100715 DUPLICATE WARRANTS.PDF

Maricopa County — Formal (2015-10-07)

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I ttt v:1 t 1, 'V - Maricopa County
Human Resources
2015 SEP 21 PM 2: 1 0
(Ve,\ I Vet ec(
Merio
To: Fran McCarroll, Clerk of the Board
From: Debra Upton
Date: September 21, 2015
Re: Replacement of Lost Payroll Warrants
Please find attached 2 Affidavit/Notice of Claim(s) for lost
payroll warrants for inclusion on the next available Board 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.
Please call Debra U. at ext. 66329 for any questions. Please route
approved Affidavits back to County Payroll, Suite 220.
Stale Dated Warrant DuplicatejWarrant
Thank you.
Replacement Lost Warrant Form 1 02125/2015

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Duplicate or gl Stale -Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Ginny-Lee Richardson (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 12/3/2014 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him her in the su .(3)
Signed:
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) bscribed and sworn to beforAid e this q-74/1 day of fer)--)Lei- 20
r
N iiII1111111111
SARAH MICHELLE SMITH
My commission expires: NOTARY PUBLIC -ARIZONA
3.eptemai- - / Jo 1 Maricopa County (seal)
My Commission Expires
September 12 2018
Warrant/Check Number 22240412
(if known) (6)
Original Date of Issue 12/3/2014
(if known) (7)
Reason for original issue of Warrant/Check (8): N)
14 Payroll
LI For Services or Goods furnished
LI Treasurer's refund/payment
LI Other:
RK BOARD OF SUPERVISORS
Revised April 2015 MARICOPA COUNTY A.R.S. 11-632 81. 11-644
EMP lutb 81105852„9

Stale Dated Check Claims
1. Please provide a statement validating that there is good and
sufficient reason for not presenting the original
warrant/check for payment before the voided date.
7
/on/0-/-11-1
r C'e
) (-r-7 tt7i
2. Where would you like us to mail the replacement
warrant/check?
Li 71"--
3. If available, please attach the original warrant/check or a
copy along with the notarized affidavit and this form to:
Maricopa County Elections Dept.
Attn: Payroll Division
111 S. 3rd Ave, Suite102
Phoenix, AZ 85003-2294
Please contact Deyan Bunjevic at 602-506-2471 or Lorraine
Garrett at 602-506-2492 if you have any questions.

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: 9/21/2015
Please find attached 4 Affidavit/Notice of Claim(s) for lost
warrants for inclusion on the next available Board 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.
Please contact Denise Weihe at 506.7121 or via e-mail at
denise.weihegmcesa.maricopa.gov if you have any questions.
Approved Affidavits may be routed back to the
Superintendent of School Finance Division at 4041 N. Central
Avenue #1200, (12th Floor) Thank you.
#60 Higley Phoenix Children's Hospital $4344.08
#60 Higley Phoenix Children's Hospital $4344.08
#60 Higley PADT $11809.21
#94 Paloma Human Relations Media $791.67
RECEIVED
SEP 2 1 2015
CLERK MARICOPA BOARD OF COUNTY SUPERVISORS
iip OACA

AUG 2 4 2015 APPRoVED
4T AFFIDAVIT
SEP) 1 2015
STATE OF ARIZONA
COUNTY OF MARICOPA
134-07- , being first duly sworn, upon oath deposes and says:
ccl
That on the day of 20 /67he presented to
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of Yra-Li 20 said claim being in the sum of
L A (-Qd 'et ad fllt n e-
e kv4v' 411ou5andef (JO- nullbol tars, ($1 I Mi,-)1) in payment of which the
Superintendent of Schools caused his/her Warrant Number 14 5 co ?ea q /f8 be
issued on , 20i5 drawn on the LIDO Fund of 14i• L)t'fi ed
47)00
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
1-16:)609/411 /..) in the sum of $ 23.661-I
Signed:
efore me this day of
NOTARY PUBLIC
My commission expires: iij c-2
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

Phoenix Analysis & Design
Technologies
To whom it may concern,
I, Eric Miller, hereby authorize Joshua Heaps to sign this affidavit on behalf of PADT inc. in regards to re-
issuing payment for PADT invoice 44815.
Eric Miller
Principal
PADT, Inc.
ASU Research Park • 7755 S. Research Dr. • Suite 110 • Tempe, AZ 85284
1-800-293-PADT • (480) 813-4884 • FAX (480) 813-4807
www.padtinc.com

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
14ccen,1i, . 01-v;i oecto _s , being first duly sworn, upon oath deposes and says:
hosio rktiL. c)(2:roo PE PicS
That on the day of Sep-t- 20 5, he presented to
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of Akio\ 20 15-, said claim being in the sum of
i_v ti--) - re e /ixDollars, 4ff ($ 1t) in payment of which the
i-k-tina red
Superintendent of Schools caused his/her Warrant Number tp tv7)) Li 3 /A) to be
issued on A-Qc), 1B , 206 , drawn on the 6a_5 Fund of k VS
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
Gob ?)LeC) in the sum of $ 4, 9-1Li De)
DEBRA PIKE
) Notary Public - Arizona
Maricopa County
Signed: My Comm. Expires Jun 17, 2017
1 . 11"11"11PIWwW41101119.
Subscribed and sworn to before me this ci day of 71- ,20
PL,La
( NOTARY PUBLIC
My commission expires: ,IL,4r) / 7,,c770/
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

Center for Pediatric
Orthopaedics September 17, 2015
Emily And risevic, MD
Mohan V. Belthur, MD
Higley Unified School District #60
Randon T. Hall, MD, MBA
2935 S Recker Road
Kimberly M. Hornbeck, MD Gilbert AZ 85295
Judson W. Karlen, MD Attn: Lisa Bates
Brian D. Kelly, MD
To Whom It May Concern:
Peter D. Masso, MD
Jeffrey M. Vaughn, DO Please note that Amy Whitford is an authorized signer of the affidavit.
Greg R. White, MD
Sincerely,
Kristina M. Wilson, MD
Mandy Falk, PA-C
Perry Edinger, PA-C
Debby Pike
Morgan Jones, PA-C Administrative Assistant II
Our locations: Center for Pediatric Orthopaedics
Phoenix Children's Hospital Phoenix Children's Hospital
1919 East Thomas Road
Phoenix, AZ 85016
Phone: (602) 933-3033
Fax: (602) 933-5245
East Valley
5131 E. Southern Ave.
Mesa, AZ 85206
Northwest Valley
20325 N. 51 st Ave.
Glendale, AZ 85308
Southwest Valley
1665 N. Avondale Blvd
Avondale, AZ 85392
Scottsdale
6990 E. Shea Blvd
Scottsdale, AZ 85254
Specializing in the Surgical
Care of Infants, Children, and
Adolescents, including:
Clubfeet
Complex Spine deformities
ODH
Limb length discrepancies
Neuromuscular disorders
Pediatric fractures
Scoliosis
Sports Medicine
Visit us at:
www.phoenixchildrens.com

APPlij
AFFIDAVIT
DATj SEP1 201
STATE OF ARIZONA BOAIR -
IAARICOPA CUUNP(
COUNTY OF MARICOPA
N' -k- I t...0 s , being first duly sworn, upon oath deposes and says:
Q rsPil-14L. cataTi4oPED I C
That on the e) day of fieft 20 15 , he presented to . 11.)SLY- 06
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 7 I..) 2015 , said claim being in the sum of
C)or /610USACJ-)01 ±t,/ lee. Dollars, (039`/L0) in payment of which the
Yruy-lore anci For- 4-1 - r-bc) r 9
Superintendent of Schools caused his/her Warrant Number /0 0 6,01/ 58 to be
issued on 3L.AIi A 5 , 20 15 , drawn on the 55 Fund of 1-1-0 SD idle&
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
1-UPDOO (05b9 in the sum of $ 93csi.68.
-:711t Lti DEBRA PIKE
Notary Public - Arizona 0
MAI r wit/.74 )01#11uni IIrurII
Signed: L/A,b' Vd 1/11Couritrr »jr
Subscribed and sworn to before me this 9 day of ,Jel" p ± ,20 /3
CciaL)
NOTARY PUBLIC
My commission expires: -7 UT) I 71_32_0/7
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

Center for Pediatric
Orthopaedics September 17, 2015
Emily Andrisevic, MD
Mohan V. Belthur, MD
Higley Unified School District #60
Randon T. Hall, MD, MBA
2935 S Recker Road
Kimberly M. Hornbeck, MD Gilbert AZ 85295
Judson W. Karlen, MD Attn: Lisa Bates
Brian D. Kelly, MD
To Whom It May Concern:
Peter D. Masso, MD
Jeffrey M. Vaughn, DO Please note that Amy Whitford is an authorized signer of the affidavit.
Greg R. White, MD
Sincerely,
Krishna M. Wilson, MD
Mandy Falk, PA-C
Perry Edinger, PA-C
Debby Pike
Morgan Jones, PA-C Administrative Assistant II
Our locations: Center for Pediatric Orthopaedics
Phoenix Children's Hospital Phoenix Children's Hospital
1919 East Thomas Road
Phoenix, AZ 85016
Phone: (602) 933-3033
Fax: (602) 933-5245
East Valley
5131 E. Southern Ave.
Mesa, AZ 85206
Northwest Valley
20325 N. 51 st Ave.
Glendale, AZ 85308
Southwest Valley
1665 N. Avondale Blvd
Avondale, AZ 85392
Scottsdale
6990 E. Shea Blvd
Scottsdale, AZ 85254
Specializing in the Surgical
Care of Infants, Children, and
Adolescents, including:
Clubfeet
Complex Spine deformities
DDH
Limb length discrepancies
Neuromuscular disorders
Pediatric fractures
Scoliosis
Sports Medicine
Visit us at:
www.phoenixchildrens.com

Schools Affidavit/Claim Form
K, PEPVISORIS
-- MAHICoRA - COUNTY
Application for a Duplicate Warrant/Check (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Human Relations Media (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about June 18,2015 (date) (2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 791 -67 .(3)
Signed: (4)
(5) Subscribed and sworn to before me this pf ST day of
NOTARY PUB C MARY F DEGNAN
Notary Public, State of NOW York
Mv commission expires: Qualified No. In 02DE4948944 Westchester Coon_
2-7 - Commission Expires March 27, 20./.; (seal)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
Warrant/Check Number 450101106
(if known) (6)
Original Date of Issue 06/18/2015
(if known) (7)
Reason for original issue of Warrant/Check (8):
0 Payroll
II For Services or Goods furnished
0 Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S. 11-632 & 15-999

f
HUMAN
(914) 244-0486
RELATIONS Fax: (914) 244-0485
Toll-Free: (800) 431-2050
MEDIA 41 KENSICO DRIVE, MT. KISCO NY 10549 Web Site: www.hrmvideo.com
August 21, 2015
School Expense Warrant
Treasurer of Maricopa County
Phoenix, AZ
To Whom It May Concern:
Elaine Napolitano is authorized to sign the Schools Affidavit/ Claim Form stating Check number
45010116 dated June 18, 2015 was lost by our bank.
Sincerely,
11,2
Yair Kadmon
President

INTEROFFICE MEMORANDUM
Waricopa County Education Service Agency
TO: Crerkof the Ooard
FROM: Susana Eraire/Ersa Perez
SUBJECT: Affidavits — Wcpfacement of Lost /StaTh Warrants
DATE: 9/17/2015
Pase find attached _1_ Affidavit/Notice of Claim(s)for Cost warrants for inclusion
on the next 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
-\1 The originafwarrant(s) have had a stop payment done,
If you have any questions, please contact Samna Eraire/Eaa Perez at (602) 372-8425
or (602) 506-3533 or via e-mail at garnishments@mcesa.maricopa.gov. Approved
Affidavits may be routed back to the Maricopa County Education Service Agency at
4041 IV: CentrafAvenue #1200, ( 12th Efoor) Thankyou.
Eund 781 ELIWIDA SAAVEDM $316.20
RECEIVED
SEP 21 2015
MARIC;OPA COUNTY
CLERK BOARD OF SUPERVISORS
,
/0 Velicaei

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: gi Duplicate or 0 Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
ELINIDA SAAVEDRA (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 26TH OF AUGUST 2015 (date )(2) )(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $316.20 .(3)
Signed: -, 4:.).):(--t) d\-').dtitlAx-cLe_;I (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this IS‘--1 day of Sp p tooLo-a--, 20 /61
NOTARY PUBLIC PUBLIC
My commission expires: LILA FAY STREAVEL
's Notary Palk; - State of Arizona
LIWN n 1 ri.4ARICOPA COUNTY (seal)
My Commission Expire*
MeV 7. 2017
Warrant/Check Number 160012838
(if known) (6)
Original Date of Issue 8/26/15
(if known) (7)
Reason for original issue of Warrant/Check (8):
El Payroll
LI For Services or Goods furnished
El Treasurer's refund/payment
111 Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc
Revised April 2015 A.R.S. 11-632 & 11-644

i Maricopa County
2015 SEP 2 1 PM 2: 1 0 Human Resources
\ck C\,ei
Memo
To: Fran McCarroll, Clerk of the Board
From: Debra Upton
Date: September 21, 2015
Re: Replacement of Lost Payroll Warrants
Please find attached 2 Affidavit/Notice of Claim(s) for lost
payroll warrants for inclusion on the next available Board 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.
Please call Debra U. at ext. 66329 for any questions. Please route
approved Affidavits back to County Payroll, Suite 220.
Stale Dated Warrant Duplicate)Warrant
Thank you.
Replacement Lost Warrant Form 1 02/25/2015

A P 111 1L!
SEP%2 4 2015
DAT -
R7CIF SUPTRVISORS AFFIDAVIT/NOTICE OF CLAIM
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
MYRNA ELLEN AUMAN BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 26TH day of AUGUST , 20 14 , he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of AUGUST , said claim being in the sum of
ONE HUNDRED FIFTEEN AND NO/100
Dollars ($ 115.00 ) in payment of which the Board of Supervisors caused the
Warrant No. 22219299 to be issued on SEPTEMBER ,20 14 , drawn on the
Payroll Clearing Account fund.
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. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. 22219299 In the sum of $ 115.00
Dated: cc 2.t&9 la, 20 / hr'. Signed:
J Affiant
Ere-creattcrxiuron
—Eeplaeoftreftt-cfretrir
Subscribed and sworn to before me this ay_of Se,Pt , 20 1---S
My commission expires: Notary Publics
Martcopa County, Arizona
MY Comm. Expires 08-19-17
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO:
Name: MYRNA ELLEN AU MAN Telephone Number: 623-742-9434
Address: 10134W ILLINI ST Employee ID #: 8 1 1 1 7 511—
Address: TOLLESON AZ 85353
01/31/2013

INTEROFFICE MEMORANDUM
Maricopa County Education Service Agency (aka
Maricopa County Superintendent of Schools Office)
RECEIVED
TO. CLERK OF THE BOARD
SEP 2 4 2015
FROM. Denise Weihe
MARICOPA COUNTY
SUBJECT. Affidavits — Replacement of Lost Warrants CLERK BOARD OF SUPERVISORS
/(:). YV/0/1/
DATE. 9/23/2015
Please find attached 7 Affidavit/Notice of Claim(s) for lost warrants for inclusion on
the next available Board 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 Denise Weihe at 602-506-7121 or via e-mail
at clenise.weihe@mcesasnaricopa.gov . Approved Affidavits may be routed back to the
Superintendent of Schools Finance Division at 4041 N. Central Avenue #1200, (12th
Floor) Thank you.
#59 Laveen Theresa Dowling $1436.98
#59 Laveen Theresa Dowling $1597.23
#59 Laveen Theresa Dowling $1360.52
#59 Laveen Theresa Dowling $1360.52
#59 Laveen Theresa Dowling $1384.52
#59 Laveen Theresa Dowling $1384.52
#214 Tolleson Dancewear/Kevin Schaller $167.70

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Er Duplicate or 11 Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Theresa Dowling (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about September 25, 2014 Oate)(2) / \ a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 1,384.52 .( 3)
Signed: (4)
Note: Please attach a col*-6f the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this \ UP4's day of Serj".' er-- 20 I-S
NOTARY PUBLIC KAPLA AMES.
Notary Public,State of Afizona
Maricopa County
My commission expires: My October Commission 30, Expires 2015
D (.3-p 64,- 2o 2.01S 1.11I1•71 (seal)
Warrant/Check Number 150013290
(if known) (6)
Original Date of Issue 9/25/2014
(if known) (7)
le it'
Reason for original issue of Warrant/Check (8): SEP
El Payroll DATE.
e, .• , •
111 For Services or Goods furnished _:2014itailifinkarMIL ORS
MARICOPA COUNTY
I= I Treasurer's refund/payment
111 Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc
Revised April 2015 A.R.S. 11-632 & 11-644

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: El Duplicate or El Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Theresa Dowling (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about October 23, 2014 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 1,384.52 .(3)
Signed: 7--/C)24-L-eit (4)
Note: Please attach a copy —of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued
(5) Subscribed and sworn to before me this (0 44" day of Sepl-t.-,6er' 20 1 5 .
NOTARY PUBLIC KARLA AMES-ORTIZ
Notary Public,State of Arizona
Maricopa County
My commission expires: My October Commission 30, 2015 Expires
Ocho bete- 30/ 20 ILS (seal)
Warrant/Check Number 150023933
(if known) (6)
Original Date of Issue 10/23/2014
(if known) (7)
Reason for original issue of Warrant/Check (8):
RI Payroll
O For Services or Goods furnished
O Treasurer's refund/payment
O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Warrants Checks notice of claim - Copy.doc
Revised April 2015 A.R.S. 11-632 & 11-694

AFF DAVIT
441.
STATE OF ARIZONA
COUNTY OF MAR1COPA
m , being first duly sworn, upon oath deposes and says:
That on on the \CI day of 206 , he presented to
District of lvlaricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of <\)6,ne. 20 \5, said claim being in the sum of
CreltitYkiltt Nctli rs (S\ (el 7+0 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1-1' ..COCk.)(611* to be
issued on , k._.ksf\t,LI 20 drawn on the 8,c..) Fund of TWe Kiy),(V1k0A4\
District of Maricopa County, Arizona. CW\
Affiant further says that although '1e/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
M91414 in the sum of $ 11(5171f.),
Signed:
rcci-or 4 1—
Subscribed and sworn to before me this iiin4 day o
My commission expires: 17- •
Fallowing approval pleas return this affidavit to the Mandopa County School Superintendents 0 rice.
JACKLYN S. O'LEARY
Notary Public - Notary Seal
STATE OF MISSOURI
St Louis Cit‘
My Commissio,' Expire:: d 2016
Commission # 12512628

MARICOPA COUNTY
Department of Finance
301 West Jefferson, Ste 960
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: September 25, 2015
To: Clerk of the Board
From: Beth Brown
Department of Finance
Subject: Affidavit — Replacement of Lost Warrant
Please find attached affidavit for lost warrant to be included on the next available Board
Agenda.
• The attached item has been researched to ensure the warrant in question
has not been cashed or previously re-issued.
• The original warrant has a void/stale date/stop payment done.
Please call me at 506-1329 if you have any questions. Please return the approved
Affidavit to my attention in the Department of Finance, Suite 960.
Thank you.
Re: LL DECKER & ASSOCIATES INC
RECEIVD
SEP 25 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
V-1,24 ddiVerob

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Duplicate or El Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA numbers on the Instruction sheet which is
Dace 2 of this form.
LL DECKER & ASSOCIATES INC (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 1 1 -Aug-2015 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him her • the sum of $6,450.00 .(3)
Signed (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued,
(5) Subscribed and sworn to before me this (2144 day of 20
NOTARY PUBLIC
KATHLEEN M. ELDERS
Notary Public - State of Arizona
My commission expires: My MARICOPA Commission COUNTY Expires
S - March 31, 2016 (seal)
Warrant/Check Number 360003712
(if known) (6)
Original Date of Issue 11-Aug-2015
(if known) (7)
Reason for original issue of Warrant/Check (8):
LI Payroll
For Services or Goods furnished during the month of August 2015
El Treasurer's refund/payment
El Other:
APPROVED
DAT SEP 52015
AP WIN/ /
P--'K :CARD OF SUP RVISORS
MARICOPA COUNTY

LL DECKER & ASSOCIATES, INC.
Helping Organizations Change
September 21, 2015
Maricopa County Department of Finance
Attn: Beth Brown
301 W Jefferson, Suite 960
Phoenix, AZ 85003
CORPORATE ACTION BY CONSENT OF THE BOARD OF DIRECTORS
OF
LL DECKER & ASSOCIATES, INC.
As permitted by law, the undersigned Board of Directors, being all of the Board of Directors
of the above corporation, unanimously approve, adopt and consent to the following
Resolution of the Board of Directors of the LL Decker & Associates, Inc. and corporate
action(s) without a meeting.
AUTHORIZATION OF CORPORATE ACTION. The Officers are authorized
to take all actions and to sign all documents reasonably needed to satisfy the
Maricopa County Finance Department in reissuing a check number 360003712
that was lost when sent to a previous address of the corporation.
NOW THEREFORE BE IT RESOLVED, that the President be authorized to enter into these
transactions.
ance L. Decker
President
Jeanine E Decker
Secretary and Treasurer
77 East Missouri Avenue, Phoenix, Arizona 85012-1380
Telephone 602.957.9659 • E-mail ldecker@Ildecker.com

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Maricopa County
Human Resources
Memo
Tog Fran McCarroll, Clerk of the Board
From: Wanda Childers
Date: September 29, 2015
Re: Replacement of Lost Payroll Warrants
Please find attached I Affidavit/Notice of Claim(s) for lost
payroll warrants for inclusion on the next available Board 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.
Please call Wanda at ext. 60409 for any questions. Please route
approved Affidavits back to County Payroll, Suite 220.
Stale Dated Warrant Duplicate Warrant
Thank you.
1.?a,2 T6'")-?••1 1'6i) YA/N
93 :01 WV 6Z d3S CIO?
Replacement Lost Warrant Form 02/25/2015
:S.tIOSIAM3,111S A .1,Nno3 vdooid JO 08-V8-8 v1,1
;48313

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for RI Duplicate or 0 Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Sara Smith (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 09/23/2015 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in th,e sum of $ 943 .30 .(3)
Signed: riAVi (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscrib and sworn to before me this cY day of
pr_a_j
OTARY PUBLIC
CARLA D. WAYMIRE
My commission expires: % Notary Public - State of Arizona
MARICOPA COUNTY
/ 6/c!2/)/(i My Commission Expires August 19, 201 seal)
Warrant/Check Number 0022313779
(if known) (6)
Original Date of Issue 09/23/2015 47, -
(if known) (7) t-Jrn
Reason for original issue of Warrant/Check (8): N.)
Payroll -0
E For Services or Goods furnished .1>
O Treasurer's refund/payment 4?
E Other: C.3
APPitotifigo
Revised April 2015 A.R.S. 11-632 84 11-644
SEL3 O
CLERK, BOARD OF SUPERVISORS
MARICOPA COUNTY

Amy Echols - COSCX
Subject: FW: Missing Paycheck
From: Sara Smith - COSCX
Sent: Tuesday, September 29, 2015 9:29 AM
To: Amy Echols - COSCX
Subject: RE: Missing Paycheck
Hi Amy,
I am requesting a new check because I did not receive the original check in the mail.
Sincerely,
Sara Smith

811120365 Smith,Sara P MCVNEX
Paycheck View MCY-Earnings Taxes Deductions Garnishments Special Accumulators Distributions
Name Smith,Sara P Confirmed Check
Check14 Issue Date Earnings Taxes Deductions Net Pay
22313779 09/23/2015 1,281.60 191.30 147.00 943.30
Regularand Overtime Earnings --- Taxes
Reg Hours Reg Pay OT Hours OT Pay FED SS/Dis EE 79.461 1
FED Medicare EE 18.581
40.00 640.80 FED Withholdng 93.261 ;
32.00 512.64 * FED SS/Dis ER 79.461
* FED MedicareER 18.58
r Other Earnings-
1 Code Hours Amounts Add to Gross 14 After-Tax 1.54
HPA 8.00 128.16 12 Before-Tax 145.46
52A Nontaxable 1.29 i
12 Nontaxable 145.46 I
14 Nontaxable 1.54
ADP Enterprise HR screen print as of: 09/2912015 09:51 AM

Memo
RECEIVED
SEP 2 8 2015
To: Fran McCarroll, Clerk of the Board CLERK MARCOPA BOARD OF COUNTY SUPERVISORS
From: Linda Widner
Date: September 25, 2015
Re: Replacement of Lost Payroll Warrants
Please find attached 1 Affidavit/Notice of Claim(s) for lost
payroll warrants for inclusion on the next available Board 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.
Please call Linda W. at ext. 68051 for any questions. Please
route approved Affidavits back to County Payroll, Suite 220.
Stale Dated Warrant Duplicate Warrant
Thank you.
Replacement Lost Warrant Form 1 02/25/2015

APPil 0 VED
DATE. SFP o 201
K, BOARD OF SUPERVISORS AFFIDAVIT/NOTICE OF CLAIM
MARICOPA COUNTY
15 SEP 25 AM11: 14
STATE OF ARIZONA
COUNTY OF MARICOPA HUMAN RESOURCES
n BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the I day of Se , 20 1 LS—, he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of Se YYN , said claim being in the sum of
One —MbuSct y,-)cl kthwildrealionn Six4
Dollars ($ 12-2 (p.`" ) in payment of which the Board of Supervisors caused the
Warrant No. 22:&(-4-0 -2—s— to be issued on , 2015 , drawn on the
Payroll Clearing Account fund.
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. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. 223 1 1-107-c In the sum of $ 22-Cot,
Dated: q -2-3 , 20 I Signed: file440- 6/
Affiant
***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the
replacement check.***
Subscribed and sworn to before me this A-f day of Wkiyi‘er, 20 /LC
Notary Public
My co/ i mission expires: BILLIE BERRY
Notary Public- MO Waits.
MARICoPA COUNTY
? Aeo Nty Commission Expires Feb. tO, 2019
UPON A PROVAL, PLEASE MAIL REPLACEMENT CHECK TO:
Name: Telephone Number: (dP1 "-- 6 S —01 51
Address:
Address:
4/3/2012
ell 1 /572.0
/ to 4)/L.1,\(

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. 9/29/2015
Please find attached 7 Affidavit/Notice of Claim(s) for lost warrants for inclusion on
the next available Board 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 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,
#60 Higley Neal Nunan $25.00
#60 Higley Neal Nunan $25.00
#216 Agua Fria Esau Munoz $317.36
#49 Palo Verde Justin Stanberry $56.07
#66 Roosevelt Ryan Menke $1270.63
#66 Roosevelt Thomas Spurlock $750.17
#47 Arlington Town of Buckeye $325
RECEIVED
SEP 3 0 2015
MARICOPA COUNTY
CLERK BARD OF SUPERVISORS
t 1 0 mcu-Q,

AFFIDAVIT
STATE OF ARIZONA K. BOARD OF SuPERVISORS
MARICOPA COUNTY
COUNTY OF MARICOPA
ecti kl Ocko , being first duly sworn, upon oath deposes and says:
That on the -clav of i4--061 20)57- he presented to HiI 04/ C16'd 601(1 00
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of To 20 I# said claim being in the sum of
-1ADe41' --I( de_ Dollars, ($A57- 06 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number J s-biD:5 1-1 LI to be
issued on Le - AS- , 20 /3 , drawn on the 693 Fundof 1-4-niftr I Ged)
c_11 od 1
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
5b1 I Lig in the sum of $i)b .
Signed:
Subscribed and sworn to before me this Will day of Se/0/61theiT20
NOTARY PUBLIC
My commission expires:
otILIS 8?4, OFFICIAL SEAL
Following approval please return this affidavit to the Mancops oblY1411kATIP*13Wicel Notary 'Public - State of Arizona
st, AW, 4 MARICOPA COUNTY !
My Comm. Expires Sept. 17, 2016 !

AFFIDAVIT
STATE OF ARIZONA bOARD OF SL r3VISORS
MARICOPA COUNTY
COUNTY OF MARICOPA
Ne IJottr) , being first duly sworn, upon oath deposes and sa ys:
That on the 3 dav of 4 Li 20157 he presented to 14'19e4 Unicied 56100
District of Maricopa Count y, Arizona, for pa yment, a claim for services rendered
or supplies furnished durin g the
month of OCT° 6 EC 20 1`), said claim being in the sum of
TlA)Qn1-xt VP- Dollars, ($ CYO ) in payment of which the
Superintendent of Schools caused his/her Warrant Number Li 5 00 1ILo to be
issued on /0 - 1-3 , 20 /57drawn on the5O16— Fund of 1173.Iev Un
cli,00
District of Maricopa Count y, Arizona.
Affiant further sa ys that althou gh he/she was informed and believes that the above
mentioned warrant was re g ularly issued, the same has never been received, or has
been lost.
WHEREFORE, affiant pra ys that the Board of Supervisors order and the
Superintendent of Schools issue to him/her a duplicate of said Warrant Number
) (09 in the sum of $ 5: Da .
Signed:
Subscribed and sworn to before me this /kW' day of Se,kinber,20
NOTARY PUBLIC
My COMITiission expires: 9// 1 ••II SEAL •••IIII •• II •• I •• I
ly-0-FTIFIAL
T ART I
Following approval please return this affidavit to the Maricopa Cor V ora 6110A
: MARICOPACOUNTY
#4,e, My Comm. Expires Sept 17, 2016!

Schools Affidavit/Claim Form
Application for a Duplicate Warrant/Check (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
ESAU MUNOZ (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about q-23-15 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 317 . 36 .(3)
Signed: (4)
day of
OFFICIAL SEAL
Notary ANDREA Public L. - Stale CRAVVLEY of Arizona
MARICOPA COUNTY I
My Comm. Expires July 17, 2017 i
(seal)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
I•I
Warrant/Check Number
(if known) (6)
Original Date of Issue 9/10/2015
(if known) (7)
=i1COPA /\D Q - COUNTY SUPERVISORS
Reason for original issue of Warrant/Check (8):
Payroll
El For Services or Goods furnished PLEAS-ERE-1881-4E-ettEeK
0 Other: PLEASE RE-ISSUE CHECK
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S. 11-632 & 15-999

AFFIDAVIT
STATE OF ARIZONA MAriICOrA c.;OUNTY
COUNTY OF MARICOPA
, being first duly sworn, upon oath deposes and says:
That on the day of got-m.1201F) , he presented to 4) k) 41i-L4-q
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of VeiDruosti 20 15, said claim being in the sum of
oal27/
CD Dollars, (th.L.Q1 J in payment of which the
Superintendent of Schools caused his/her Warrant Number 4.5 0060160 to be
issued on Ogli 0 , 20 L5, drawn on the _COL Fund of -pvEsi) 4-10
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.
VVHEREFORE, affiant prays that the Board of Supervisors order and the
Superintendent of Schools issue to him/her a duplicate of said Warrant Number
_________ ri in the sum of t
Signed:
V
Subscribed and sworn to before me this 11..0& day of ,203
TABITHA TREECE
NOTARY PUBLI Wiry Public - Af1101111
My commission expires: 4 19 Moriccma EX9Ifes County Apr 9, 201
My Comm.
Following approval please return this affidavit to the Maricopa County School Superintendents 0

Schools Affidavit/Claim Form
Application for a Duplicate Warrant/Check (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Ryan Menke (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about e-1 1-5 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 1,27° a 63 .(3)
(4)
A.1-Y 7
before me thi7F-- day of LW:lewbeir20 15 .
My coTmi4on expires: Maricopa Notary Public County State of Arizona
0-7/a3po /7 Raquel Robles (seal)
My Commission Expires 07/03/2017
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
Warrant/Check Number 160006811
(if known) (6)
Original (if Date of Issue 08/06/2015 DATA . 0Cf)91 1 20),,
known) (7)
Reason for original issue of Warrant/Check (8):
111 Payroll
III For Services or Goods furnished
VOther: LatS i'Vagled
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S. 11-632 81.15-999

Schools Affidavit/Claim Form
Application for a Duplicate Warrant/Check (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
Thomas M. Spurlock (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about rvio/zots- (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 750 . 17 .(3)
Signed: *A, (4)
to before me this 23 1:14) day of 3t/96cirie(20 /5 .
Notary Public State of Arizona
My coy iss7 expires: Raquel Maricopa Robles County
0-7 0 ,3 ‘ .0/.7 My Commission Expires 07/03/2017 (seal)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
Warrant/Check Number 160019958
(if known) (6)
Original Date of Issue 09/17/2015
(if known) (7)
Reason for original issue of Warrant/Check (8):
0 Payroll
0 For Services or Goods furnished
11V6ther: 1(y-A ch(0,K
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants Checks notice of claim.doc
Revised June 2015 A.R.S. 11-632 & 15-999

Affidavit
STATE OF ARIZONA
OCT 2015
COUNTY OF MARICOPA ) ./.2t4.10401
I
72f 7/J (2)-iN &ilk-eye being first duly sworn, upon oath deposes and says:
That on the 074/ day of Vi/Zif e , 20_/5 he presented to the
Art, (),471.0)7 0.1)&5/ -01 '517 of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of ZILL6 , said claim being
in the sum of Dollars ($ k 7075
in payment of which the Superintendent of Schools caused his/her Warrant No. *A5 O07 3 Aci
to be issued on chin'Az 6114/ , 20 /31 , drawn on thet5.3L Fund of
tmectAbf.il of Maricopa County, Arizona.
Affiant further says that although he 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 a duplicate of said warrant number -X5606.73 4 .5--S" in the sum of
Subscribed and sworn before me this day of
OFFICIAL SEAL
c, MELANIE FINCHUM
Ikur - State of Issizona
MARCCOPA COUN-fY
-rt_r!"-/ My Comm. Expires 41111, 2019
My Commission Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
1-1:\Work\Affidavit.doc 07/14105

COMMUNITY SERVICE DEPARTMENT
BUCKEYE, AZ City of Buckeye, Arizona
September 22, 2015
Arlington Elementary School
9410 S. 355th Ave.
Arlington, AZ 85322
Dear Kathy Turner,
The City of Buckeye Community Services Department database shows that Arlington
School hosted a private pool rental at the Aquatic Center for an end of school year party
on 5/14/15 from 9am-2pm. The party rental has an outstanding balance of $325.00.
I, Jessica Thompson am authorized to sign on behalf of the City of Buckeye.
Please make payment out to the City of Buckeye upon receipt of this notice.
If you have any additional questions or concerns, please feel free to contact me.
Kind regards,
J4sica Thompson
City of Buckeye
Recreation Supervisor
IthompsonPbuckeveaz.gov
623.349.6613
530 E Monroe Ave • Buckeye, Arizona 85326
Phone 623-349-6164 • Fax 623-349-6222 • www.buckeyeaz.gov