6 DUPLICATE WARRANTS - SCHOOLS.PDF

INTEROFFICE MEMORANDUM
5Varicopa County Education Service Agency (aka
Ilaricopa County Superintendent of Schook Office)
TO: CLEVCOE TOE WO_ARD
FROM: Millie Thompson
SUBJECT: Affidavits — ftracement of Lost Warrants
DATE: 3/24/2015
Pcise find attached 4 AffidavitObtice of Claim(s)for Cost warrants for inclusion on
the next avaiCaôCe &ard agenda
The attached item(s) have heen researched to ensure that the warrant(s) in
question have not heen cashed or previously re-issued
The original* warrant(s) have had a stop payment done.
If you have any questions, p&ase contact Millie Thompson at 506.3898 or via e-mad at
miffie.thompson@mcesa.man'copa.gov. Approved Affidavits may he routed 6ackto the
Superintendent of School finance Division at 4041 X Central Avenue #1200, ( 1.2tfi
floor) Thankyou.
#33 OUCKETEELEW LOWE'S $303.25
#59 LAVEEN KY -COOL SOVWCE $4644.19
#60 .7.1IGLErY JOW,DAX L CA511EROX $205.98
# LITMEIELD BOVS.7-fONAR9VOLO $364.19
RECEIVED
MAR 25 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

Mar. 5, 2015 3:01PM No, 9084 P. 2/4
Affidavit
STATE OF ARIZONA )
) ss.
COUNTY OF MARICOPA )
1
Lowe's being first duly sworn, upon oath deposes and says:
That on the 5 day of March ,2 015 , he/she presented to the
Buckeye Elementary School District #033 of Maricopa County, for payment, a claim
for services rendered or supplies furnished during the month of November , said
claim being in the sum of Three hundred three dollars twenty five cents Dollars
($303.25) in payment of which Buckeye Elementary School District #033
caused Warrant No. 450039561 to be issued on December 04 , 2 014 , Drawn on
the 040 Fund of I Buckeye Elementary School District #033 of Maricopa
County, Arizona.
Affiant further says that although he/she was informed and believes that the above men-
tioned 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 Buckeye
Elementary School District #033 issue to him/her a duplicate of said Warrant No.
450039561 In the sum of $ 303,25
Signature: j!ci C
Subscribed and sworn to before me this
TERES A. KERMOD1
NOT RY PUBLIC
STAT OF KANSAS
My Appt -E p.:i.
Notary Public:
My commission expires: gil - ,96115
Following approval please return this affidavit to COUNTY SCHOOLS OFFICE.

Affidavit
A r " OVED
State of Arizona
tMAR 2,6 2015
(County of Maricopa)
CLERK BOARD OE SUPERVISORS
SchoolSoource AZ, Inc. being first duly sworn, upon oath deposes and says: That on the 16th day of
February, 2015 he/she presented to the Laveen Elementary School District #59 of Maricopa County,
for payment, a claim for services rendered or services to be furnished during the month of January,
said claim being in the sum of $ Four thousand six hundred forty-four and 19/100 dollars
($ 4,644.19) in payment of which Superintendent of Schools caused his/her
Warrant No. 450064514 to be issued on February 23, 2015, drawn on the 40/30 fund of Laveen
Elementary School District #59 of Maricopa County, Arizona.
Affidavit 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, affidavit prays that the Board of Supervisors order and the Superintendent of
Schools issue him/her a duplicate of said Warrant No. 450064514 in the sum of $ 4,644,19.
Printed name= t- VLS . -e-1I037 Title with the company: 4)‘>`e-j—SAQAA.1
Subscribed and sworn before me this day of 3 , k6
(notary public signature and stamp)
KASSANDRA BAEZ
NOTARY Maricopa PUBUC County - ARIZONA my commission expires Yinagl 1 /2--(-)1
My Commission Expires
January 7,2019
Following approval please return this affidavit to Maricopa County Schools.

AFFIDAVIT
State of Arizona } MARK:OP/A BOAFI ,...;ouNTY .PERVISORa
County of Maricopal
being first duly sworn, upon oath deposes and says:
L . earn efoo
4' 12_ day of Febratil , 20 16 , he presented to Higley
That on the
School District #60 of Maricopa County, for payment, a claim for services
Unified
furnished during the month of frig( tit a r , said claim
rendered or supplies
voctrid aci) Dollars ($ c:Pos. e 718 ) in payment
being in the sum of4V0 hiptived
in which Higley Unified School District #60 caused Warrant No.15bCa3.a1D-to be
Fe,bructo 0 -1) , 20 15 , drawn on the 51=x1) Fund of
issued on
Higley Unified School District #60 of Maricopa County, Arizona.
Affiant further says that although he was informed and believes received, that the above or has
mentioned warrant was regularly issued, the same has never been
been lost.
WHEREFORE, affiant prays that the Board of Supervisors order and 1SLY.)53Qqa the Maricopa
County Superintendent issue to him a duplicate of said Warrant No.
In the sum of $ .21)5 . ci
Signature
and sworn before me this day of IAC,441_CAN, 201 5.
Subscribe
Nota
My Commissiaaf,x2i,T.L..0 _P, 1 20 A
1 itic-N 'OF ia7st17..-"-. 1
1 -Tr ;;;- 7- .,,,., '' ''-. 1 ', Notzy NINA Pubiic - JONES State of Mona i I I
— __, - ___ - -7- 0 MARICOPA COUNTY !
t...... - .......i ...4 2y Comm. Expires Nov, 11, 2017 !
Following approval please return this affidavit to County Schools Office--

APPROVED
MAR 2 6 2015
AFFIDAVIT
LE rirc 3F SUPEHVISORS —
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Boushon Arnold , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on March 20 , 2015, he/she presented to _Litchfield Elementary School District #79 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of _February_, 2015, said claim being in the sum of ($_364.19
Three Hundred sixty four & 19/100 Dollars in payment of which the
Superintendent of Schools caused his/her Warrant Number _150063197 to be issued
on _March 12 , 2015, drawn on the _030_ Fund of _Litchfield Elementary School District #79 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 _150063197 in the sum of $ 364.19
Signed:
(Name and Title of Authorized Personnel)
Subscribed and sworn to before me this 20 day of _March , 2015
NOTARY PUBLIC:
My commission expires: April 29, 2015
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
I BRITTANY CARTER
- reitowvi Notary Public - Arizona
, 2015