DUPLICATE WARRANTS-SCHOOLS 3.PDF

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AFFIDAVIT OAT AUG 5 2014
STATE OF ARIZONA tlffit. WARD OF SUI-FlciSC
MARICOPA COUNTY
COUNTY OF MARICOPA
I, Basha±s, being first duly sworn, upon oath deposes and says:
That on the 29 day of March, 2014, he/she presented to Osborn School
District of Marlcopa County, Arizona, for payment, a claim for services rendered or supplies furnished
during the month of Feb/March 2014, said claim being In the sum of ($83.92)
Eighty Three Ninety two Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number 4•4-0085660 to be
Issued on the April 10, 2014 , drawn on the t1163 Fund of Osborn School
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 4-4-0085660 in the sum of $83.92.
_
Signed; .*
Name & title of Putharlred personnel)**
Subscribed and sworn to before me this I.$ t-1 day of ,le3 ,20, /
I NCITAIRY PUNDLCC
TN OF ARIZONA
My commission expires: \,....W16, Vicki ar40OPI S tiomrnIn: 0011,7IY taig
Following approval please return this affidavit to the Ma ricopa County Education Service Agency Office,

WICKENBURG UNIFIED SCHOOL DISTRICT NO. 9
40 W. Yavapai, Widenburg AZ 85390
Phone (928) 668-5350 Fax (928) 668-5390
CI IANIPICINS
-- CH] FOR- Li)R --
AVVIDAVIT
Pchadt \egos , being first duly sworn, upon oath deposes and says:
That on the _LLA.dav ,f; of • 204L he presented to Wickenburg Unified School District 49
Maricopa County, for payment, a claim for services rendered or supplies furnished during the
month of said claim being the sum of 4) , •
Dollars ($ koti, 0(. ) in payment of which the Superintendent of Schools caused Warrant 4
/44 009 ,5 C-51 to be issued on :1 - Li , 20 I drawn on the ) fund of
Wickenburg Unified School District 49 of Maricopa County, Arizona.
Affiant further says that although he was informed and believes that the above mentioned
warrant was regularly issued, the same has never been received, or has been lost.
Wherefore, alliant prays that the poard of Supervisors order and the Superintendent of schools
issue to him a duplicate of said Warrant it gjklaiLA in the sum of$ •
Signature:
Subscribed and sworn before me this \e51`Y\ clav of
Notary Signature Commission Expiration Date
Natalie K Bustamante
Following Notary approval please return original affidavit to: Notary Public
Wiekenburg Willed School District Maricopa County, Anima
Accounts Payable My Comm, Expires 03-0748
40 W. Yavapai Street
Wickenburg, AZ 55390 APPROVED
DATi MAO 5 201
AK, -BOARD OF SUP-ERN/ISO%
MARJCOPA COUNTY

ISAAC SCHOOLS 6/3/2014 10:30:44 AM PACE 3/003 Fax Server
/ATI PROVIC ID
DATE4_ _Ail 5 201i,
Affidavit
STATE OF ARIZONA 'tviAmcoPAcouhav BOARDOFSUPERWSo
COUNTY OF MARICOPA )
AZ SCHOOL PERSONNEL ADMINISTRATORS ASSOCIAITON., being first duly
sworn, upon oath deposes and says:
That on the MI day OF FEBRUARY,2014 they presented to the ISAAC
SCHOOL DISTRICT NO. 5 of Maricopa County, for payment, a claim
for services rendered or supplies furnished during the month of
MARCH, said claim being in the sum of ONE HUNDRED SIXTY
DOLLARS/ 00 CENTS ($160.00) in payment of which the
Superintendent of Schools caused his Warrant No. 440092639 to be
issued on MAY 1, 2014, drawn on the 040 fund of ISAAC SCHOOL
DISTRICT NO. 5 of Maricopa County, Arizona.
Affiant further says that although they were informed and believe
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 them a duplicate of said
warrant number 440092639 in the sum of $160.00
(AUTHORIZED SIGNATURE/TITLE)
Subscribed and sworn before me this ,!5rt4day ofJuito, 2-G-0 Qpiki .
r_N (Notary Public)
VCA.
MVIV(E.KUPWR -
Wary Pubdie - State of Atizonti My commission expires Wavembuk ;bik
MARICOPA COUNTY
MY Cornolffizion ExPiree -
November 18, 2018
Following approval please return this affidavit to Maricopa County Schools.