Extracted text (via pymupdf_layout)
6535 characters
INTEROFFICE MEMORANDUM Waricopa County Education Service Agency (aka Waricopa County Superintendent of Schoo(s Office) RECEIVED TO: CLERK OE HE $9_/4R0 MAR 1 6 2015 FROM: Mae Thompson CLERK MANC;(1M:, BOARD OF COUNTY SUPERVISORS SUBJECT: Affidavits — Wpplacement of Lost Warrants DATE; 3/13/2015 Tfease find attached 3AffidavitProtice of Cfaim(s)for Cost warrants for incision on the next avaifao Ooard agenda The attached item(s) have 6een researched to ensure that the warrant(s) in question have not been cashed or previou,sfy re-issued The original" warrant(s) have had a stop payment done. If you have any questions, pfease contact Nate Thompson at 506.3898 or via e-mad at miffie.thompson@mcesa.maricopa.gov . Approved Affidavits may be routed 6ackto the Superintendent of School finance Division at 4041 X. Centraf Avenue #1200, (12th floor) Thankyou. #66 ROOSEVELT 7(91AM JIALL $269.51 #79 LITCIMELD ELEY11 MVA(1.L, ADVANTAGE $395.00 #216 AGO TRIA CAWEROW 9.1.7-fARTWICI€ $36.23 APPROVED STATE OF ARIZONA A. -)AAL1,a_ 21115_ COUNTY OF MARICOPA OF SUPERVISORS MAirtiCOPA COUNTY ctcq L. (-161 t being duly sworn, upon oath deposes and says; That on the day of -k-_-0au Qv . 1 , he/she presented to the Treasurers of Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of -etnifk)ai+.4 , said claim being in the sum of Tv,-4\or-4(v_i c.0\\-1-ct i l 'ID dollars ($ be, . 5 ) in payment of which the Superintendent of Schools caused his/her Warrant Number vs bolok (0 to to be issued on )(YIc, , Do , drawn on the 0.o 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 pedury, 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 of Schools issue him/her a duplicate of said Warrant Number ISCzkApb-- in the sum of $ 0109 .Ck )4 Claimant Signature Subscribed and sworn before me this J )" day of al A c 3, SMOLA H. HENRY Ncary Puble -St* el Arius( MAMMA COW My Common Expires 6I•IVCIMMI.MaLtaymptilliwin November 6, 2016 My commission expires. S Following approval please return this affidavit to Maricopa County Education Service Agency. LITCHFIELD ELEMENTARY SCHOOL DISTRICT 272 East Sagebrush Street Litchfield Park, Arizona 05340 623.535.6000 Fax 623.935.1448 www.lesd.k12.az.us "A Stronger Mind for a Stronger Future" AFFIDAVIT APP \tr E 0 ') MAR 1 7 2015 STATE OF ARIZONA } SS. COUNTY OF MARICOPA CLERK, MARICOPA BOARD OF COUNTY SUPERV A representative of Private Advantage Mount Taylor Programs being first duly sworn, upon oath deposes and says: That on the 06 of January, 2015 she <be> 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 THREE HUNDRED NINETY FIVE AND 00/00 Dollars ($395.00) in payment of which the Superintendent of Schools caused Warrant No. 450053671 to be issued on 01/20/2015, drawn on the Extended Day Dues & Fees Fund of Litchfield Elementary School District 4 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 Private Advantage Mount Taylor Programs a duplicate of said Warrant No. 4500567,1-) inythe sum of $395.00. ayee Signature Subscribed and sworn to before me this day of Notary Public My commission expires: Following approval, please return this affidavit to Maricopa County Superintendent's office. ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of +,1 , V\ On before me, (-> rv\ — -1(A-,t1 (insert name and title of the officer) personally appeared IC c5 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(ggs/are subscribed to the within instrument and acknowledged to me thateeshe/they executed the same in 1/her/their authorized capacity(ieS), and that bytTs/her/their signature(s) on the instrument the personks), or the entity upon behalf of which the person(sr acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. JOHN MCFANLIN Commission * 2020284 Notary Public - California Sonoma County Signature (Seal My Comm. Expires May 15, 201? APPROVED MAR t 7 2015 AFFIDAVIT n0ARD OF SUPERVISORS MARICOPA COUNTY STATE OF ARIZONA COUNTY OF MARICOPA Cameron M. Hartwick , being first duly sworn, upon oath deposes and says: (Name and Title of Person) That on February 25, 2015, he/she presented to Agua Fria UHSD #216 (School District Name) of 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 ($36.23). Thirty-six Dollars and twenty-three cents Dollars in payment of which the Superintendent of Schools caused his/her Warrant Number 150055339 to be issued on February 12, 2015, drawn on the 510 Fund of Agua Fria UHSD #216 of Maricopa County, Arizona. (School District Name) 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 150055339 in the sum of $36.23. Signed: eamtiviffit 174-42-82rwca- , Student Food Service Worker (Name and Title of Authorized Personnel) Subscribed and sworn to before me this 2- day of 146-4^Gh , 20 1 c ROSANNE HAMBLIN NOTARY PUBLIC: NOTARY PUBLIC - ARIZONA Maricopa County My Commission Expires My commission expires: October 27, 2016 Following approval please return this affidavit to the Maricopa County Education Service Agency Office.