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s . PROVED
Affidavit DATE NOM 5 2014
STATE OF ARIZONA--
COUNTY OF - MARICOPA )
being first duly sworn, upon oath deposes and says:
MARIA GUZMAN.,
24TH day OF JUNA,2014 they presented to the ISAAC
That on the
NO. 5 of Maricopa County, for payment, a claim
SCHOOL DISTRICT
or supplies furnished during the month of
for services rendered
claim being in the sum of ONE HUNDRED SEVENTY ONE
MARCH, said
($171.05) in payment of which the
DOLLARS/ 05 CENTS
Schools caused his Warrant No. 450016725 to be
Superintendent of
23, 2014, drawn on the 040 fund of ISAAC
issued on SEPTEMBER
SCHOOL DISTRICT NO. 5 of Maricopa County, Arizona.
says that although they were informed and believe
Affiant further
warrant was regularly issued, the same has
that the above mentioned
never been received, or has been lost.
affiant prays that the Board of Supervisors order and
WHEREFORE,
of Schools issue to them a duplicate of said
the. Superintendent
warrant number 450016725 in the sum of $171.05 •••
(AUTHORIZED SIGNATU E/TITLE)
and sworn before me this 2,11, day of CO, 204$
Subscribed
OFFICIAL SEAL
(Notary Public) RYAN FRENCH
NOTARY PUBLIC - STATE OF ARIZONA
---ji3"--.---- COCONINO COUNTY
My commission expires March 13.2016.
My commission expires Sji312b1,6
please return this affidavit to Maricopa County Schools.
Following approval
APPROVED
DADVIA4_
Affidavit
STATE OF ARIZONA CLERK, MARICOPA BOARD OF COUNTY SUPERVISORS
COUNTY OF MARICOPA )
CUMBERLAND THERAPY SERVICES., being first duly sworn, upon oath
deposes and says:
That on the LIP2 day OF Y,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
MARCH, said claim being in the sum of FIVE THOUSAND TWO HUNDRED
DOLLARS/ 00 CENTS ($5,200_00) in payment of which the
Superintendent of Schools caused his Warrant No. 440103053 to be
issued on JUNE 3, 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 440103053 in the sum of $5,200.00
Re4, o-(4 LoilcarLA0 oacci cT
(AUTHORIZED SIGNATURE/TITLE)
scribed an sw n before me this ("t" day of Oq fe.".5WLA
OFFICIAL SEAL
GREG TO VAR
otary Public) NO1ARY PUBLIC - STATE OF ILLINOIS )1.'
MY COMMISSION EXPIRES:08/09/15
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My commission expires
Following approval please return this affidavit to Maricopa County schools.
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
High Sounds Entertainment being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on December 13th 2013 , he/she presented to Buckeye Elementary School District #33 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of December , 2013 , said claim being in the sum of 100. 00 - 00 00
One Hundred Dollars in payment of which the Superintendent of Schools caused
his/her Warrant Number 4-4-0048186 to be issued on December 10th , 2013 drawn
the 040 Fund of Buckeye Bk Elementary El t School hl Di t #33 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 4-4-0048186 in the sum of
$ 100.00
MICHAEL MAYFIELD
Notary Public - Arizona
Maricopa County
My Comm. Expires May 7, 2018
I12"..CS
Signed: (.0 Li
ApWar and Title of .%.ittor_.V.d Personnel
Suipscribed an s ollEflore Lt this a/gi day of
NOTARY PUBLIC:
My commission expires:
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
APPROVED
NOV Qi 2ili
AFFIDAVIT
CLERK, BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
High Sounds Entertainment being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on February 21st 2014 , he/she presented to Buckeye Elementary School District #33 of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of February , 2014 , said claim being in the sum of ($ 100 00
One Hundred Dollars in payment of which the Superintendent of Schools caused
his/her Warrant Number 4-4-0071957 to be issued on February 27th .J 2014 drawn
on the 040 Fund of Buckeye Elementary School District #33 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 44-0071957 in the sum of
$ 100.00
MICHAEL MAYFIELD
Notary Public - Arizona
Maricopa County
My Comm. Expires May 7. 2018
Signed: _ 7 - cu 1,k_vr
Name and Title of Authorized Personnen
.1b°S — 51-fbed"a iri st846 'PefiVtinVAhis
NOTARY PUBLIC:
My commission expires:
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
APPROVED
DATE.4 NOV-117 7°14
AFFIDAVIT
ta, BOARD OF SUPERVISORS
WkRICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
Toys R Us/Babies R Us, being first duly sworn, upon oath deposes and sa ys:
(Name and Title of Person)
That on July 14, 2014 , he/she presented to Avondale Elementary School District #44 of Maricopa
(School District Name)
County, Arizona, for payment, a claim for services rendered or supplies furnished during the month of
July, 2014, said claim being in the sum of ($1 491.37) One Thousand Four Hundred Ninety One 37/100
Dollars in pa yment of which the Superintendent of Schools caused his /her Warrant Number 440119349
to be issued on July 29, 2014 drawn on the 521 Fund of Avondale Elementar y School District #44 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 440119349 in the sum of $1,491.37.
Th
Signed:
(Name ariUlitle-of Authorized Personnel) PAA. cart --r,5
Subscribed and sworn to before me this Z-2-1"jc-1.- day of OcA--o‘9ev ,20 1-1
NOTARY PUBLIC:
My commission expires: Kathleen A Bodisch
Notary Public of New Jersey
My Commission Expires 8-21-15
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
APPROVED
DAT Lon 7 2014
AFFIDAVIT 411
8O!!!!!s[ et
MAIISCOPA ccuv-.
STATE OF ARIZONA
COUNTY OF MARICOPA
-C-Creq V. Piz_us .zkito Ski , being first duly sworn, upon oath deposes and sa ys:
(Name and Title of Pe son)
That on NI "1 , 20 14 , he/she presented to Ul-ch6dd 9)1)1.a-b. Dial-, 4 "of
(School District Name)
Maricopa County, Arizona, for pa yment, a claim for services rendered or supplies furnished durin g the
month of , 20 14 , said claim bein g in the sum of ($ 461, I I )
DU( fttirlArEt (Lb Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number )5 -002J-1- 160 to be issued
on 001" 9341 ,20 1*, drawn on the WO Fund of b.,1th6eietec,-eofl1.5:101b...q.:4- 717 of
(School District Name)
Maricopa County, Arizona.
Affiant further says that althou gh 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 pra ys that the Board of Supervisors order and the Superintendent of Schools issue
to him/her a duplicate of said Warrant Number 15 — 002050 in the sum of $
Signed:
/7 (Name and II
Subscribed and sworn to before me this day of 11,k_ ) , 20 1/
NOTARY PUBLIC: (1)z: •
,—,,
My commission expires: !IX/ / 0((--//
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
BRITTANY CARTER
Notary Public - Arizona
Marlcopa County
My Comm. Expires Apr 29, 2015