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NOTICE OF CLAIM APPROVID IL OCT 2014 — STATE OF ARIZONA ERK, BOARD 0 SUP COUNTY OF MARICOPA MARICOPA COUNTY Pedro Montoya, being first sworn, upon oath deposes and says: That on the l4 of November 2012, they presented to Maricopa County, for payment, a claim for services rendered during the month of August 2012 & September 2012, said claim being in the sum of $ 23.77 dollars, ($23.77) in the payment of which the Maricopa County Board Supervisors caused the Warrant Number 330010478 to be issued on 11/21/2012, drawn on the County's Expense Fund. Claimant 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, claimant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant Number 330010478 in the sum of $23.77. Signed: Subscribed and sworn to before me this 09& ./ r y(et day of Oe--tober- NOTARY PUBLIC MYRNA C. SIGMAN Notary Public - State of Arizona My commission expires: / g My MARICOPA Commission COUNTY Expires MAy V, n18 Date: Date Affidavit is issued to vendor Victim Comp #VC2011032902-2 Request#8 AFFIDAVIT/NOTICE OF CLAIM 14UUI h-1 2: :33 STATE OF ARIZONA HUMAN RESOURCES COUNTY OF MARICOPA Susan D Ferreira BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 13th day of October , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August , said claim being in the sum of One Hundred Forty Five Dollars ($ 145.00 ) in payment of which the Board of Supervisors caused the Warrant No. 22220859 to be issued on September 24 , 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. 22220859 ,20 /1 Siingcl: 4,tc0 Affiant ***A $12.00 fec fertlite-stop-payment-and-reitssu ' firnee-a-the-warrant-willi-b • e-dedueted-from-the replaeement-eheek4±± tOLtaCMEglaitOr MARICOPA COUNTY My Commission Expires Feb. 23,2016 My commission expires: YEs. t.234-42o7( UPON APPROVAL. PLEASE MAIL REPLACEMENT CHECK TO: AFFIDAVIT/NOTICE OF CLAIM MARCO PA COUNTY STATE OF ARIZONA 14 ocT I 6 PM L+:26 COUNTY OF MARICOPA HUMAN RE'3OURCES Jane Westlund BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the f day of , 20 I , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of February , said claim being in the sum of One Hundred twenty eight dollars and no cents Dollars ($ 128.00 _) in payment of which the Board of Supervisors caused the Warrant No. 22167842 to be issued on FebiJa r y_2A_ , 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 pedury, 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. 22167842 In the sum of $ 128.00 Dated: OC_J—, 1(0 ,20 ) (1 Signed: / /\ ,AC 1. ILe.-4-111 ffiant ***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the replacement check.*** Subscribed and sworn to before me this 110 day of ock , 201q1 U1/4) takonv) 13EILEEN(WILL M My commission expires: Notary - State dAlizona MARICOPA COUNTY My Commission Expires II .q. 201% November 9, 2018 WON APPROVAL_ PLEASE MAIL REPLACEMENT CHECK TO: APPROVE, DAT64 00_3 2014 AFFIDAVIT/NOTICE OF CLAIM RK, BOARD OF SUPERVISORS NORIrnr'A COUNTY STATE OF ARIZONA nOCT 20 PH 4: 16 COUNTY OF MARICOPA MARICOPA COUNTY DEPT. OF ELECTIONS Lois D Fagan BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 30th day of September , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August , said claim being in the sum of One Hundred Fifteen r) Dollars ($ 115.00 ) in payment of which the Board of Supervisors caused the _ ra) Warrant No. 22221522 to be issued on September 24 , 20 14 , drawn on p.? Payroll Cleating Account fund. 1. I10 s. 12 Affiant further says that although he/she was informed and believes that the above mentioner&" 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 W.a..rr*,t.No„ 22221522 In the sum of $ 115.00 Dated: Doi-4)u- i5 ,20 lq . Signed: ffiant ±±144147004ee4or-the-stop-payment-mid-reisettanee-of-the-warrant-will-he-dedueted from the replacentent-eheek 11-.4.— ,,tyarrOIvoitrIwIlllNotflt.-46,4,,,e0.0i•t.tworte..._,... , .,,p) NOVA mof to ADe.icigp. OCAUCT: ANA . an sworn to before m_e_fllis I Sr 'I. i day of CLA- , 20/Lii fowl County s, lb 444i,V -%ttifi# •s..t.fto rj'94./' m aoptenibor y ComnVosion (Ex p ii cm • ,.. : .-rf•--1/4061-N.-- 20. 2011.. -.. e. .. -- V . it , ublic My commission expires: 3,-C" . UP UV APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: AFFIDAVIT/NOTICE OF CLAIM 14 OCT 23 111-1 9:5 STATE OF ARIZONA H ? UI • • r • u C 20140CT 22 PM 23 COUNTY OF MARICOPA MARICOPA COUNTY DEPT. OF ELECTIONS George Arthur Rocheleau BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 13th day of October , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August , said claim being in the sum of One Hundred Thirty Dollars ($ 130.00 ) in payment of which the Board of Supervisors caused the Warrant No. 22222108 to be issued on September 24 , 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. 22222108 In the sum of $ 130.00 Dated: ,20__ Signed: co, Affiant replaeement check.*** Subscribed and sworn to before me this lAt • day of ocroet-, 20 ( Notary Public ...".-........-0.....4....atitomr.... My commission expires: eAggize. rpmig,..kigatmoBlitfON 1:j El=1 .N°I.V1YFENitittc•-iRVO NA ( /Log '' ' MAGSIR I ca 9tY UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: Wi• **-CiEc* ,.. 4.1 41 ''C. 6iy,q9mitNi519P(Pires MIA P11:8 APPROVED AFFIDAVIT/NOTICE OF CLAIM 'LLERK, MARICOPA BOARD OF COUNTY SUPERVISORS STATE OF ARIZONA 14 OCT 23 PM 9: 54 201 11007 22 PM 4: 28 COUNTY OF MARICOPA MARICOPA COUNTY DEPT. OF ELECTIONS Judith Ann Norman BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 13th day of October , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August , 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. 22220301 to be issued on September 24 , 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. 22220301 In the sum of $ 115.00 Dated: OA" gz) , 20 /7 Signed: ***A $12.00-fee-for-t4ie-stop-payment-and-reiss ifinee-c Ete-ftefttterefi Robert Matarese Notairg , fisitiad : worn to before me this,20friklay of Maricopa My Comm. Expires 04-06-15 Ptiry Public My commission expires: UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: APPROVEiJ DATE OC 8 2014 AFFIDAVIT/NOTICE OF CLAIM Bc1M-115 U MAHICOPA COUNTY STATE OF ARIZONA 14 OCT 24 PH 4: 04 COUNTY OF MARICOPA HUNAN RESOURCES DAW r1 vvood BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the '2.2nd day of OCtO Derr , 20 I Lj , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of October , said claim being in the sum of one thousand -hA)o hundred -rWen-1i3 -four and 101t00 Dollars ($ I I 2.2 Li ) in payment of which the Board of Supervisors caused the Warrant No. 2212 C1 CII2 to be issued on Oarter /2-2 , 20 1 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 pedury, 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. 222299a In the sum of $ Dated: ,2 cf Signed: LL Ltd-CletiZirl Affiant Subscribed and sworn to before me this 21 I 11-\day of Odthe , 20 ILI • - r"11••III••I•••••=4.1•••I11yr otary Public on eaVANITA GARZA Notary Public - State of Arizona MAR1COPA COUNTY MY COrnmission Expires March 22 2018 UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: Name: _ Telephone Number: Address: Address: 7/23/2010 APPROVE OCT 8 2014 AFFIDAVIT/NOTICE OF CLAIM / Cant,. 41A — K, BOARD OF SUPERVISORS STATE OF ARIZONA 14 OCT 214 PM 2: MARICOPA COUNTY COUNTY OF MARICOPA HUNAN 1;E3OURCES Laura Jill Reicher BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 6th day of October , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August , 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. 22222586 to be issued on September 24 , 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 Alzw Warrant No. 22222586 In the sum of $ 115.00 Art_ Dated: Or174'er. , 20 f y Signed: Affiant F 21*±A-$4-2700-fee-for-the-stop-payment-and-reissuan arrant-vvitroe-tteattetee-trc repPaeenient-eheek;±*± Subscribed and sworn to before me this:4),aday of 067eti,i20 / V Notary Pu5lic My commission expires: I MARGE L. BOERSMA I ;. Notary Public - Arizona (..?D/le Maricopa County ' UPON AP OVAL, PLEASE MAIL REPLACEMENT CHECK TO: My Comm. Expires Apr 25, 2016 DA A 0CI.,2 8 24 AFFIDAVIT/NOTICE OF CLAIM 14 OC• 24 2: 1 1 STATE OF ARIZONA Li\; ',CURCES COUNTY OF MARICOPA Christina Maria Garcia BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 30th day of September , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of Augu6i. , said claim being in the sum of One Hundred Fifteen Dollars ($ 115.00 ) in payment of which the Board of Supervisors caused the Warrant No. 22219743 to be issued on September 24 , 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. 22219743 In the sum of $ 115.00 Dated: iEcke)ter 'el , 20 I LI Signed: rzg • Affiant EJ4 Eirr-rite-steein 11-Be-fieflitete€ repitteement-eheek Subscribed and sworn to before me this JACIEL VELAZQUEZ My commission expires: NOTARY PUBLIC - ARIZONA Marlcopa County telly) tr My Commission Expires April 20, 2018 UPuN APPRovAL, PLEASE MAIL REPLACEMENT CHECK TO: 2 9 20 4 DAT5i AFFIDAVIT/NOTICE OF CLAIM RK, BOARD OF SUPERVISORS MARICOPA COUNTY lit OCT 28 PM 2: 2 I STATE OF ARIZONA COUNTY OF MARICOPA HUMAN RESOURCES Clare Noemi Santiago-Reyes BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 13th day of October , 20 14 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August , said claim being in the sum of One Hundred Forty Dollars ($ 140.00 ) in payment of which the Board of Supervisors caused the Warrant No. 22220515 to be issued on September 24 , 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. 22220515 In the sum of $ 140.00 Dated: Siel /‘ , 20/V- Signed: Affiant ***A $12.00-fee-for-the-stop-payment-and-reastra ' nec of replaeement-eheekTik* Subscribed and sworn to before me this day of a-t, v ,20 iy Qc/Y• Notary Public My commission expires: JAMES R WINNIE Notary Public - Arizona Maricopa County UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: re--I,/ My Comm. Expires Mar 8. 2016