DUPLICATE WARRANTS - SCHOOLS 1.PDF

INTEROFFICE MEMORANDUM
Waricopa County Education Service Agency (aka
Waricopa County Superintendent of Schoo(s Office)
TO: CLERK OF Ti& (BOARD
FROM: Willie 'Thompson
SUBJECT: Affidavits — Repracement of Lost Warrants
DATE: 5/27/2015
Prease find attached 3 AffidavitNotice of Claim(s)for Cost warrants for inclusion on
the next availaôle 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.
The original. warrant(s) have had a stop payment done.
If you have any questions, please contact Willie Thompson at 506.3898 or via e-mail at at
millie.thompson@mcesarnaricopa.gov , Approved Affidavits may be routed back, to the
Superintendent of School Finance Division at 4041 X. Central - Avenue #1200, (12 th
Floor) Tfiankyou.
#8 OSOOW EATTA4A L gAlmoA $371.69
#45 'FOWLER OTA9VA I SBVIENTAL VALLE $285.35
#25 LIOEWTY STACTKOIZ $85.00
RECEVE
MAY 28 2015
miArlicopA COUNTY
CLERK BOARD OF SUPERVISORS
0-1(ricq

AFFIDAV T
STATE OF ARIZONA
COUNTY OF MARICOPA
\AA c L ort100,,\_ , being first duly sworn, upon oath deposes and says:
That on the Pilk c ulyILM,61/4 20 S „s he presented to ty h_&35131). c
District of Maricopa Count y, Arizona, for pa yment, a claim for services rendered
or supplies furnished during the
month of said claim bein g in the sum of
--Orwee INJhAveok <;c1/41-0, I.}-1 Dollars, (E3:31ALtj in payment of which the
or r‘ .te61 jJo
Superintendent of Schools caused his/her Warrant Number Isory-T-33`i3 to be
issued on hpy)\' 2-3Y4 a[LLs-_, drawn on the 36 Fund of ifpA\
District of Maricopa County, Arizona.
Affiant further says that althou gh 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
\5oo133q3 in the sum of 132)2 .0
L,
Signed:
to before me this day of
VALERIEC ANDERSEN
County of Marlcopa
Notary Public
Commission N 310722
My Commission Expires
August 11, 2015
NOTARY PUBLIC
My commission expires: f
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
cso rottick citettoit( Valk , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on Ittecik Z-C-th , 20 15 , he/she presented to fovultr- t<9 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of Moktc_ti , 20 1 5, said claim being in tO sum of ($ 245-8 '3 5- )
1110Artid ik) kty to e Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number (Coe? cr? I iv to be issued
on A-r1 101A , 20 /5— , drawn on the _001 Fund of Fowiiks %'5 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 /5-067° 3 k:# in the sum of $ 2 g 57. 3 5-- .
Signed: /
and Title of Authorized Personnel)
Subscribed and sworn to before me this day of , 20 /S---
OFFICIAL SEAL
NOTARY PUBLIC: JOANN BORUNDA
Notary Public - Arizona
My commission expire 0/9,), /Si; ,2 N/7 My MARICOPA Commission COUNTY Expires
APRIL 18,2017
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

A let tiOVED
DATEA MV 2 8 N15
Affidavit
K, BOARD OF SUPERVIS0416
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA )
56-c,qf&i i being first duly sworn, upon oath deposes and says:
That on the 03 day of illp.,-61/1 , 20 iS-5he presented to the
Lf /ley Ktivei 7) *a- #ozs- of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of 414/fth 620/5-- , said claim being
in the sum of gi1/41 -fiC/r, atid 11 Dollars ($ k'6:00
in payment of which the Superintendent of Schools caused his/her Warrant No. 1-(52'6 72 17 9V (d3-Pti Nd--)
to be issued on 41ic72h cic( , 20 /5- , drawn on the 0 VO Fund of
Littfir sc,6( 11012f- 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 146-007d qefel in the sum of
$ r6.00 kat
Subscribed and sworn before me this 1¶ day of , 20 15
DEW LAKIN
Notary Public State of Arizona (5 --"rI-...t
,MARICOPA COUNTY otary Public
My"Ciiifri). Expires Nov. 30,2017 \ \J2 ,)hLk
My Co mission Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
HAWorklAffIdavit.doc 07114/05