052015 DUPLICATE WARRANTS - 3.PDF

INTEROFFICE MEMORANDUM
Waricopa County Education Service Agency (aka
gdaricopa County Superintendent of Schoo(s. Office)
TO: CLERK OF DIE (BOARD
FROM: Mine 'Thompson
SUBJECT: Affidavits — Rep6icement of Lost Warrants
DATE: 5/7/2015
Please find attached 5 AffidavitOotice of Claim(s)for lost warrants for inclusion on
the next available Woard 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, pkase contact Willie Thompson at 506.3898 or via e-mail at
millie.thompson@mcesa.maricopa.gov . Approved Affidavits may be routed back to the
Superintendent of School Finance Division at 4041 N. Central -Avenue #1200, (12t
Floor) Thankyou.
#45 FOWLER WIE1/45731 -DrE1911WACT $239.79
#66 ROOSEVELT RELLTTE914TORAKYSERVICE $420.42
#79 LIM-MELD CAV4EN WifITElirEAD $36.00
#214 TOLLESON 721%1109 I1 W(KBERT WE-MR $150.00
#214 TOLLESOX`OgVION (PRO PETROLEWil $ 13,939.53
RECEPVED
MAY 8 7015
rvIARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
{. 114 C7C.(iC VNt'i

APPROVED
IDAT5s Mk1 1 2A15
AFFIDAVIT K, BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Rarmo LI coAskr bein g first dul y sworn, upon oath deposes and sa ys:
(Name and Title of Person)
That on March 16 , 2015 , he/she presented to Fowler Elementar y
(School District Name)
of Maricopa Count y, Arizona, for payment, a claim for services rendered or supplies furnished durin g the
month of March , 2015 , said claim being in the sum of ($ 239.79
_Two hundred thirt y-nine dollars and 79/100 Dollars in pa yment of which
the Superintendent of Schools caused his/her Warrant Number _450078235 to be issued on
April 10 , 2015 , drawn on the 001 Fund of Fowler Elementar y
(School District Name)
of Maricopa County, Arizona.
Affiant further sa ys that although he/she was informed and believes that the above mentioned warrant
was re gularly 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 450078235 in the sum of $j39.79 .
Signed:
,20 /5
(6. 9flaiccIL
NOTARY PUBLIC: 44-AA-a-)
DONNA M. TALAL
My commission expires: q 045 Notary Public. State of Arizona
MARICOPA COUNTY
My Commission Expires Sept. 17. 2015
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

APPROVED
DATFA MAN.1 20
AFFIDAVIT
RK BOAR 3 OF SUPERVISORS
114ARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
1611 1;thikittii/ i ,,YA/06:e3, being first duly sworn, upon oath deposes and says:
That on the dav of 11.4401201')- , he presented to R,OV:I':.-)-\41 a*:-11/00/
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of NO I) 20/'/ said claim being in the sum of
WI/erhan/Pteditati le/delkiS ($ 1)0 i ) in payment of which the
Superintendent of Schools caused his/her Warrant Number //5 066) 91'/ to be
issued on ;2 /4.) , 20/ drawn on the 064 Fund of ROOStacebt
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
t17/ L/ in the sum of $ qtRON Notary CATALINA Pubtic, State VAIDIAN of Michigan
County of Macomb
7? My Corn mission Expir s a 09, 2018
Acting In the County of Ufa--
Signed:
Subscribed and sworn to before me this 2 ( day of APri
9111
NOTARY PUBLIC
() 09/ 20/P "(/2 ( 120 15—
My commission expire sja
Following approval please return this affidavit to the Madcopa County School Superintendents Office.

APPROVED
DATE ,/ MAY L 215
AFFIDAVIT
K. BOARD OF SUPERVISORS
IviARICOPA COUNTY
STATE OF ARIZONA
SS.
COUNTY OF MARICOPA }
Carmen Whitehead being first duly sworn, upon oath deposes and says:
That on the 9th of February, 2015 she presented to the Litchfield
Elementary School District # 79 of Maricopa County, for payment, a
claim for services rendered or supplies furnished during the month of
January, 2015, said claim being in the sum of THIRTY SIX and NO/100
Dollars ($36.00) in payment of which the Superintendent of Schools
caused Warrant No. 4-5-0063394 to be issued on 2/19/2015, drawn on the
Refund for Unused Lunch Money Fund of Litchfield Elementary School
District # 79 of Maricopa County, Arizona.
Affidavit further states that although you were informed and believes that
the above mentioned warrant was regularly issued, the same has never
been received or has been lost, stolen or destroyed and has never been
deposited.
WHEREFORE, affiant prays that the Board of Supervisors order and the
Superintendent of Schools issue to Whitehead, Carmen a duplicate of said
Warrant No. 4-5-0063394 in the sum of $36.00.
ait,14,)
Payee Signature
Subscribed and sworn to before me this i23,9, 1--4 day of
JESUS VALDEZ
NOTARY PUBLIC - ARIZONA
Marfcapa County
My Commission Expires
January 5, 2018
My commission expires: gelciaiy- Si c)-oir
Following approval, please return this affidavit to Maricopa County
Superintendent's office.

20.1
A F F ID AVIT BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
jn4rd- eicc- , being first duly sworn, upon oath deposes and says:
That on the da , he presented to
SC hcol
District of Mar icopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 1-0-TAK—C,V\ 20 , said claim being in the sum of
()V klk,\YNC\rf64 011.74-1 D o I la rs, (S ISO ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 45-030-354 to be
issued on Mi-Vh 3 206, drawn on the Fund of wl-\q1f)
chue:\
District of Maricopa County, Arizona.
Affiant further says that although ',e/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 thal the Board of Supervisors order and the
Superintendent of Schools issue to him/her a duplicate of said Warrant Number
in the sum of isn,co . OFFICIAL SEAL
t AIMEE SUE KROL
tz, Notary Pubtic- Staf_e of Arizona ft
MARICOPA COUNTY
ThV My Comm. Expires April 1, 20111
Subscribed and sworn to before me this day of , 20 /4"--
My commission expires:
Following approval please return this affidavit to the Maricopa County Schaaf Supertmendems Office.

A1:0 0 V F D
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
,( 1 ,k • being first duly sworn, upon oath deposes and says:
AxwAs- OA cr,
That on the 29 day of iVri 2015, he presented to i\igh
District of Maricopa County, Arizona, for payment, a claim for
or supplies furnished during the
month of 11,w 201c said claim being in the sum of
tr Ian -1-VoLISZty \CI R
4111(11.1 - rime_ 5.3i)Ob Dollars, in payment of which the
Superintendent of Schools caused his/her Warrant Number Ii5a). 9fL._ to be
issued on Merirch 3 , 2015, drawn on the WI Fund of
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
12j501 5 in the sum of $ibiciM53.
Signed;.
Subscribed and sworn to before me this „qtY1Iti day of , 20 /
JOYCE C. COUNCIL I
Notary Public State of Arizona kie/gra
PARICOPA COUNTY
Rey Commission Expires tkapt. 11.2017 NOTARY PUBLIC
My commission expires:
Following! approval pleat& ream Ints affidavit to the Mericopa County School Superintendents Office.