DUPLICATE WARRANTS - 1.PDF

INTEROFFICE MEMORANDUM
Ilaricopa County Education Service Agency (aka
RECEIVED
Ilaricopa County Superintendent of Schoofs Office)
MAY 1 4 2015
MARICOPA COUNTY
TO; CLERK OF TJA (BOARD CLERK BOARD OF SUPERVISORS
FROM: Willie Thompson i Mei- 0-At
SUBJECT; Affidavits — Wcpfacement of Lost Warrants
DATE; 5/13/2015
T'ase find attached 3 AffidavitObtice of Craim(s)for Cost warrants for inclusion on
the mkt avaiCab (Board: agenda
The attached item(s) have 6een researched to ensure that the warrant(s) in
question have not been cashed or previously re-issued
The warrant(s) have had a stop payment done.
lf you have any questions, please contact Millie Thompson at 506,3898 or via e-mail at
mitrie.thompson@mcesa,maricopa.gov . Approved Affidavits may 6e routed 6ackto the
Superintendent of School 'Finance (Division at 4041 X. Central' Avenue #1200, ( 12tfi
'Floor) Tfiankyou.
#5 ISAAC YfEIDI RIVAS $228.46
#66 ROOSEVELT AZ SC7100L ylOWINISTWATORS' $395.00
#95 VEEN' CREEK .1 -1EA(1LR.7fILLAND $379.64

Affidavit APPROVED
ogr5 MAY.11 4 2015
STATE OF ARIZONA )
COUNTY OF MARICOPA) W.F1 1(7:72 7 4 (;OU N7Y
kield4 40/4i
being first duly sworn, upon oath deposes and says:
That on the .. . day of 12"? , 20.1.1he presented
to the 2SL ./t of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of A , said. claim
being in the sum of -274)0 hOndlq 04- 7 L.:774)e) —Dollars
in payment of which the Superintendent of Schools caused his
Warrant No. /$ O 7 ' 75Z tO be issued on. , 2O..1 drawn on the
00 Fund of of Maricopa County Arizona.
– Affiant further says that although he was informed and believes that
A
the above rpentioned warrant was regularly issued, the same has neyer 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
1 50074" 7‘,--g- the sum of
Subscribed and sworn before me this. 1044.‘ day of (k/t , 2 0.14.c
(notary public)
OFFICIAL SEAL
RYAN FRENCH my commission expires
NOTARY PUBLIC - STATE OF ARIZONA
COCONINO COUNTY
My commission expires March 13,2016.
Following approval please return this affidavit to Maricopa County Schools.

APPR IV Er,
DATI MAq. 4 2015
AFFIDAVIT EfOARIWTicrinrore
1.4A1ROCOPfi COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Arizona School Administrators , being first duly sworn, upon oath deposes and says:
That on the day of 20 , he presented to Roosevelt School
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 20 , said claim being in the sum of
three hundred ninety five Dollars, ($ 395.00 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 450059064 to be
issued on 02105 , 2015 , drawn on the 001 Fund of Roosevelt School
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
450059064 in the sum of $ 395.00 .
Signed: ,(4• I vIC L •
ic
Subscribed and sworn to before me this day of Ao-r----C.L) ,20
ISMAEL RAMIREZ
NOTA Notary Public - Arizona
OgPM 1Ec Marlcopa County
My commission expires: My Comm. Expires Aug 8, 2018
Following approval please return this affidavit to the Maricopa County School Superintendents 0 ice.

Affidavit
_
Rx.., BOARD OF cqUrCrIVIE0,116
MAR ICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA )
being first duly sworn, upon oath deposes and says:
That on the 12 day of MOW , 20 IS- he presented to the
uALa—kts-a-12-S of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of M.CuLi ZID L , said claim being
in the sum ofa-kAo-k_kt-tnAziAtik5-e-u".0,v1/4--Ct oilers ($ -Y19,(1)(-4
in payment of which the Superintendent of Schools caused his/her Warrant No. 1 Cob/ "Tho
to be issued on , 20 1 drawn on the 012. Fund of
(C4UsD 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 I SO°9--i-C) 9-9" in the sum of
$ Loki
Subscribed and sworn before me this //i4day of
RUBY L. MORRIS
War/ Public- State oritrIzoria
cui MAjetoViEllY
Expirea
September 90, 2018
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
HAWork\AffidaviLdoc 07/14/05