DUPLICATE WARRANTS SCHOOLS.PDF

Maricopa County — Formal (2014-11-05)

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AFFIDAVIT
STATE OF ARIZONA CLERK, BOARD OF SUPERVISOFIS
mARICOPA COUNTY
COUNTY OF MARICOPA
David Carl ei , being first duly sworn, upon oath deposes and says:
That on the 1l day of 20 II-1 , he presented to Bucka SalooL16T. if201
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished durin g the
month of 46312_, said claim being in the sum of
ONE HUMMED ,SEVEnrili -iwo41 Ito Dollars, ($i72, CD in payment of which the
Superintendent of Schools caused his/her Warrant Number 15 0011412-- to be
issued on cSei)--exy)ker 18, 2014 , drawn on the DOI Fund of Fuf_RE.q5. 1111644 Scitai—DtST-
District of Maricopa County, Arizona.
Affiant further sa ys 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
15O0 II q 12 in the sum of $172. (04 .
Nutar) : - Arizona
Maric3pa County
Signed: My Comm. Expires Nov 14, 2017
Subscribed and and sworn to before me this IC day ofikirk&_,20 If-
-1- P./01Xi &WI
04* NOTARY PUBLIC
My commission expires: t
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

I APPROVED
TOCT 2)1 2014
AFFIDAVIT -CLERIC, BOARD OF SUPERVISORS
MAFIICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
pt//being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on ( \ (-4 LC , 20 I 4 , he/she presented to v. -Or I of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of (.26-0, , 20 I (.4 , said claim being in the sum of ($ (119/ 7 )
u\Loi C (MIA Cio-. rib! W.I.) --7X(t'`) Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number /5 CO I —7r,-7 3"e-, to be issued
on ( ,104-01.90," , 20 14, drawn on the C Fund of P 4.7 / 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 /56o 2 L'A in the sum of $ Ce.% -71. 76
(Name and Title of Authorized Personnel) J '
Subscribed and sworn to before me this day of G.240/2th , 20 1
PAT ROGEL
NOTARY PUBLIC: Notary Public —Ari7Ofta
- Maricopa County
My commission expires: Expires 02/15/2016
Following approval pease return this affidavit to the Maricopa County Education Service Agency Office.

;\ IL 32014
AFFIDAVIT /7
f3(gCarF I
/v/AFilCOPA COUNTY -
STATE OF ARIZONA
COUNTY OF MARICOPA
Wi;ST WAS?' TL l
, being first dulysworn, upon oath deposes and says:
(Jlarne and Title of arson)
1 hat on ______j J r9resrited to 3Lte-Jer-tic titrital 1th SCJIOI 6 15441-/'
(School District Nan)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furn].il ,ed during the
month of J , 20 iq , said claim being in the sum of ($ 0251 / ) 31
+ho V4SajtL 1 00)0,11eoulre4Cele.-Verl */* 3/1/€70---b—Jla rs payment of which
the Superintendent of Schools caused 4i7'9Narrart Number 144011216 ,p, to be issued
on j 1,411 , 20 N , drawn on the Obi Funciuf 7 t4,1-1_5D Mzt)( of
(Schaal District Name)
Maricopa County, Arizona.
Affiant further says that althoug fsytvas 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 or said Warrant Number 4-1 11 11 2.I5 ( in the sum of $ Z5 111.39 .
Signed:(
(Name 'Mks of Autha
Subscribed and swo to before day of ,20
NOTARY PUBLIC:
My commission expires:
Following approval please return this affidavit to the Maricopa CALI ay Education Service Agency Office.

CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE g 8202
0 See Attached Oocument (Notary to cross out lines 1-6 below)
D See Statement Below (Lines 1-6 to be completed only by document signers], not Notary)
State of Calif°/ la Subscribed and sworn to (or affirmed) before me
County of on this / day of e2e16.X2/11 , 20//
Date Month Year
by
( 1 ) le/V
Name ol S nor
proved to me on the basis of satisfactory evidence
to be the person who appeared before me
(and
DOREEN R. ALDAPE
Commission # 1946420 (2)
Notary Public - California Name of Signor
Riverside County proved to me on the basis of satisfactory evidence
My Comm. Expires Aug 28, 2015 to be the pers9r, who appe4d red b ?„e o
Place Notary Seal Above Signature of Notary Public=
OPTIONAL
RICHT THUMBPRINT RIGHT THUMBPRINT
• OF SIGNER 41 1= OF SIGNER 02
Though the information below is not required by law, it may prove valuable Top of thumb here Top of thumb here
to persons relying on the document and could prevent fraudulent removal
and reattachment of this form 10 another document,
Further Description of Any Attached Document
Titre or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named AbOVO:
02010 National Notary Association • NallonaiNolary.org • 1-800-US NOTARY (1-800-8715-802/) Item P5910

AFFIDAVIT
STATE OF ARIZONA CLERK, MARICOPA BOARD OF COUNTY SUPERVISORS
COUNTY OF MARICOPA
ueviv-Iccbeing first duly sworn, upon oath deposes and says:
That on the _Lc_y 9E la of- 20 , he presented to A--.1I5hS:huov-D
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 1/1_5(._./.'›'r ...7) 20 1 , said claim being in the sum of
1 ,-i).4\4,1 (eA Dollars, in payment of which the
Superintendent of Schools caused his/her Warrant Number ICZO r)136-1 3 to be
issued on 1\1934 , 20 1\ , drawn on the 0 Fund of loti-e&h\ h lt,A, I
a.I4
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 him1her a duplicate of said Warrant Number
SW 6'13 cf-3 , in the sum of
Signed:
Subscribed and sworn to before me this day of 0 - 201-I
NOTARY PUBLIC
My commission expires: -Dee a ON
Following approval please return this affidavit to the Marioopa County School Superintendents Office.
I'df2r7.cfF1—g MANJINDER - DHEENSA -I
n
NOTARY PUBLIC-CALIFORNIA w
SACRAMENTO AO COUNTY
Expires Dec. 12, 2ID14 —

APPROVED
AFFIDAVIT DAT5 OCT At 2014
STATE OF ARIZONA K. BOARD OF SUPERVISORS
MARCO PA COUNTY
COUNTY OF N/124ItICDEA__.
. being first duly sworn, upon oath deposes and says:
That on the...2D day ofrOci-AN- 20H1 , he presented to 11rt\r=1.), -. 1,16\e'A -i-(s16 4vADI
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of Cr-bol)--:- 20 H . , said claim being in the sum of
TL,Deck,1-\ .'1"111t)
IA/ ne.t reA Dollars, (Cc-) ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1-z.coD(4?-3i to be
issued on Oa-66c,- 3 , 20 , drawn on the ( 1) Fund of—h-lle.." itsh---CA°L) cas
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
I I1? 3) in the sum of $2') 2 c .
Signed:
Subscribed and sworn to before me this 'D-o ""' day of 0 c-k- ,20 _
NOTARY PUBLIC
My commission expires: -C)eC.1 2 /D-0 IL\
Following approval please return this affidavit to the Maricopa County School Superintendents Office,
r ‘.7,:,,,-,7. , MANJ1NDER DHEENSA -I
,,,„ _Az./ • 1., COMM. #1913268 n
- • 47,,;" 4 NOTARY PUBLIC-CALIFORNIA 1111=1 ‘?
SACRAMENTO COUNTY "
7 \<__IIEV My Comm. Expires Dec, 12, ________K 2014
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