'mentionedwarrant 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 a duplicate of said warrant number
in the sum of $. 7/' 3 7
CONSUELO S. HERNANDEZ
NOTARY PUBLIC - ARIZONA
MARICOPA COUNTY
My Comm. Exp.: February 24,2018
Subscribed and sworn before me this4-'-' day of ,
.(notary public)
my commission expires
Following approval please return this affidavit to Maricopa County Schools.