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AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
Jict3on
, being first duly sworn, upon oath deposes and says:
That on the /11/ day of4U4 20#, he presented to /4-60
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of said claim being in the Sum of
2n4illmidavertk/141 9a.5 ($ 1767&) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1-A/02,7/3 to be
issued on drawn on the CO/5.% nd of rikr).970/
District of Maricopa County, Arizona.
Afflant 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
1-12--PORYT/ jp the sum of $175Va--
MELANIE FINCHUM
Z.11‘ Notary Public - Arizona
My Comm. Expires Apr 1, 2015
Subscribed and s6orn to before me this /4/
NOTARY PUBLIC
My commission expires:
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
-APPROIIL D
AUG ! 6 2014
DAT
90 , 41.
• " — -
MACIlCOPA
AFFIDAVIT
STATE OF ARIZONA
COONTY OF IVIAjlICOPA
6-55 r do To
)!V4 tA CO leCtto4) Ai eing first upon oath deposes and says:
Mante and title of Person )*
That: On the / /1 day of 20 / , he/she presented to ...inta,91iclak'S
District.of NlaricopiCouptY., Arlizona „ for paxr .nvnt , claim forseNices rendered or %Wes:furnished
duringthe inontli.of ,said Opirn being in the sum. qf ($ _Wit? t )
Dollars in payment bf
Whieti the:upeiTritericlerit of Sthoolt- caused his/her Warrant Nurnber 90S C445, to be d" "-21
Issued on the __.C5V Jut ,20LI , drawn OrrthaAfund .
District-Of MricOpaCouMy , ArizOna.
Affiant.further says that although he/she was-Informed and 'believes that the above mentioned warrant
Was regularly issued, the same has never . leert received , or has been lost.
WHEREFORE, affiant :Prays that the Board of Supervisors order and the Superintendent of Schools,
to hirn/her:a dup) .(eate Of said Warrant iqUmi?e ,`"--3_ in the sum of
oz
Signed:** Le 1 T4t t c_01,(..c.ch-ic 0, mol d.,
{Name & title of authorized pal -idol-la"
Subscribed 4nd swibinto before me this day of , 2
Nal-A[1y pcmuc at& giOrr fUg
MY coMittission exPires:
Following . approval . plea5e.returo aii'sailidavitIo-the kiarlcopia County Eattcationervice • _ . Army . • &flee. • Noa ,L014“ N 1..:„ /Otto
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APPROVED
9 2014
AFFIDAVIT BOARD 0 FIV1S7
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MAR1COPA
Ckr I e ( eek a , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on AtiCitYlt— 20 , he/she presented to FOWieS F y 5) P' 41C---0f
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of A , 20 I LI , said claim being in the sum of ($ (1 6, • 2- )
Oil? ttuAdid c 1 yfe_ri o Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 1 ,1011006 -3 to be issued
on AuDur,+ 1 , 20 / LI, drawn on the ( 6.( ti Fund of FEs 0 ,5*4-/C 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 H C Ho() 5-1 in the sum of $ /169. V .
Signed: (iik" ect CACk
(Name and Title of Authorized Personnel)
Subscribed and sworn to before me this . IL — A day of AujuSt— ,20 P---/
NOTARY PUBLIC:
My commission expires: 12_110‘2
Following approval please return this affidavit to the Ma ricopa County Education Service Agency Office.
APPL011210
STATE OF ARIZONA DAT AUG VA9 ?a
COUNTY OF MARICOPA CLERK, BOARD OF SUP EHVIS6F16
SAAFIICOPA COUNTY
rYkoll C]\_SCIrl being duly sworn, upon oath deposes and says;
That on the I st4 day of AOty..15t , e901 1/4-( he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of Pvu9u,S+ , said claim being in the sum of
Srlc-fw ok- 9*.0 dollars ($615 , 9q ) in payment of which the
Superintendent of Schools caused his/her Warrant Numbert SOZO 53 j to be issued on
o
Oettft4 , drawn on the 00 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 1 .5- 00- in the sum of
Claimant Signature
Subscribed and sworn before me this 'D F--141 d ay 6
5400- )4= PA COUNTY
Ise* Expires
November 6. 2016
My commission expires i\rwe nIkyar7; I t)1
Following approval please return this affidavit to Ma ricopa County Education Service Agency.
APPROVED
DATE AUG12 9 2014
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
, being first duly sworn, upon oath deposes and says:
That on the // dav oft-z,9 20/ , he presented to ,E4 /
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of J„, /' . /y, said claim being in the sum of
Seitc ‘,4,e.Jataltars, s) in payment of which the
Superintendent of Schools caused his/her Warrant Number 4l4')/ 317g-74) to be
issued on &- /c , 21:1/ , drawn on the i/ Fund of
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
in the sum of $ 4
Subscribed and sworn to before me this j ,2
(
NOTARY PUBLIC
My commission expires: - (1
Following approval please return this affidavit to the Maricopa County Sch ri46 11019PIALIC BETH BIGGS - ARIZONA
Pinal County
My Commission Expires
January 19, 2017