DUPLICATE WARRANTS-SCHOOLS 2.PDF

AFFIDAVIT
AuGI) 2014
DATE
STATE OF ARIZONA
iTgerATIrrnr
MAR ICO PA COUN
COUNTY OF MARICOPA
Ti' .c-Cco t( Put rson , being first duly sworn, upon oath deposes and says:
That on the II day of ,)0(\e„ 20 lq , he presented to 1cAl5T sdA001
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of ooe 20 , said claim being in the sum of
0110 tiS rrii 011VA-1 13, Jr- ico 44. Dollars, ($ ff1 cap ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1 Li 0 I 0 1 to be
issued on .O(\Q t9 4-kn , 20 , drawn on the actlf‘ Fund of 001
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
NO101 in the sum of $ qc1q . clIG.
)1/e/27.-,
Signed a.,647)ro
Subscribed and sworn to before me this 0.2/ day of JLx ,20
DESIRE JASMINE DALEY
NOTARY PUBUC - ARIZONA
MARICOPA COUNTY
My Comrntaelon Expires
November 14, 2010
My commission expires:
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

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AFFIDAVIT 17Aeswv A-z
STATE OF ARIZONA
COUNTY OF MARICOPA
Sara Gilligan, AAGT Office Manager, being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on April, 2014. he/she presented to Tolleson Elementary School District #17 of Maricopa County,
(School District Name)
Arizona, for payment, a claim for services rendered or supplies furnished during the month of February,
2014, said claim being in the sum of ($210.00) Two Hundred and Ten Dollars in payment of which the
Superintendent of Schools caused his/her Warrant Number 17568725 to be issued on June 10, 2014,
drawn on the 001 Fund of Tolleson Elementary School District #17 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 17568725 in the sum of $210.00.
(51vv..v1A A A Gr-
Signed:
(Name and Title of Authorized Pe Onnel) t ,
Subscribed and sworn to before me this 1`.. day of , 20
NOTARY PUBLIC: ( A Aldt_AL., Awl A_ COURTNEY PUEBLA
) Notary Public - Arizona
My commission expires: 6 Coconino County
My Comm. Expires Aug 21, 2016
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
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