2 DUPLICATE WARRANTS - SCHOOLS.PDF

INTEROFFICE MEMORANDUM
Waricopa County Education Service Agency (aka
Ilaricopa County Superintendent of Schoo(s Office)
TO; CLERK OE E 00ARD
FROM: Willie Thompson
SUBJECT; Affidavits — WcpCacenien I of Lost Warrants
DATE: 3/18/2015
Ta.se find attached 2 Affidavit/Xotice of Claim(s)for Cost warrants for inclusion on
the next availa6 Woard agenda
'The attached item(s) have 6een researched to ensure that the warrant(s) in
question have not heen cashed or previously re-issued:
The original" warrant(s) have fiad a stop payment done.
If you have any questions, please contact Millie (Thompson at 506.3898 or via e-mail at
millie.thompson@mcesa.maricopa.gov . Approved Affidavits may fie routed fiackto the
Superintendent of School Finance Division at 4041 X. Central Avenue #1200, (12°
Floor) ghankyou.
#2 wro-ExsilorE CORE commurrox $103385.00
#201 M.)CK,E(YE V.XIOXWC:KIN -LET ELEVATOR $3000.00
RECERIPD
MAR 1 9 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

APPV
DA FE _ MARV 0 2015
Affidavit
STATE OF ARIZONA
COUNTY OF MARICOPA
dOlegCeMillitfra"....7eing first duly sworn, upon oath deposes and says:
That on the e:t day of Ma/at , 20 IS ,, he presented
to the Riett5iele. QODI DIWkof Maticopa County, for payment, a claim for services
rendered or supplies furnished during the month of OAP, , said claim being
in the sum ofOse ilwelifeliptvt. Woo Seta Dollars ($ /03, g ) in payment
44re4. dad etpkti....P.V-e.
of which the Superintendent of Schools caused his Warrant No. 4'S-00 44 4 5?
To be issued on MA(C-44- 0 ,20 / 5-, drawn on the 410
Fund of .gskeY5;41- 1toalte4rMaricopa County, Arizona.
Affiant further says that although he was informed and believes that the above
mentioned warrant was regularly issued adIs /
WHEREFORE, affiant prays that the Board of Supervisors order and the
Superintendent of Schools of said County issued to him a duplicate of said Warrant
No. 95006 IN, CI in the sum of $
g
Si- r116 10 4) sk pito-6d-
Subscribed and sworn to before me this day of POArii
20
demvu Abckdx
1
My commission expires: ql 46 Terrie L. Wilcoxon
Notary Public
Maricopa County, Arizona
My COMM. Expires 09-05-15

AFFIDAVIT
MARICDPA COLA' Y
STATE OF ARIZONA
COUNTY OF MAR! COPA
d/03eing first duly sworn, upon oath deposes and says:
(Name and Title of Perso
That on I 1 1 1 , 20 . 44 , he/she presented to ...,u,e-Lie,tork AL, Sei100 I NS+ of
(School District Nfame)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of An , 20 14 , said claim being in the sum of ($ 3 000.
re.e, 111. 0 IA_ 5 and ALIA CEJA Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 4 5 DO5 3 7 9 L to be issued
on 1/2-P 20 15 drawn on the 00 I Fund of BUI45L) 2 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 Li 5005379 11n the sum of $ 3, 006. 41-9-
Sig p'e d: / e/Xcit-v- /
Nam and Title of Authorized Personhel)
Subscribed and swor to before me this / day ofL-4) ,20 l'-")
NOTARY PUBLIC; (l_S
My commission expires: -
Following approval please return this affidavit to the Marlcopa County education Service Agency Office.
CLAUDIA EVANS
Commission # 1939577 z
Notary Public - California z
Orange County
,Nly_Comm„ x,pir4es. Jul 1, 2015
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