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Affidavit APPROVE State of Arizona (County of Maricopa) I, AASBO being first duly sworn, upon oath deposes and says: That on the 30th day of April, 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 April, said claim being in the sum of $Two hundre ten and no/100 dollars ($ 210.00) in payment of which Superintendent of Schools caused his/her Warrant No. 440096705 to be issued on May 13, 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. 440096705 in the sum of $ 210.00. Printed namelA rC G . @an ciA Title with the company: t‘nonci._ ASS6c. Scleci CAicied S Subscribed and sworn before me this DS day of ) L (notary public signature and stamp) my commission expires to - - Following approval please return this affidavit to Maricopa County Schools. APPROVED AFFIDAVIT ' - K, BOARD OF SUPERVISORS MARICOPA COUNTY STATE OF ARIZONA COUNTY OF MARICOPA 1-\,5h1--(,-/ L. 1 .3141e , being first duly sworn, upon oath deposes and sa ys: (Name and Title of Person) That on _.X / rovq>6.-- 1 1, 20 /Li , he/she presented to--re7tiey-, c3cht,-) I of (School District Name) Maricopa County, Arizona, for pa yment, a claim for services rendered or supplies furnished durin g the month of tA-iciu,si- 2.2 , 20 ILI said claim bein g in the sum of ($. (N. 33 ) -1-6, 0 -Tkicu,S6A(.1 1 klii‘ckbre.A. (tj -1;_hc" to Dullars in pa yment of which the Superintendent of Schools caused his/her Warrant Number /S-CCO to be issued on 14--b 4.4.64 , 2O'( drawn on the ,1( Fund of Uk.)1, of (School District Name) 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 pra ys that the Board of Supervisors order and the Superintendent of Schools issue to him/her a duplicate of said Warrant Number 1C-000 C1,70—) in the sum of 3.37. Signed: Title of Authorized Personnel) Subscribed and sworn to before me this (PM day of .122:14&0_, 20 it NOTARY PUBLIC: op/kted, JOYCE C. COUNCIL tiolary Pubic- Mate of Astoria My commission expires: 0/ COMMiniOn MARICOPA Expires COUNTY Sept 1. 20/7 Following approval please return this affidavit to the Maricopa County Education Service Agency Office.