050615 DUPLICATE WARRANTS - 11.PDF

INTEROFFICE MEMORANDUM
Ilaricopa County Education Service Agency (aka
llaricopa County Superintendent of Schoors Office)
TO: CLERK OE V-frE 04.RD
FROM: Millie Thompson
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE: 4/24/2015
PThase find attached 4 Affidavit/Arotice of Craim(s)for Cost warrants for incrusion on
the noct avai1aCe Board agenda
The attached item(s) have heen researched to ensure that the warrant(s) in
question have not deen cashed or previously re-issued
The original warrant (s) have had a stop payment done.
If you have any questions, please contact Wiffie Thompson at 506.3898 or via e-mad at
midie.thompson@mcesa.maricopa.gov . _Approved Affidavits may he routed hackto the
Superintendent of School Finance Division at 4041 X. Central-Avenue #1200, ( 12th
(Floor) Tfiankyou.
#781 GACVISYDVIENT Y0,701ADIA, NA/Of/Mr $1005.57
#9 WICK,ENWURG PIN.% GREENE $50.73
#68 ALWAllOWA CI-ORISSA W.MXIXS $8010.24
#214 TOLLESONV5VION" (r11 XGET BANK $109,63
IRIECEWED
APR 2 7 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

q
STATE OF ARIZONA
COUNTY OF MARICOPA K. MARICOPA BOAFID OF COUNTY SUPERVISC,ii;7:
JOH NATHAN MALVIN being duly sworn, upon oath deposes and says;
That on the 22ND day of APRIL , 2015 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of APRIL , said claim being in the sum of
ONE THOUSAND FIVE DOLLARS AND 57/100 dollars ($ 1005.57 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 150069726 to be issued on
APRIL 2ND 2015 , drawn on the 781 Fund of Treasurers of
Maricopa County, Arizona.
Claimant further says that although he/she was informed and believed that the above-
mentioned warrant was regularly issued, the same has never been received or has been lost.
Under penalty of perjury, claimant hereby affirms that this claim is correct and the amount
shown is due and owing.
Wherefore, claimant requests that the Board of Supervisors order and the Superintendent
150069726
of Schools issue him/her a duplicate of said Warrant Number in the sum of
1005.57
Claimant Signature
Subscribed and sworn before me this 49-3(4lay
LINDA EMERY
Notary Public - Arizona
Maricopa County My commission expires
My Comm. Ear**, Sep 26,2017
Following approval please return this affidavit to Ma ricopa County Education Service Agency.

, APPROVEL;
DATE, 242#
WICKENBURG UNIFIED SCHOOL DISTRICT NO. 9
40 W. Yavapai, Wickenburg AZ 85390
Phone (928) 668-5350 Fax (928) 668-5390 111,
Cl IAMI , I()NS
— F.( )R —
CHILDREN
AFFIDAVIT
tput , being first duly sworn, upon oath deposes and says:
That on the3r2.4 day of kua 2015—, he presented to Wickenburg Unified School District #9
Maricopa County, for payment, a claim for services rendered or supplies furnished during the
month of , said claim being the sum of P-7q-'1-/ 73//06
Dollars ($51). 73 ) in payment of which the Superintendent of Schools caused Warrant #
qs-49575q7 to be issued on rebpuctil g9t4 , 201T , drawn on the CO/ fund of
Wickenburg Unified School District #9 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 tlits-pos 7597 in the sum of $ 73 .
Signature:
Subscribed and sworn before me this 1717k, day of 20 /s-
itA S+
Cernmission Expiration Date
SANDRA G. KRUEGER
Notary Publio,Stste of Arizona
Merloopa County
Following Notary approval please return original affidavit to: My August Commission 24, 2015 Expires
Wickenburg Unified School District
Accounts Payable
40 W. Yavapai Street
Wickenburg, AZ 85390

DA144 APR
CLERK. BOARD OF SUPERVISORS
AFFIDAVIT MARiCORA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
* AcA6ssc, Uck 1-Y .\ nS , bein g first duly sworn, upon oath deposes and sa ys:
(name and title of person )*
That on the 23cA day of N)C 20 b , he/she presented to
inb 506-,(
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of May 20 //5--- , said claim being in the sum of ($ g0/0 .344 )
P ) c:t is - f c-1/exp Dollars in pa yment of
Which the Superintendent of Schools caused his/her Warrant Number /6/ qa I/9/ to be
Issued on the c71 7ry 1 CC )111k y ,201k , drawn on the f.)30 Fund of A I h:t syl (Acti Nsi--Gc
District of Maricopa County , Arizona.
Affiant further sa ys 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 pra ys that the Board of Supervisors order and the Superintendent of Schools issue
to him/her a duplicate of said Warrant Number /Lipoqui-i in the sum of $ golo,,r)(4 .
Signed:** I AL(A
(Name & title of authorized personnel)**
--)"7
Subscribed and sworn to before me this aprel day of 10- 1 , 20
6 1
NOTARY PUBLIC :
• .6I•I • -.cirri., II•I•. ra CfFICIAL row•moel em.amM.I.M.I.1 SEAL
My commission expires: CHERYL CARDER
wiry Publk Ebb ocAlizon
MARICOPA COUNTY
My Co DAIS kg, 1Z 2017
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

AFFIDAVIT
CX)AHL)11, 1 SLOE RVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
being first duly sworn, upon oath deposes and says:
That on the 2. day of Pslpf. k 20 VS , he presented to \\t„SorN Oc')I (-)
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of (. 010r1c):0-1 2-7 20 A5 said claim being in the sum of
CYNL \nIliNclotat ooncii NWADOliarS, ($ ) 014.3) in payment of which the
Superintendent of Schools cc25 J1b0 caused his/her Warrant Number 'J 3to be
issued on .,, Ct.111)ek,c-%-ls 21 , 20 15, drawn on the ‘C)\ Fund of -1-0‘‘Q)C5NrN 'QI1CpNA \-\k0AVN
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
("kCY3.5(b\3 in the sum of $ .63
Subscribed and sworn to before me this (.7?Aaday of ,20 16
e
bitvtil4 UI JOYCE C. COUNCIL
NOTA — Notary Public- State of Arizona
MARICOPA COUNTY
My commission expires: APpi 1/ 2Q/7 My Commission Expires Sept 11,2017
Following approval please return this affidavit to the Maricopa County School Superintendents Office.