020415 MAIN DUPLICATE WARRANTS DOCUMENT.PDF
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Maricopa County
Workforce Management and Development
Payroll & Employee MEMO
Records Division
301 West .lefferson Street
Suite 220
Phoenix, AZ 85003-2143
Phone: 602-505-3519 Date: 1/15/15
Payroll Fax: 502-372-0277
Records Fax: 602-506-5509 To Fran McCarron, Clerk of the Board
wwwmaricopa.gov
From: Wanda Childers, Payroll Specialist
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 Wanda Childers at 506-0409 for any questions.
Approved Affidavits may be routed back to County Payroll, suite 220.
Thank You.
Veto& &tiara
Wanda Childers
Payroll Specialist
602.506-0409
Fax 602.372-0277
RECEIVED
JAN 1 6 ?015
MARIOPA COUNTY
CLERK BOARD OF SUPERVISORS
APPROVED
DATE, JAF1t2 0 2015
AFFIDAVIT/NOTICE OF CLAIM • E31 7HDTTFFS1
MARICOPA COUNTY
STATE OF ARIZONA
-v
COUNTY OF MARICOPA 73- —C
7.3
ELVY NANETTE BARTON BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 4TH day of NOVEMBER , 20 14 , he/she presented 7)
U)
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
FIVE HUNDRED SIXTY FIVE and 71/100
Dollars ($ 565.71 ) in payment of which the Board of Supervisors caused the
Warrant No. 22240982 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. 22240982 In the sum of $ 565.71
Dated: ) , 20 IS Signed:
A iant
***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the
replacement check.***
JOSEPH flotroPubila•StateofAtEoriescri RODENBACK ed and sworn to before me this / 14A day of -3;14JVcir y, 20 (
MARICOPA COUNTY
My Comngeslon Expires Feb. 2S, 20111
Nôtary,fblic
My commission expires:
gp-5/901
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO:
INTEROFFICE MEMORANDUM
Waricopa County Education Service Agency (aka
Waricopa County Superintendent of Schoors Office)
TO: CLERIC OF TOE 00ARD
FROM: Willie Thompson
SUBJECT: Affidavits — W§pfacement of Lost Warrants
DATE: 1/15/2015
(Please find attached 4 AffidavitNotice of Claim(s)for Cost warrants for inclusion on
the ne4 available Woard 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.
If you have any questions, please contact Willie (Thompson at 506.3898 or via e-mad at
millie.thompson@mcesa.maricopa.gov , Approved Affidavits may be routed 6ackto the
Superintendent of School 'Finance Division at 4041 X. Central Avenue #1200, (12th
Floor) 'Thankyou.
# 1 PMENIX EL SVANEL WELLS $103.65
#81 1V:XDfieURG ELAINE RWXDAD $2755.30
#90 SADDLENNT EMSWO ESPINOZA $552.79
#781 GAVITS3rWIE7VT J.A.WELLEROOKS $892.54
RECEIVED
JAN 1 6 2 015
MAP-.1COPA COUNTY
CLERK BOARD OF SUPERVISORS
APPROVED
DATER JA12 0 22
AFFIDAVIT K, BOARD OF SUPERVISORS
MAR ICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
, 77--- :)/514/C/44,' being first duly sworn, upon oath deposes and says:
(Name and Title of Person) /2 LIZc l—L-.
That on I 4', IN lb 20 Ill , he/she presented to of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of 6 Cflti1A--)%r , 20 1"I , said claim being in the sum of ($ O. )
(+ILL oi Li1-1 L. 0 ô I CIL 11. ,,,ep °liars in payment of which
the Superintendent of Schools caused his/her Warrant Number I 5 Oh 3 C7 ç1..t6 to be issued
on Nte ini.kr , 20 I L , drawn on the ( I Fund of - 0 6 0 1 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 'l'5 CO3& in the sum of $ 3 65 .
—7--)1,5732./(71?7t_c2 (1Z1 CIL/
Signed:
(Name and Title of Authorized Personnlq
Subscribed and sworn to before me this day of sc)2(1, , 20
NOTARY PUBLIC: \
My commission expires: ,2
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
PAT RO6LL
NoLiry Pubic - -Arizona
Maricopa County
Expres 02/15/2016
APPROVED
it' 2
DAT
AFFIDAVIT
K, BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Bonded, Elaine R , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on Nov. 20th , 20 14 , he/she presented to Nadaburg Unified #81 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of May , 2014 , said claim being in the sum of ($ 2755.30
two thousand seven hundred fifty five. 30/100 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 150033566 to be issued
on November , 2014_, drawn on the 351 Fund of Nadaburg Unified #81 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 150033566 in the sum of $ 2,755.30
Signed:
(Name arid-Title of Auihorize—d-Personnel)
Subscribed and sworn to before me this day of , 20
SHAHEEN KAUSAR
NOTARY PUBLIC 318113
NOTARY PUBLIC:
COMMONWEALTH OF VIRGINIA
My commission expires: IA . MY COMMISSION EXPIRES JANUARY 31, 2018
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
AF li DAVIT
K. BOARD OF SUPERVISORS
MARICOPA COUNIN
STATE OF ARIZONA
COUNTY OF MARICOPA
.----
•Srl16 Ai: Pi rt: C 29 , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on /y 7 , 20 1.5, he/she presented to 6,1,D,4.,&-- Ake A 1,7)//11 1.) of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of ae-e..FitfeK, 20 pie , said claim being in the sum of ($
//v1liaRE0 F"F-Ty /9.1),b Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number /5-/Do.v'..y,,?/? to be issued
on ,ThEeE.,,e vi 20 piir , drawn on the t..1e/ Fund ofS/p),7)..4..e it‘A/Tifrit) 5.:), 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 /527z) yy77 in the sum of $
Signed:
(Nat and r le of thorize rsonnel)
Subscribed and sworn to before me this 7i day of 7,41L/RRY- 20 /d.5 —
MERLINDA AVILA
NOTARY PUBLIC
NOTARY PUBLIC: APLIA/14.4_ STATE OF ARIZONA
MARICOPA COUNTY
My commission expires: --111c(1-2-0RP I My Comm Evires 7/18/2016
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
APPROVED
STATE OF ARIZONA
DAT
COUNTY OF MARICOPA
RK : BOAR n OF SUPERVISORS
Mr,:mcn„A COUN1 Y
Janelle Brooks being duly sworn, upon oath deposes and says;
That on the 13th 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
EIGHT HUNDRED NINETY TWO DOLLARS AND 54/100 dollars ($ 892.54 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 150046157 to be issued on
JANUARY 1ST 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
of Schools issue him/her a duplicate of said Warrant Number 150046157 in the sum of
892.54
Claimant Signature
Subscribed and sworn before me this day o
Notary Public
KRISTINA SANCHEZ My commission expires
NOTARY PUBLIC. Stale of Arizona
MARICOPA COUNTY
My Coihrn. Expires Juno 11, 2017
Following approval please return this affidavit to Maricopa County Education Service Agency.
Maricopa County
Workforce Management and Development
Payroll & Employee MEMO
Records Division
301 West Jefferson Street
Suite 220
Phoenix:, Phone: 602-506-3519 AZ 85003-2143 Date: 01/15/15
Payroll Fax: 602-372-0277
Records Fax: 602-506-5509 To Fran McCarroll, Clerk of the Board
Nvww.maricopa.gov
From: Wanda Childers, Payroll Specialist
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 wan -ant(s) have had a stop payment done.
Please call Wanda Childers at 506-0409 for any questions.
Approved Affidavits may be routed back to County Payroll, suite 220.
Thank You.
Veolda eitiedefta
Wanda Childers
Payroll Specialist
602.506-0409
Fax 602.372-0277
RECE VED
AN 1 6 2015
COUNTY
CLERK BOARD OF SUPERVISORS
APPROVED
AFFIDAVIT/NOTICE OF CLAIM L-RK. BOARD OF :,UPERVIS0i6
MARICOPA COUNTY
STATE OF ARIZONA 2015 JAN I 5 PM 2: 23
COUNTY OF MARICOPA MARICOPA COUNTY
DEPT. OF ELECTIONS
VICTORIA ELIZABETH ACUNA BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 9TH day of JANUARY , 20 15 , he/she presented
to Maricopa County, for pa yment a claim for services rendered or supplies furnished during the
month of NOVEMBER , said claim being in the sum of
ONE HUNDRED FORTY -7) --...
Dollars ($ 140.00 ) in payment of which the Board of Supervisors caused the c-r:
r
Warrant No. 22239026 to be issued on DECEMBER 3 , 20 14 , draWit on ge
11
Payroll Clearing Account fund.
• •
Affiant further sa ys that although he/she was informed and believes that the above mentionee
warrant was regularl y 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. 22239026 In the sum of $ 140.00
Dated;_i 6-14 , / 3 , 20 /$— Signed:
Affiant-
eted-from-the
repiseement-eheek
Subscribed and sworn to before me t f
A 4 / A A 01.11-41k I41111/1PI
otary1l WV
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO:
Maricopa County
Human Resources
Memo
To: Fran McCarroll, Clerk of the Board
From: Linda Widner
Date: January 15, 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 Linda at x 6-8051 for any questions. Please
route approved Affidavits back to County Payroll, Suite 220.
Thank you.
APPROVED
DATE JANV, 0 2015
AFFIDAVIT/NOTICE OF CLAIM
STATE OF ARIZONA i5 JAN 1 14 Vti 12: 02
COUNTY OF MARICOPA PAUULL/c(ECORDS
Millicent A Anderson BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 31st day of December , 2014 , he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of December , said claim being in the sum of
_One Hundred Fifty Nine and 39/100
Dollars ($159.39 ) in payment of which the Board of Supervisors caused the
Warrant No. 250000343 to be issued on 12/10/2014 , 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
peijury, 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. 250000343 In the of $159.39
Dateth -A)0/9--R7 ,20 /6 Signed: e/Ad-
ffiant
***A $12.0
rephieenteut-elleek
ISABEL M MONT
NOTARY PUBLIC - AR
Marico
My Commiselon ExisMisai
My commission expires. 1 '1 December 12, 2016
TWIN. A PPRfltJAI PT PAP MA TT PRAT A CPNA PTI1T CI-TPCT(
Maricopa County
Human Resources
Payroll & Employee
Records Division
301 West Jefferson Street MEMO
Suite 220
Phoenix, AZ 85003-2143
Phone: 602-506-3519
Payroll Fax: 602-372-0277 Date: January 15, 2015
Records Fax: 602-506-5509
www.maricopa-gov
To Fran McCarroll, Clerk of the Board
From: Linda Greinke, Payroll Specialist
RE: Replacement of Lost Payroll Warrants
Please find attached 1 Affidavit/Notice of Claim(s) for lost payroll warrants
for inclusion on the next available Board agenda.
The attached item(s) have been researched to ensure that the warrant(s) in question
have not been cashed or previously re-issued. The original warrant(s) have had a stop
payment done.
Please call Linda Greinke at 506-3770 for any questions.
Approved Affidavits may be routed back to County Payroll, suite 220.
Thank You.
RECEIVED
JAN 1 6 2015
IVIARICOPA GOUNTY
CLERK BOARD OF SUPERVISORS
CLERK. BOARD OF SI JPERVISORS
AFFIDAVIT/NOTICE OF CLAIM tviAillOOPA COL NTv
iJM4 IF A11:51
STATE OF ARIZONA PAYP,OLL -:ADS
COUNTY OF MARICOPA
6:,e ,c(k
BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the / day of , 20 /C., he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of , said claim being in the sum of
(1,v-CS3/4.6°
Dollars ($ 2 2_ 2. ) in payment of which the Board of Supervisors caused the
Warrant No45000 D 3 1 0 to be issued on 1 Z. -22. , 20 1 Li , 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 NoL 5 0 000 .bJ 0 In the sum of $ 2 2 V2,
Dated: Z - 2 2 , 20 / Lj Signed: -r
ant
***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 /3 day of , 201-5
Notary ,5 .,-°r:PrF
My commission expires:
JUAN A. ROSALES
/ ///6 Molar/ Pullin Stab) ol Arizona
MARIGOPA COUNTY
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: My November Caradatdon 7, 2016 Expires
INTEROFFICE MEMORANDUM
gilaricopa County Education Service Agency (aka
Waricopa County Superintendent of Schoors. Office)
TO: CLERK OF TOE 00ARD
FROM: Willie (Thompson
SUBJECT: Affidavits — Replacement of Lost Warrants
DATE 1/16/2015
PThase find attached 5 )Idavit/Wotice of Cfaim(s)for Cost warrants for inclusion on
the nek-t available Woard 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.
If you have any questions, please contact Willie Thompson at 506.3898 or via e-mail at
milfie.thompson@mcesa.maricopa.gov . Approved Affidavits may be routed 6ackto the
Superintendent of School Finance Division at 4041 X. Central - Avenue #1200, ( 12th
Floor) Thankyou.
# 781 GWISYCMENTS YOLIE MERRILL $1141.02
#1 P1-10EIVIX EL SW1W4 DESIGN - GZ 'SCREEN -PRIMING $ 1054,06
#66 ROOSEVELT ROBYN - EBAVVrifORST $1040,25
#66 ROOSEVELT SARENX4 CITERIAKAXWA9110 -rERRT $1872.82
#66 ROOSEVELT GWENIATE E JONES $1310,18
RECEIVED
JAN 2 0 2015
MAR2OPA COUNTY
CLERK BOARD OF SUPERVISORS
:STATE OF ARIZONA
COUNTY OF MARICOPA BOARD OF SUPERVISORS
MARICOPA COUNTY
GLue-evre2 E_ being duly sworn, upon oath deposes and says;
That on the day of ne62..0\kyl- , aAk-i he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of11; , said claim being in the sum of
oreAkk,„,,,p,„ikAN-4,.....K)Nsfc..442_".4011ars..1. dollars ($ ) in payment of which the
Superintendent of Schools caused his/her Warrant Number IS 0,04-S9 lb to be issued on
, drawn on the o6,‘, 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
of Schools issue him/her a duplicate of said Warrant Number 1500 439 I c in the sum of
$ 1,310 .1 5(
Claimant Signature , L.A.----N-------
Subscribed and sworn before me this day of,„
,
1\1::rr:
ission expires. twilwAtz.4-
Following approval please return this affidavit to Maricopa County Education Service Agency.
"STATE OF ARIZONA
COUNTY OF MARICOPA RK, BOARD OF SUPERVISOR'
MAHICOPA COUNTY
ak( 4t-CALA C 4 K4 Mal Civ.A being duly sworn, upon oath deposes and says;
That on the Ve\t4'\ day of 1(1, 0orw.. , QON he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of flecrOcyre-f , said claim being in the sum of
%,)frob
CNNAL.L.J,orldekjw-PA,,reVe(t. (e_QQ-44,1 10.k. dollars ($ ) in payment of which the
Superintendent of Schools caused his/her Warrant Number ,Sm,t-/Y1) to be issued on
drawn on the (A) \ 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 150o 1/4 9 3 in the sum of
Claimant Signature
Subscribed and sworn before me this C day orycaux.
Notary Publi
commission expires. NibJe 1141:er
Following approval please return this affidavit to Maricopa County Education Service Agency.
'STATE OF ARIZONA
COUNTY OF MARICOPA
eAki AV c-bc,60-11 being duly sworn, upon oath deposes and says;
That on the 1 VIP' day of ikgs_8, , V-t he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of said claim being in the sum of
ckblirs aS) dollars ($\t • ,? ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1,SW-46-10- 0 to be issued on
‘1..,2„cark).624- st , ,4_)1L1 , drawn on the —6.S`..-1 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 ( ct.)41. -(c, in the sum of
$ c0-10
Claimant Signature
. Subscribed and sworn before me this cr day ofIcTtrA,c,
SAMALA M. 14ENRY cox.
Notary Put* - State of Mona
My MARICOPA Commission COUNT( Expires 111111; :331.41h
November 5. 20 15
My commission expires. e_evvioy—r , 401 s—
Following approval please return this affidavit to Maricopa County Education Service Agency.
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
Swirl Design and Screenprinting being first duly sworn, upon oath deposes and
says:
That on the 7th & 23rd, July 2014 presented to PHOENIX ELEMENTARY
SCHOOL DISTRICT #1 of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of July 2014, said claim being in
the sum of $1054.06 in payment of which Superintendent of Schools caused
his/her Warrant No. 45 -0007034 to be issued on, drawn on the 850 & 313
Fund of PHOENIX ELEMENTARY SCHOOL DISTRICT #1 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 -orOer and the
Superintendent of Schools issue to him/her a duplicate i arrant No. 45-
0007034 in the sum of $1054.06. 7)
Signature
Subscribed and sworn before me this ...ad day of 0e4e,rther , 20
Ryan Poquette
Notary Public - Arizona
Maricopa County
/My Commission Expires
(ary Pub, May 23, 2016
My Commission Expires
Following approval please return this affidavit to COUNTY SCHOOLS OFFICE
T3' for, Tt
STATE OF ARIZONA 20 Z015
COUNTY OF MARICOPA
.1K, BOARD OF SUPERVISORS
MAR ICOPA COUNTY
JULIE MERRILL being duly sworn, upon oath deposes and says;
That on the 14TH day of JANUARY 2015 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of JANUARY , said claim being in the sum of
ONE THOUSAND ONE HUNDRED FORTY ONE DOLLARS AND 02/100 dollars ($ 1141.02 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 150046181 to be issued on
JANUARY 1ST 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
150046181
of Schools issue him/her a duplicate of said Warrant Number in the sum of
1141.02
Claimant Signature
Subscribed and sworn before me this day of '77c)
blic
KRISTINA SANCHEZ
NOTARY PUBLIC - State of Arizona My commission expires Li! tE hot
MARICOPA COUNTY
My Comm bpire11„...... 011,2017
Following approval please return this affidavit to Maricopa County Education Service Agency.
Maricopa County
Human Resources
Memo
To: Fran McCarroll, Clerk of the Board
From: Lisa Platek
Date: January 20, 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 Lisa at x 6-3619 for any questions. Please
route approved Affidavits back to County Payroll, Suite 220.
Stale Dated Warrant (Over 1 Year) Duplicate Warrant
Thank you.
RECEIVED
JAN 2 1 2015
MAMCOPA COUNTY
CLERK BOARD OF SUPERVISORS
APPROVED
JAN21 2015
i.JA I
AFFIDAVIT/NOTICE OF CLAIM 7RK, BOAILD OF :)tii , FRVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Z ,-,cvrq BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS: azz.
That on the 2-0 day of .) , 20 1 , he/she pre5iiited
c
to Maricopa County, for payment a claim for services rendered or supplies furnished during tlie'
month of 30..1(1‘..K.O....r Lj , said claim being in the sum o1 13
c c-rd
-ii10 ViSon , -Mt r+-9 Y. CA Oil US sand cuviS
Dollars ($ 1 1 0 31t, 5 2. ) in payment of which the Board of Supervisors caused the
Warrant N02215 2.2 (..0'2) to be issued on,..\ Olikka.n.5 14 , 20 , 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.Z2Z5 2-(BS In the sum of $ 1 03
Dated:3cunuasy 2..o ,20 \S Signed:
Arm!
***A $12.00 fee for the stop payment and reissuanerof the warrant will be deducted from the
replacement check.***
Subscribed and sworn to before me this Li_ day ofjajwatrq , 20 15
otary Public
My commission expires: 17:01- 1011. —ADRIAN L. MICELI
Notary PubUo- State of Arizona
0 MARIGOPA COUNTY
ON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: My CommIstion AprI14, 2016 ExPires
RECEIVED
Maricopa County
JAN 2 2 2015 Human Resources
MARICOM COUNTY
CLERK BOARD OF SUPERVISORS
Memo
To: Fran McCarroll, Clerk of the Board
From: Debbie Milliron
Date: January 22, 2015
Re: Replacement of Lost Payroll Warrants
- 7:10
Please find attached 1 Affidavit/Notice of Claim(s) for lOstk..c.,
payroll warrants for inclusion on the next available Board agenda.
The attached item(s) have been researched to ensure that the
warrant(s) in question have not been cashed or previously re-
issued. The original warrant(s) have had a stop payment done.
Please call Debbie at x 6-2406 for any questions. Please
route approved Affidavits back to County Payroll, Suite 220.
Thank you.
APPROVE 11)
DARITTIDF SOP
AFFIDAVIT/NOTICE OF CLAIM MARICOPA COUNTY
STATE OF ARIZONA PAYRULL/rd_CuHUS
COUNTY OF MARICOPA
0-01-ir\ BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the L) S+ day of ?(.4/{1 , 20 )..g , he/she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of In Iry , said claim being in the sum of
+1),(1 I445,91d Gvo ,(cfre d -11;rly 6141 13//00
Dollars ($ 2._2'O , 1 3 ) in payment of which the Board of Supervisors caused the
Warrant No. 2:12-C21-C6 to be issued on j'ilt1617(-7 I 5/ , 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 penalt y 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, 22,2s 2. JS C In the sum of $ 1 230.13 .
Dated: jilog! 7_ ,20 ),6"s Signed: 49_10
Affiant
***A $12.00 fee for the stop payment and reissnance of the warrant will be deducted from the
replacement check.***
Subscribed and sworn to before me this 2..I day of
tbA4c4-
Nokary Public
My commission expires: ELIZABETH GORTON
Notary Public,State of Arizona
axt 2, ?CM- My Commission Maricopa County Expires
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: June 02, 2017
INTEROFFICE MEMORANDUM
gilaricopa County Education Service Agency (aka
Maricopa County Superintendent of Scfioo(s Office)
TO: CLERK OF VIE 00AR1T
FROM: Milne 'Thompson RECOVED
SUBJECT: Affidavits — Repazcement of Lost Warrants
2 2 21ii)
DATE: 00/2015
cc-:;
CLE Sul-
Tase find attached 1 Affidavit/Notice of Crainz(s)for Cost warrants for incrusion on
the ne4 avaiCabCe Board agenda
'The attached item(s) have heen researched to ensure that the warrant(s) in
question have not been cashed or previously re-issued
The warrant(s) have had a stop payment done.
If you have any questions, pase contact Witrze 'Thompson at 506.3898 or via e-mail at
miCrie.thompson@mcesa.maricopa.gov. Approved Affidavits may he routed back to the
Superintendent of School Finance Division at 4041 N. Central- Avenue #1200, ( 12th
Efoor) rThankyou.
#60 HIGLET McgrEL SWIM' $387.01
APPROVER
AFFIDAVIT DATE4 JA Ift 2 2015
K, BOARD 0 SUPrFMs
State of Arizona } MARI COPA COUNTY
County of Maricopa}
smi+11 being first duly sworn, upon oath deposes and says:
44441 day of .bezervilocit , 20 1+ , he presented to Higley
That on the
Unified School District #60 of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of /e-C-elfitb-ti .9-64 , said claim
offigrebitawitedCiihiv S-eart 1 16 Dollars ($ 3E7.o I ) in payment
being in the sum
in which Higley Unified School District #60 caused Warrant No. 15004370g to be
issued on c;21-1.11 , \DC.CCA'n ,20 , drawn on the 030 Fund of
Higley Unified School District #60 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 Maricopa
County Superintendent issue to him a duplicate of said Warrant No. 5 00 43 -7LR'
In the sum of $ 5S-7.01
bignature
Subs d sworn before me this 12 day of 411A , 20 15 .
Notary
r-.—Nily-Gemalizian..Expices. it In
OFFICIAL SEAL :
: . 5 NOtaly NINA Public JONES - State of Arizona . I
MARICOPA COUNTY I
1._ My Gomm. EVres Nov. 11, 417 !
Following approval please return ...."...""........•""......“......."......~* this affidavit to County Schools Office
Maricopa County
Human Resource.s
Memo
RECEWFD
JAN 2 2 2015
To: Fran McCarroll, Clerk of the Board MAI--XU-V, COUNTY
CLERK BOARD OF SUPERVISORS
From: Debbie Milliron
Date: January 22, 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 Debbie at x 6-2406 for any questions. Please
route approved Affidavits back to County Payroll, Suite 220.
Thank you.
7;"
AFFIDAVIT/NOTICE OF CLAIM
STATE OF ARIZONA
COUNTY OF MARICOPA
[3rutvv1 BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the 2__ day of ANAO1Y9 , 20 1 .--) , he/she present& -‹ -o ul--
to Maricopa County, for payment a claim for services rendered or supplies furnished during the r- C ,.) : x2- c__
GaYkual r- -..._ N.) Po
month of , said claim being in the sum of
rr.
0116 -14AOUISCWO VI i 146-KAI am( Sni6vI-tij tAill 6-eivil- (..-. ..... 3. 'c
Dollars ($ i 0 [ q .19 ) in payment of which the Board of Supervisors caused the C. ..
Warrant No. 00 '122-152'33(Cio be issued on Savivol 14 ,20 IS , 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. 00222S29 In the sum of $ to 161,19
Dated: AYIVA vt/ ,20 19 Signed:
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 22- day of-Taikalq 15
Ce
otary Public Notary Public- State ISCAL of Arizona
My commission expires: MARICOPA COUNTY
My Commission Exptroa
6)ne,L-1,2010 June 4, 2010
c--Ch—t (
T rpnm APPRflVAT. PT :RASE MATT RFPI ,ACFMFNT CT-IFCK TO:
INTEROFFICE MEMORANDUM
Alaricopa County Education Service Agency (aka
Ilaricopa County Superintendent of Schoo(s Office) RECEIVED
JAN 2 8 2015
TO: CLERK OE TOE ODARD MARICOPA COUNTY
CLERK BOARD OF SUPEr:OrlS
FROM: Willie Thompson
SUBJECT: Affidavits — Wgpracement of Lost Warrants
DATE: 1/27/2015
P&ase finc I attached 1 Affidavit/911otice of Claim(s)for Cost warrants for inclusion on
the nekt avairaffe Ooard agenda
'\1 The attached item(s) have 6een researched to ensure that the warrant(s) in
question have not 6een cashed or previously re-issued
The warrant(s) have had a stop payment done.
If you have any questions, please contact Willie Thompson at 506.3898 or via e-mail at
miffie.thompson@mcesa.maricopa.gov . Approved Affidavits may 6e routed 6ackto the
Superintendent of School finance Division at 4041 5I1-. Central. Avenue #1200, (i2'11
Floor) Thankyou
#59 LAVEE9V - AASA $1125.00
Affidavit APPROVED
State of Arizona DATEA
(County of Maricopa)
K. BOARD OF SlY
MA:11(7,0°A
AASA being first duly sworn, upon oath deposes and says: That on the 14th day of October, 2014
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 October, said claim being
in the sum of $ One thousand one hundred twenty-five and no/100 dollars
($ 1,125.00) in payment of which Superintendent of Schools caused his/her
Warrant No. 450027402 to be issued on October 23, 2014, 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. 450027402 in the sum of $ 1,125.00.
Vendor Signature
Printed name: c- -VA7AC 4Titie with the company: i\
Subscribed and sworn before me this ;2G, day of 31°,15
) (notary public signature and stamp)
r=1'-°2-416141"111.411"114 NAOMI °RONA
Notary .MarlCopa Public .cOurtty - Arizona my commission expires 14.1-/ c;g zey 6
My Cornm. Expires Apr 24, 20161
Following approval please return this affidavit to Maricopa County Schools.