021815 MAIN DUPLICATE WARRANTS DOCUMENT.PDF

Maricopa County
Human Resources
RECEIVED
Memo JAN 2 9 2015
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
To: Fran McCarroll, Clerk of the Board
From: Linda Widner
Date: January 29) 2015
Re: Replacement of Lost Payroll Warrants
Please find attached I Affidavit/Notice of Claim(s) for lost payroll
warrants for inclusion on the next available Board 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.
Please call Linda at x 6-8051 for any questions. Please route
approved Affidavits back to County Payroll, Suite 220.
This item is a: Stale-dated Warrant
Thank you.

APPROVED
JAN rit 2015
DATE
AFFIDAVIT/NOTICE OF CLAIM
15 JAN 29 PM 1: 39
STATE OF ARIZONA
RESOURCES
COUNTY OF MARICOPA
5harui BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 4P84141 day of<6 kLUttg" ,20 I , he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of „...) said claim being in the sum of
litAmAdved -EMI' a/1rd 654
Dollars ($ litiV4 1444.5.) ) in payment of which the Board of Supervisors caused the
Warrant No. 25000044is to be issued on JA-f-i 1(0. , 20 15 , drawn on the
Payroll Clearing Account fund.
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. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. zi:-.1:5004-(e In the sum of $ (0414SS
Dated: , 20 iS Signed:
AffiaAl
***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the
replacement check.***
Subscribed and sworn to before me this Ati day of , 20 r5
PADRA. LA,Witt41A4— RitiLO
s , Arm. EILEEN WILLIAMS-PREAS
My commission expires: 11.01.2.01i5 1z4A351 Notary Public- Stated Adz=
Ilk• MARICOPA COUNTY
My Commission Expkee
November 9,2010
UPON APPROVAL. PLEASE MAIL REPLACEMENT CHECK TO:

Maricopa County
Human Resources
Memo
RECEIVED
JAN 3 0 2015
To: Fran McCarroll, Clerk of the Board MAR
CLEAK Bo, UNTY
From: Linda Widner
Date: January 29, 2015
Re: Replacement of Lost Payroll Warrants
Please find attached 'I Affidavit/Notice of Claim(s) for lost payroll
warrants for inclusion on the next available Board 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.
Please call Linda at x 6-8051 for any questions. Please route
approved Affidavits back to County Payroll, Suite 220.
This item is a: Duplicate Warrant Stale-dated Warrant
Thank you.

AFFIDAVIT/NOTICE OF CLAIM
STATE OF ARIZONA
COUNTY OF MARICOPA K MARICOPA SOARO 0.F COUNTY SUPIRVIS ORS
Todd Johnson BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 28th day of January 2015 , he/she presented
to 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
Twelve Hundred ninety six and 91/100
Dollars ($1,296.91 ) in payment of which the Board of Supervisors caused the
WatTant No. 22255089 to be issued on January 28, 2015 , drawn on the
Payroll Clearing Account fund.
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. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. 22255089 In the sum of $1,296.91
Dated: /-0.9,- /5- , 20 Signed:
Affiant
* * ZAK ; • : : • ' : :
pe.pineentent_cheeir. .
Subscribed and sworn to before me this 02-i=day of --2K-to
Notary Public l—Ti:..---RICH Anc B. --- BRICKL1N
My commission expires: \ \ Notary Public - 9 ci Ariecol
MARION*, COUNTY
My Cornmesion Expires
December 4 2016
T131-11IT A POD raw Di AQt? 114 A TT DUDT A O'ClirrXTM OLIVOT, -pc%

INTEROFFICE MEMORANDUM
liaricopa County Education Service figeng (aka
Ilaricopa County Superintendent of Scfioo(s Office)
RECEIVED
TO: CLERK OF VIE 00ARD
FROM: Wlitlie 'Thompson FEB - 2 2015
SUBJECT: Affidavits — Wfpfacement of Lost Warrants CLERK MAR1COPA BOARD OF COUNTY SUPERVISORS
DATE: 1/30/2015
Pase find attached 4 Affidavit/Notice of Craim(s)for Cost warrants for inclusion on
the next avaifa6 Ooard agenda
The attached item(s) have 6een researched to ensure that the warrant(s) in
question have not 6een cashed or previousfy re-issued
The original-warrant(s) have had a stop payment done.
11- you have any questions, p&ase contact Millie 'Thompson at 506.3898 or via e-mail- at
mitile.thompson@mcesa.maricopa.gov . Approved Affidavits may 6e routed back to the
Superintendent of School Finance Division at 4041 W. Central - J4venue #1200, (12th
T'Coor) Tfiankyou,
# 5 ISAAC CENTEROA9V -CrE ENSEIMLE $ 742.00
#65 LPiqLETON X1940ERLTOTICES $1204.58
#216 AGVA EVA ARIZaM 911ARKPIING EoVcArrioRS $210,00
#781 GAvasgfrtEirrs Lim FELIX $235.85

Affidavit APPROVED -I
STATE OF ARIZONA
Rif, BOARD OF SUPEBVSORS
COUNTY OF MARICOPA ) MAR4COPA COUNTY
CENTER DANCE ENSEMBLE.., being first duly sworn, upon oath deposes and
says:
That on the 221ST day OF NOVEMBER,2014 they presented to the ISAAC
SCHOOL DISTRICT NO. 5 of Maricopa County, for payment, a claim
for services rendered or supplies furnished during the month of
MM4 said claim being in the sum of SEVEN HUNDRED FORTY-TWO
DOLLARS/00 CENTS ($742.00) in payment of which the Superintendent
of Schools caused his Warrant No 450043313 to be issued on
DECEMBER 11, 2014, drawn on the 040 fund of ISAAC SCHOOL DISTRICT
NO. 5 of Maricopa County, Arizona.
Affiant further says that although they were informed and believe
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 them a duplicate of said
warrant number 450043313 in the sum of $742.00.
day o , 2045.
(Notary Public)
VERONICA COCHRAN
Notary Public - Arizona
Marlcopa County
My Comm. Expires Sep 15, 2015
My commission expires
Following approval please return this affidavit to Maricopa County Schools.

,cr to„ Stop Payment
AA
43- svocfr Affidavit
Business Resources
STATE OF ARIZONA -k
COUNTY OF MARICOPA j
2.9.;
RK. BOARD OF SUPERVISOFib
MARICOPA COUNTY
Kimberly Dykes , being first duly sworn, upon oath deposes and states:
That on the 25 day of November , 20 14 , he/she presented to Littleton Elementary
School District No. 65, 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 One Thousand Two Hundred Four & 58/100
Dollars ($ 1,204.58 ) in payment of which Littleton Elementary School District No. 65 caused warrant/check
number 150033818 to be issued on 25 day of November , 20 14
drawn on the warrant/check fund of Littleton Elementary School District No. 65 of Maricopa County, Arizona.
Affiant further states that although he/she was informed and believes that the above mentioned warrant/check
was regularly issued, the same has never been received, or has been lost.
Wherefore, affiant requests that the Governing Board order and the Littleton Elementary School District No. 65 issue
to him/her a replacement of said warrant/check number 150033818 in the sum of $ 1 ,2 04.5 8
I
A ilA.i..uaidnal A
Subscribed and sworn before me this day of laa.01.2d9 , 20 .
ato,
itIOTARY
Signat re of Notary Public
PUBLI C .• _o
trA... • gi-
• .....
OF COW My Commission Expires
uy Gatilmission Expites 0610212016
03/2013

A P P
DATFA FEIN) 3 2015
F71130 A 1R3OFSL7:-Ii7.(414/Irlisl"
AFFIDAVIT MAAICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
*Arizona Marketing Educators..., being first duly sworn, upon oath deposes and says:
(Maria Abrams, President )*
That on the Jan 5_day of 2015 , he/she presented to Ague Fria Union High School District.
District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished
during the month of Nov, 20 2014 , said claim being in the sum of
($210.00_)
Two Hundred and Ten Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number 450037337 to be
Issued on the Nov 20 ,2014 , drawn on the _261 Fund of
IA, tot 7-
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 45003733 in the sum of
$ 210.00
Mame & title of authorized personnel)**
Subscribed and sworn to before me this day of cV:An ,20 LS-
WDA
NOTARY PUBLIC :
VANESSA MENDEZ
My commission expires: NOTARY PUBLIC - ARIZONA
MARICOPA COUNTY
My Commission Expires
September 14, 2015
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

APPROVL0
STATE OF ARIZONA
COUNTY OF MARICOPA
LISA FELIX being duly sworn, upon oath deposes and says;
That on the 29TH day of JANUARY , 2015 he/she presented to the
Treasurers 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
TWO HUNDRED AND THRITY FIVE DOLLARS AND 85/100 dollars ($ 235.85 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 150051055 to be issued on
JANUARY 22ND 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
150051055
of Schools issue him/her a duplicate of said Warrant Number in the sum of
235.85
Subscribed and sworn before me this
My commission expires
Following approval please return this affidavit to Maricopa County Education Service Agency.

Maricopa County
Human Resources
Payroll & Employee MEMO
Records Divon
301 Wcstiefferson Street
Suite 220
PhoeniN, Phone: 602-506-3519 AZ 85003-2143 Date: 02/04/2015
Papp11 Mu:: 602-372-0277
Records Fax: 602-506-5509 To Fran McCarron, Clerk of the Board
www.maricopa.gov
From: Sharan Finney, Payroll Specialist
RE: Replacement of Lost Payroll Wan-ants
Please find attached 1 Affidavit/Notice of Claim(s) for lost payroll warrants for
inclusion on the next available Board 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 wanant(s) have had a stop payment done.
This item is a Duplicate Warrant Stale-dated Warrant
Please call Sharan Finney at 506-6329 for any questions.
Approved Affidavits may be routed back to County Payroll, suite 220.
Thank You.
skyzeket 7e,
ce:Sharan Finney
Payroll Specialist
602.506-6329
Fax 602.372-0277
RECEIVED
FE e - 5 2 015
CLERK COUNTY
BOARD OF SUPERVISORS

APPROVED
DATE_ FEB 6 2015
AFFIDAVIT/NOTICE OF CLAIM
MARICOPA COUN
STATE OF ARIZONA 2015 JAN 27 PM 4: 49
COUNTY OF MARICOPA MARICOPA COUNTY
DEPT. OF ELECTIONS
SARA JANE ODNEAL BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 5TH day of JANUARY , 20 15 , he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of NOVEMBER , said claim being in the sum of
ONE HUNDRED FIFTEEN
Dollars ($ 115.00 ) in payment of which the Board of Supervisors caused the
Warrant No. 22240255 to be issued on DECEMBER 3 , 20 14 , drawn on the
Payroll Clearing Account fund.
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. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. 22240255 In the sum of $
Dated: .31Nc. 2.1", 20 ID Signed:
repifteettteftt-eheek4±±
,,,--
JO LE E NIS1111BOttakeig worn to before me this ,1-d- day of kje. , 20 (0
Notary Publr - State of Arizona
MAR)C( IPA COUNTY
M y Cornintasion Expires
March 1,2017
My commission expires:
.77-47

Maricopa County
Human Resources
Memo
To: Fran McCarroll, Clerk of the Board
From: Debbie Milliron
Date: February 9, 2015
Re: Replacement of Lost Payroll Warrants
Please find attached 1 Affidavit/Notice of Claim(s) for lost
payroll warrants for inclusion on the next available Board 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.
Please call Debbie at x 6-2406 for any questions. Please
route approved Affidavits back to County Payroll, Suite 220.
Thank you.
RECEIVED
FEB - 9 2015
• MARICOPA COUNTy
CLERK BOARD LT: SIPERVISORS

AFFIDAVIT/NOTICE OF CLAIM K, BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Ft &L)3 L) BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the day of repf,.0 , 20 , he/ presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of 2.0 t , said claim being in the sum of
e THOL);',k,KS c)oI VO TEEJ ,Nxi_afkk'S /WI') ICC)
Dollars ($ 411+ , 43 in payment of which the Board of Supervisors caused the
Warrant No. 002.2.2 55 0'3 (4, to be issued on JANIuA R.Lsi 2.5 20 , drawn on the
Payroll Clearing Account fund.
Affiant further says that although he/01 was informed and believes that the above mentioned
warrant was regularly issued, the same has never been received, or has been lost. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. 0,922 SSo3 G In the sum of $ .43
Dated: F:0„--13. , 20 15 Signed:
***A $12.00 fee for the stop payment and reissuance of the warrant kill be deducted from the
replacement check.***
Subscribed and sworn to before me this (0 1---\ day of elor- y-1 ,20 VS-
My commission expires: LENE POPE
Notary Polio. State of MIMI
A06 \ Ifty Commistion MANICOPA Expires COUNTY Apt 41, 241/
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO:

MARICOPA COUNTY
Department of Finance
301 West Jefferson, Ste 960
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: February 9, 2015
To: Clerk of the Board
From: Beth Brown
Department of Finance
Subject: Affidavit — Replacement of Lost Warrant
Please find attached affidavit for lost warrant to be included on the next available Board
Agenda.
• The attached item has been researched to ensure the warrant in question
has not been cashed or previously re-issued.
• The original warrant has a void/stale date/stop payment done.
Please call me at 506-1329 if you have any questions. Please return the approved
Affidavit to my attention in the Department of Finance, Suite 960.
Thank you.
Re: RICOH
SIAOSIAcirlS :JO OUVOEi NH310
Vc100IHVVI
qt0Z 6
a3Alaaati

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: 7 Duplicate or El Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA numbers on the Instruction sheet which is
recie 2 of this form.
RICOH (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 15-Oct-2014 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 210.18 .(3)
Signed: (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this 02,ciday of 20 /S-- .
NOTARY . 'BLIC
My commission expires:
My Commission Expires January 12 2016. (seal)
Warrant/Check Number 350009159
(if known) (6)
Original Date of Issue 15-Oct-2014
(if known) (7)
Reason for original issue of Warrant/Check (8):
E Payroll
El For Services or Goods furnished during the month of September, 2014
Treasurer's refund/payment
LI Other:
.13NrED
C, 4 FEB
i
K, BOARD OF SUPERVISORS
MARICOPA COL" 'V

MARICOPA COUNTY
Department of Finance
301 West Jefferson, Ste 960
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: February 9, 2015
To: Clerk of the Board
From: Beth Brown
Department of Finance
Subject: Affidavit — Replacement of Lost Warrant
Please find attached affidavit for lost warrant to be included on the next available Board
Agenda.
• The attached item has been researched to ensure the warrant in question
has not been cashed or previously re-issued,
• The original warrant has a void/stale date/stop payment done.
Please call me at 506-1329 if you have any questions. Please return the approved
Affidavit to my attention in the Department of Finance, Suite 960.
Thank you,
Re: CapitolSource BK FBO Aeon Financial LLC
SHOSIA1:EdriS NH310
AiNnoo vc.icradvim
gOZ 6 Ei3d
CI3A1B038

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: El Duplicate or II Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA numbers on the Instruction sheet which is
Daae 2 of this form.
CapitalSource BK FBO Aeon Financial LLC (i) being first sworn, upon oath deposes and says:
Name/Claimant
On or about 05-May-2013 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.
Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement
warrant/checjejk issued to /her in the sum of $ 1,802.64 .( 3 )
Signed: rhet6, ( (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) S bscribed and sworn to before me this day of -rt)2NL(.1 ill 20 \.
NOTA rPuBug
My corp1ir450p ,‘ E, Ores: urF101AL L EPLEY SEAL
Lti NOTARY PUBLIC -STATE OF ILUNOIS (seal)
MY COMMISSION EXPIRES:06/13/10
Warrant/Check Number 764800
(if known) (6)
Original Date of Issue 05-May-2013
(if known) (7)
Reason for original issue of Warrant/Check (8):
E Payroll
111 For Services or Goods furnished
Treasurer's refund/payment
E Other:
RK, BOARD OF SUPERVISOn!
MARCOPA COUNTY

Maricopa County
Human Resources
Payroll & 1 .::mployee MEMO
Records Division
301 West Jefferson Street
Suite 220
Phoenix, AZ 85003-2143 Date: 02/10/2015
Phone: 602-506-3519
Payroll Fax: 602-372-0277
Records Fax: 602-506-5509 To Fran McCarron, Clerk of the Board
www.maricopii.gov
From: Sharan Finney, Payroll Specialist
RE: Replacement of Lost Payroll Warrants
Please find attached _j Affidavit/Notice of Claim(s) for lost payroll warrants for
inclusion on the next available Board 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.
This item is a Stale-dated Warrant
Please call Sharan Finney at 506-6329 for any questions.
Approved Affidavits may be routed back to County Payroll, suite 220.
Thank You.
Vetitaa tt
cc:Sharan Finney
Payroll Specialist
602.506-6329
Fax 602.372-0277
RECEIVEE
FEB 10 2015
MARICOFA COUNTY
CLERK HOARD OF SUPERVISORS

FEB 11 2:015
AFFIDAVIT/NOTICE OF CLAIM
STATE OF ARIZONA 15 FEB 1 0 PM 3: I9
COUNTY OF MARICOPA
BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the day of 20A , he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of j'ANitiel2 , said claim being in the sum of
Dollars ($ ) ) in payment of which the Board of Supervisors caused the
Warrant No. cs-7 -79 to be issued oja\V‘Pti , 20 /1( , drawn on the
Payroll Clearing Account fund.
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. Under penalty of
perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing.
WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said
Warrant No. < j -1=3' In the sum of $
Dated7,WW , 20 Signed: C
Affiant
***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the
replacement check.***
Subscribed and sworn to before me this
My commission expires:
05--‘/Y6 r
UPO APPROVAL. PLEASE MAIL REPLACEMENT CHECK TO:
ROSA NIGOA
Notary Public. State of ArizOnil 01/31/2013
MARICOPA COUNTY
My Comm. Expires May 14, 2015