050615 DUPLICATE WARRANTS - 8.PDF

INTEROFFICE MEMORANDUM
gviaricopa County Education Service Agency (aka
llaricopa County Superintendent of Scfioas Office)
TO: CLERIC OF TOE (BOARD
FROM: [Millie Thompson
SUBJECT: Affidavits — Repracement of Lost Warrants
DATE: 4/23/2015
Pase find attached 2 Afficravit/Wotice of Cfaim(s)for Cost warrants for inclusion on
the ne.,ct available oard 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 Wirrie 'Thompson at 506.3898 or via e-mail at
miffie.thompson@mcesamaficopagov. fipproved Affidavits may be routed back to the
Superintendent of School Finance (Division at 4041 X. Central Avenue #1200, ( 12th
Floor) Thankyou.
#21 gleURPJ-FY .AZ ASSOC OT gm-ED izZ' TALENTED $700.00
#45 'FOWL ER 1V.AW R.7{ERREM $101.11
RECEIVED
APR 2 4 Z015
MARICOPA COUNTY
CLERK DOARD OF SUPERVISORS

APPROVED
Affidavit
K, MARIGOiDA BOARD OF Co SOPEtWIY:.)5 ,
STATE OF ARIZONA
COUNTY OF MARICOPA )
AZ Assoc of Gifted and Talanted being first duly sworn, upon oath deposes and says:
That on the 13th day of January , 20_ 15 he presented to the
Murphy Elementary Sch Dist #21 of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of January , said claim being
in the -sum of Seven Hundred and 00/100 , Defiers ($ 700.00
in payment of which the Superintendent of Schools caused his/her Warrant No. 45-0051201
to be issued on January 13th, 2015 20 , drawn on the 001 Fund of
M& 0 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
School issue to him a duplicate of said warrant number 45-0051201 in the sum of
$ 700.00
Subscribed and sworn before me this day of ,20 I
&litany Welton
Notary Public - Arizona
ilsticops County
My Commission Expires
1.....„_ .2nber 30, 20111
mission ExPres
Following approval please return this affidavit to the Maricopa County School Superintendent's Office,
1-Mork1AilidaviLdoc 07114/05

AFFIDAVIT
CLERK, BOARD OF SUPERViSOAS
MAFIICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
TV&IA 4-e_trak , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on flowa U, 20 I 5- , he/she presented to Fem./kr g of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of floirck , 20 /5- , said claim being in the sum of ($ /0/
One_ AuR61-4 eme it,!", J 00 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 00).0 to be issued
on Ar , 20 lc, drawn on the 00/ Fund of Fokykr FS 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 15-66,03Z( in the sum of / 0 I.If .
Sign
( II an, and Title of Authorized Personnel)
Subscribed and sOrn to before me this = day of -1/4 f i 1. , 20 IS
NOTARY PUBLIC: LAtira- \....02.01.y.„ r.-- OFFICIAL SEAL
_A. Am. ti). LAURA G, LOZOYA
My commission expires: „lok.r.417-1 Notary Public - Arizona
MAFilCOPA COUNTY
_ - .,I., .,„:411,,,,i ,--; . ir,:.' My Commission Expires
i _ _ _
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.