DUPLICATE WARRANTS-SCHOOLS .PDF
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AFFIDAVIT
STATE OF ARIZONA
CLERK, BOARD OF SUP E-RVISORS
NAAR1COPA COUNTY
COUNTY OF MAIUCOPA
zoii Re./1155/h•leC reSti , 1 being first duly sworn, upon oath deposes and says:
That on the 6 dav of YOLI 20 11, he presented to
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of MO- R 20 said claim being in the sum of
it,00 Run DOTjDoUars, ($ )88, ) in payment of which the
Superintendent of Schools caused his/her Warrant Number qq6081 9c to be
issued on ii-Pg , 20 Pi-, drawn on the 5-- 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
LILI boo 7 r) 5—in the sum of $ (0.
e-dA4+11231=S-Wbrefie‘ me this day of 5A \A-C,_ ,20,)/1
BENJAMIN K CHAPMAN
Notary Public - Arizona
Malicopa County
My Comm. Expires Oct 27, 20 NOTARY PUBLIC
My commission expires: ik
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
CPR PROFESSIONALS, being first duly sworn, upon oath deposes and says:
/-iaa 0 -8 p DLI._ 14- -0 tu
(name and title of person 1*
That on the MAY 15TH day of 2014 , he/she presented to AGUA FRIA UNION HIGH SCHOOL
DISTRICT# 216
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of MAY 2014 , said claim being in the sum of ($405.00)
FOUR HUNDRED AND FIVE Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number 440098100 to be
Issued on the _MAY 15TH 2014 , drawn on the 525 Fund of AUXILIARY OPERATIONS
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 _440098100 in the sum of $_405.00.
Signed:** TITLE
//a 6c 736 0o4-L A
1Name & title of authorized personnel)**
OFFiC/ALSEkl_
EY
try Fbc
OPA COUNTY i
comm. Lpirc3. ic 17, 2017 I
NOTARY PUBLIC k;
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
AFFIDAVIT
CLERK, BOARD OF SUPERVISORS
MARCOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
ni)14 171 r , being first duly sworn, upon oath deposes and says:
(Name and Title of Peron)
That on ' ,20 ifil, he/she presented to cfl) x -0, 3/e. ,-, ../i)r cjt*/ of
( chool District Name) —
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of Ineqc / , 20 ) 41/ , said claim being in the sum of ($ )
bitu-e thin )64-d ,6,6 i, - :::-/-;(7&6-7-1. toki 3Y/Ifdr. Dollars in payment of which
the Superinten yil ent of Schools caused his/her Warrant Number ih — t:(9374 to be issued
on 57 ,. 6,/1 ,20 i(Y, drawn on the eir/Fund of Ph( em .4( ; /i 2yi*/ 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 ?in the sum of $
JENNIE HAUER
Notary Public - State of Arizona
MARICOPA COUNTY
My Commission Expires
December 14,2015
Signed: (L-;,I- ":":0,0
fr (N oe ann. of -rized Personnel)
Subscribed and sworn to before me this day of , 2O 4
NOTARY P
My commissici
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
STATE OF ARIZONA
COUNTY OF MARICOPA
'ra-Y1T, Luce being duly sworn, upon oath deposes and says;
That on the 0(6) -,c0h he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of l'AC),\I , said claim being in the sum of
ON)Ct Irv) 0 t eglars ($ (osa .--)7) in payment of which the
1,100ciA4_16 '8'`h
Superintendent of Schools caused his/her Warrant Number 60(0S1 I 17:‘ / to be issued on
, k, drawn on the 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 perjury, 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
14C09 6 Sc la"
of Schools issue him/her a duplicate of said WarrantNumber in the sum of
Claimant Signatur,
Subscribed and sworn before me this ( day of Lk(\k„,
-11( 11/4116
Notary Public
My commission expires 1(3/9b/74
4.4
Notary Public State or Arizona
maricopa County
Marisa A Brito
My Commission Explms 07103/2017
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE: OF ARIZONA
COUNTY OF MARICOPA
CLERK, BOARD OF SUPERVISORS
MAR I CO EA CO uN-:y
being duly sworn, upon oath deposes and says;
That on the day ofQ he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of fr , said claim being in the sum of
loc2, VV4/7 S calf( c hi- dollars ($ in payment of which the
cvd. C0-11-3 1 j 1400
Superintendent of Schools caused his/her Warrant Number to be issued on
• drawn on the 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 perjury, 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
1-1.0cPi 0631 1\- 1
of Schools issue him/her a duplicate of said WarrantNumber in the sum of
Claimant Signature
Subscribed and sworn before me this day of.CNA.AAJL
Not 411 t A67: 1 41- 7140:" Rvecnoef ICLA °PA
M CommIssbn Expires
7:016
My commission expires ,
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA
/e"){(-7/ being duly sworn, upon oath deposes and says;
;
That on the 7 day of • -r - he/she presented to the
Treasurers of Maricopa County„ for payment, a claim for services rendered or
7 . •
supplies furnished during the month of , said claim being in the sum of
qilci -641 v r5 dollars ($ 7.17 z/r2-1 • ) • in payment of which the
zt Li
Superintendent of Schools caused his/her Warrant Number o e issued on
Y,•7 , drawn on the 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 perjury, 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
ol:Al3,
of Schools issue him/her a duplicate of said Warrant Number ‘44-: the sum of
$ '
Claimant Signature
Subscribed and sworn before me this rc,.3_ 14)1/4 day o
_My commission expires
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA
being duly sworn, upon oath deposes and says;
That on the 10 day of T,..)cve, , he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of ._ said claim being in the sum of
($1 ,9 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number L/ 0,0,er11 6 to be issued on
• ILYINe , DcsIki , drawn on the 51 0 Fund of Treasurers of
Marieopa 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 perjury, 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 I Lk 009VILID in the sum of
$1.ka4Ms-
Claimant Signature
Subscribed and sworn before me this 9) day of ,
Notary Pulifie
M.y commission expires ry
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA
CLERK, BOARD OF SUPERVISORS
MARICOPA COUNTY
Maria Martinez being duly sworn, upon oath deposes and says;
That on the 23rd day of June , 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of June , said claim being in the sum of
One Hundred Sixteen 46/100 dollars ($ 116.46 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140099550 to be issued on
June 7 2014 , drawn on the 779 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 perjury, 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
140099550
of Schools issue him/her a duplicate of said Warrant Number in the sum of
116.46
Claimant Signaturegi pree. /'e
Subscribed and sworn before me this 21 day of ,(2./-4.e___ ,
Notary Public
My commission expires
Following approval please return this affidavit to Maricopa County Education Service Agency.
AFFIDAVIT
STATE OF ARE-1911124r- C L. / ir
COUNTY OF MARIGGPA L- 0 3 l9/1/4/3e (e-S
*GUITAR CENTER,, being first duly sworn, upon oath deposes and says:
f"- "Krrut..---: A- tt
(name and title of person )*
That on the 10 DAY OCT Jay of 2O13, he/she presented to AGUA FRIA UNION HIGH SCHOOL DISTRICT
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of _OCT 10 2013 , said claim being In the sum of 03,383.09)
THREE THOUSAND AND THREE HUNDRED AND EIGHTY THREE DOLLARS NINE CENTS Dollars In
payment of Which the Superintendent of Schools caused his/her Warrant Number _440032013 to be
Issued on the _OCTOBER 10T1-12013 , drawn on the _610_Fund of _CAPITAL
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 Some 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 _440032013 in the sum of $3,383.09 .
talt
SHEILA JOHNSON
Commission # 1942128
Signed:** ;c- ;J Notary Public - California
Los Angeles County
(Name & title of authorized persormel)* 4 My Comm. Expires Jul 21, 201
Subscribed and sworn to before me this 4:2 day of 20 L
NOTARY PUBLIC:
My commission expires: (4 /V e2e.2 /
Following approval please return this affidavit to the Marlcopa County Education Service Agency Office,
AFFIDAVIT
STATE OF ARIZONA }
SS.
COUNTY OF MARICOPA }
• -1—F. N‘i 44 iLu SI-4- A 0-k /44-d-04, 0-4 acitsvxt Lo_. L_
A representative of ARIZONA RESTAURANT SUPPLY, INC. being
first duly sworn, upon oath deposes and says:
That on the 22nd of April, 2014 she <he> presented to the Litchfield
Elementary School District # 79 of Maricopa County, for payment, a
claim for services rendered or supplies furnished during the month of
April 2014, said claims being in the sum of EIGHT THOUSAND TWO
HUNDRED NINETY AND 50/100 Dollars ($8,290.50) in payment of
which the Superintendent of Schools caused Warrant No. 440092027 to
be issued on 04/29/2014, drawn on the Furniture and Equipment Fund of
Litchfield Elementary School District # 79 of Maricopa County, Arizona.
Affidavit further states that although you were informed and believes that
the above mentioned warrant was regularly issued, the same has never
been received or has been lost, stolen or destroyed and has never been
deposited.
WHEREFORE, affiant prays that the Board of Supervisors order and the
Superintendent of Schools issue to ARIZONA RESTAURANT SUPPLY,
INC. a duplicate of said Warrant No. 440092027 in the sum of $8,290.50.
Payee' Signature Tctp fin sd erk
A- I e_lis L..11
Subscribed and sworn to before me this / 9 ' 71 4— day of
Notary Public
My commission expires:
Following approval, please return this affidavit to Maricopa County
Superintendent's office._
AilLENE,GEWSAK
Notaryihrbile= Arizona
JIM* COunly
My Comm. Expires May 31. 2011
STATE OF ARIZONA
COUNTY OF MARICOPA
K, MAFICOPA 80ARD OP COUNTY SUPEHViSORS
Stephanie Faver being duly sworn, upon oath deposes and says;
That on the 23rd _ d a Y f June 2014 he/she presented to the
Treasurers of Marieopa County, for payment, a claim for services rendered or
supplies furnished during the month of_ June , said claim being in the sum of
One Thousand Four Hundred Sixty 95/100 dollars ($ 1 '460.95 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140099432 to be issued on
June 12 2014 , drawn on the 779 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 perjury, 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 140099432 in the sum of
1,460.95
Claimant Signature
Subscribed and sworn before me this c3rc1 day of JVI “ cp, i
a
f. Alf
My commission expires
APRIL A. RHODES
Notary Public - Arizona
Maricopa County
"MI My Comm. Expires Nov 7, 2014
Following approval please return this affidavit to Maricopa County Education Service Agency.
AFFIDAVIT AP VED
DATE. :1 6 9ti
STATE OF ARIZONA
• BOARD Or &WE-RW-50AS
COUNTY OF MARICOPA AANRICOPA COUNTY
kcic,,A
, being first duly sworn, upon oath deposes and says:
1
That on the' ,.. -7kCiav of ---1/4.)-A_Q_ 20 \ -\, he presented to V-\ I1( ON l.A- .)Not)t '-'0;-S414-1-
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of ---S-3 f\---Q 20 \-, \ said claim being in the sum of
1 ,A.1/4.0 0 ck.o.--N
\\Qcc.\(eA .‘ - tu-QA ,4 Dollars, ( 12,A2.12) in payment of which the
Superintendent of Schools caused his/her Warrant Number k.L\ D-c.30to be
issued on ,INL GZr, 20 ICIrawn on the \t) \ Fund of \140114 4
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
\\A-610.21-4c3C) in the sum of ri9
Signed:
-Subscribgligndsworn Illimm•••I •• I to ••1•1=11•1,bd before me this
Acit, OFFICIALSEAL
BARBARA GRACIA
Notary Public - State of Arizona i
MARICOPACOUNTY
My Corm. Egrires Sept 18, 2014 OTARY PUBLIC
My commission expires:-
Following approval please return this affidavit to the Maricapa County School Superintendents Office.
1 PktOV i
STATE OF ARIZONA
COUNTY OF MARICOPA
PAARICOPA COUNTY *.
Lu ~ L &Q.-Ac( being duly sworn, upon oath deposes and says;
That on the rAdie' day of -Tor\ ,A\J 4 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of said claim being in the sum of
3e \on havkf.esi Allviatt Courda liar% ct..4Ad dollars ($31 3 1 ) in payment of which the
AkA44-4
Superintendent of Schools caused his/her Warrant Number HO /03-S4Lo to be issued on
Dkon tv. , , drawn on the 001 , • 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 perjury, 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 I I-4-0 (b -CH in the sum of
$ :(,0
Claimant Signature
Subscribed and sworn before me this -1-" day of --S-or•si. , g1
A-gig nA-
Notary ublie
SAMALA M. HENRY
Mary MARICOPA Mae • Mato COUNTY oAflzoee My commission expires Nwsevy..k)e,r S t
My Commission Expires
November B. 2015
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA
Eckuorti k. tiv\tav. Ne?- being duly sworn, upon oath deposes and says;
That on the 'el day of 'Tone_ , atsi 41 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month , said claim being in the sum of
IftEmiumicusiallsaaftL dollars ($ ) in payment of which the
4Axsu1/4}4 (.414"3
Superintendent of Schools caused his/her Warrant Number 144b10?4 ESC! to be issued on
3urt4._ g1/40 , a014 , drawn on the (-)01 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 perjury, 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 i401(1444 tSci in the sum of
$ 344
Claimant Signature
Subscribed and sworn before me this 3zr day of
Vtira—ii.HENRY
Notary putiie atato oi Atom
wiARICOPA COUt41Y My commission expires. No\ Pernkar cat.IS
My common 00es
November 6,2016
Following approval please return this affidavit to Maricopa County Education Service Agency.
DATE
AFFIDAVIT 411/Mlf R • OF UPERVIS ORS
MARICOPA COUNTY
STA1 E OF ARIZONA
ss.
COUNTY OF MARICOPA
cc1RY2i-: .s'fra Lk__ 0 PEIZ 7i Dio-Cs //IAN p-61s.7Z_
A representative of HILLYARD/PHOENIX being first duly sworn, upon
oath deposes and says:
That on the 30th of April, 2014, the 9th day of May, 2014 and the 12 th
day of May, 2014 she <he> presented to the Litchfield Elementary
School District # 79 of Maricopa County, for payment, a claim for
services rendered or supplies furnished during the months of April and
May, 2014, said claims being in the sum of ELEVEN THOUSAND
THREE HUNDRED FIFTY SIX AND 19/100 Dollars ($11,356.19) in
payment of which the Superintendent of Schools caused Warrant No.
440097926 to be issued on 05/15/2014, drawn on the Building Operation
Supplies Fund of Litchfield Elementary School District # 79 of Maricopa
County, Arizona.
Affidavit further states that although you were informed and believes that
the above mentioned warrant was regularly issued, the same has never
been received or has been lost, stolen or destroyed and has never been
deposited.
WHEREFORE, affiant prays that the Board of Supervisors order and the
Superintendent of Schools issue to HILLYARD/PHOENIX a duplicate of
said Warrant No. 440097926 in the sum-4411,356.19.
Signature 7:kl,T V :5 4 L K 0 ias
Subscribed and orn to before me this q day of /(,"t 20'
TYLER A. WIBLE
Notary Public - Arizona
Maricopa County Public
My Comm. Expires Nov 23. 2015
2c215---
My commission expires: .
Following approval, please return this affidavit to Maricopa County
Superintendent's office.
APPR. o. yz ir
STATE OF ARIZONA DATEA_ 7ILA
COUNTY OF MARICOPA
• BOARD OF SUPERV1SOP
MARI COPA COUNTY
Karen Miller being duly sworn, upon oath deposes and says;
That on the 2nd day of July , 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of June , said claim being in the sum of
Eight Hundred Seventy 40/100 dollars ($ 870.40 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140102892 to be issued on
June 26 2014 , drawn on the 779 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 perjury, 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 140102892 in the sum of
870.40
Claimant Signatur )Kou-suA_Q 0(.&A
Subscribed and sworn before me this 3
JENNIE HAUER
Notary MARICOPA Public - State COUNTY of Arizona My commission expires
My Commission Expires
December 14, 2015
Following approval please return this affidavit to Maricopa County Education Service Agency.
APPROVED
AFFIDAVIT DAT '7
STATE OF ARIZONA RK, MARICOPA 0 I OF COUNTY S -RVISORS
COUNTY OF MARICOPA
being first duly sworn, upon oath deposes and says:
That on the / day of s-t)ne 20 /,-/ , he presented to L. E6b 7c1
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of , ,-tie 20)..1 , said claim being in the sum of
t\ hat fit ' ($, .11 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 1 - / - 01001 09 to be
issued on L., I f- 9 200 , drawn on the (- of (c 51' 79
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
1 - 1 in the sum of $ -/ .
BRITTANY CARTER
'41 Notary Public - Arizona
Signed: Madcopa County
My Comm. Expires Apr 29. 2015
_- eloge—lae-InPuirmr
Subscribed and sworn to before me this day of )L.) ,20 / 11
NOTARY PUBLIC
My commission expires: 1, I act/ arr
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
John Spallieri worn, upon oath deposes and says:
(Name and Title of Person)
That on 7/7/2014„ he/she presented to Aqua Fria Union High School District 216 of Maricopa County,
(School District Name)
Arizona, for payment, a claim for services rendered or supplies furnished during the month of June,
2014, said claim being in the sum of ($478.06) Four Hundred Seventy Eight and 6/100 Dollars in
payment of which the Superintendent of Schools caused his/her Warrant Number 140100212 to be
issued on June 19, 2014, drawn on the 001 Fund of Aqua Fria Union High School District 216 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 140100212 in the sum of $478.06.
(Name and Titlet Authorize'alersonne
Subsciibied and sworn to before me this Pr/ 1—ft day of 20/Y
NOTARY PUB 01.0Z 'CZ .131) SaildX]'Ult1100 ftiN
AINI100 birl0118V01
qc9.3 euO7tiV 10 an 111find AHV1ON,1
My commission expires: 3CINVNI-.1 114V311 -J9NV
•V3S 1111013d0
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
STATE OF ARIZONA
COUNTY OF MARICOPA
, BOARD OF SUPERVISORS
II,AARICORA COUNTY
Jay Arnold , (Westhighland, LLC) being duly sworn, upon oath deposes and says;
That on the 7th day of July , 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of April Apr , said claim being in the sum of
One Hundred Ten 42/100 dollars (S 110.42 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140081555 to be issued on
April 17, 2014 , drawn on the 779 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 perjury, 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
140081555
of Schools issue him/her a duplicate of said Warrant Number in the sum of
110.42
Claimant Signature _
Subscribed and sworn before me this 0 day o
KELLY L. TAYLOR
NOTARY PUBLIC- ARIZONA
MARICOPA COUNTY
My November Commission 4,201 Expires 6 My commission expires kOU rPOILO
Following approval please return this affidavit to Mar icopa County Education Service Agency.
STATE OF ARIZONA DATEA 1114-(201
COUNTY OF MARICOPA
7RK, BOARO OF SUPERVISORS
MAHICOPA COUNTY
Jay Arnold., ctWesthighland, LLC)
being duly sworn, upon oath deposes and says;
7th July , 2014
That on the day of he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of April , said claim being in the sum of
One Hundred Twelve 70/100 ($ 11270 .
dollars ) in payment of which the
140084915
Superintendent of Schools caused his/her Warrant Number to be issued on
April 30, 2014
, drawn on the 779 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 perjury, 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
140084915
of Schools issue him/her a duplicate of said Warrant Number in the sum of
112.70
Claimant Signature
Subscribed and sworn before mc this 10 day o
KELLY 1, TAYLOR
NOTARY PUBLIC-ARIZONA
MARICOPA COUNTY
My Commission Expires My commission expires
November 4, 2016
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA
RK, BOARD OF SUPERVISORS
MARICOPA COUNTY
_
Jay Arnold CVVesthighland, LLC) being duly sworn, upon oath deposes and says;
That on the 7th day of July , 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of May , said claim being in the sum of
One Hundred Ten 79/100 dollars ($ 110.79 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140088583 to be issued on
May 15 2014 , drawn on the 779 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 perjury, 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
140088583
of Schools issue him/her a duplicate of said Warrant Number in the sum of
110.79
Claimant Signature
Subscribed and sworn before me this 10 day o
KELLY L. TAYLOR
NOTARY PUBLIC-ARIZONA
My MARICOPA Commission COUNTY Expires My commission expires Pot) iI X)(ep
November 4, 2016
Following approval please return this affidavit to Maricopa County Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA -f71:1K, MARCOPA BOARD OF COUNTY SUPERVISORS
Jay Arnold (Westhighland, LLC) being duly sworn, upon oath deposes and says;
That on the 7th day of July 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of May , said claim being in the sum of
One Hundred Nine 53/100 dollars ($ 109.53 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140095662 to be issued on
May 30 2014 , drawn on the 779 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 perjury, 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
140095662
of Schools issue him/her a duplicate of said Warrant Number in the sum of
109.53
Claimant Signature
Subscribed and sworn before me this 10 day o
KELLY I.. TAYLOR Nofary Public
NOTARY PUBLIC -ARIZONA
MAR1COPA COUNlY
My November Commission 4,2016 Expires My commission expires No () 141 (900 Up
Following approval please return this affidavit to Maricopa County Education Service Agency.
,A0
STATE OF ARIZONA geSinaff
COUNTY OF MARICOPA , WI NW° POE* OF SUPERVISOF6 CoEiNlY
Jay Arnold. (VVesthighland, LLC) being duly sworn, upon oath deposes and says;
That on the 7th day of July 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of June , said claim being in the sum of
One Hundred Nine 34/100 dollars ($ 109.34 ) in payment of which the
140099693
Superintendent of Schools caused Ii is/her Warrant Number to be issued on
June 12 2014 , drawn on the 779 Fund of Treasu rers 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
140099693
of Schools issue him/her a duplicate of said Warrant Number in the sum of
109.34
Claimant Signature
Subscribed and sworn before me this tO day
otary u lie
KELLY L, TAYLOR
NOTARY MARICAPA PUBLIC COUNTY -ARIZONA My commission expires AfOU ,r96((p
My Commission Expires
November 4,2016
Following approval please return this affidavit to Marieopa County Education Service Agency.
APPROVICD
JUL)_8
AFFIDAVIT , BOARD OF SUPERVISORS
MARI corA _ COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
AnA -A-rt , being first duly sworn, upon oath deposes and says:
(Name and Title of P ',son)
That on , 20 14 , he/she presented to of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month o \ , 20 , said claim being in the sum of ($ t-eal • 40 )
V.La'A GA. r-ex, J atAtal-ir t-zeib Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number ct 55 .2.2 to be issued
, 20l.4 , drawn on theC.L)l Fund of 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 04 oc)935 in the sum of $
Signed:
Name and "title of Authorized Personnel)
Subscribed and sworn to before me this day of I ,20 I LI
NOTARY PUBLIC:
My commission expires:
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
PAT ROGEL
Notary Public —Arizona
Maricopa County
Expires 02/1512016
APPROVED
DATej_ JULA,8_ 2014,
AFFIDAVIT
RK,BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
011 LeCI el) b , eing first duly sworn, upon oath deposes and says:
(Name and Title of I9e on)
That on , 2014 , he/she presented to 'P. C of
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month ofC iv .c , 20(-, said claim being in the sum of ($ 1 ) 335 . 33)
-kkA0 46 \A,Luvie,t. 414 A-L‘ AxDollars in payment of which
the Superintendent of Schools caused his/her Warrant Number l‘-‘ 0 I 01 Loo to be issued
v).
on , 20 1L-1 , drawn on the Fund of of
(School District Narfie
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 `-kOk (1103 in the sum of $ 395 . 33.
Signed:
Name-5-nd Title of Auth‘lreff-fie-is-onnel) ..
Subscribed and sworn to before me this I day of ,20 I LI
NOTARY PUBLIC:
My commission expires:
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
PAT ROGEL
Notary Public —Arizona
Maricopa County
Expires 02/15/2016
APIPM,OVED
DAT JU 1)1 8 201,4,,
AFFIDAVIT
RI, BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
ufv--) k LL Ct , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on - 0 p20/ 4/ , he/she presented tol.) \-k-1C.k-ov-, Cod/v.)01 t4to,cof
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of nie , 20 i¼said claim being in the sum of ($ -3 7& — )
44, 0 Li so d -1-wc) h )1c1 ye cl -l---h1-"ixoeuoil- 590eDollars in payment of which
the Superintendent of Schools caused his/her Warrant Number /44-54-)9 Pick, cc- to be issued
on n /3, 20 14, drawn on the a)/ Fund of /-ht-/--/e/011 Salo LW-4%0f
(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 /4/00 9kgaid in the sum of $ c.(9.3 7 56— .
Signed:
(Name and Title of AutholTied Personnel)
Subscribed and sworn to before me this day of , 20 /
OFFICIAL SEAL
_MARGARET R. GRAVES
NOTARY PUBLIC: SWART PUSUC - STATE OF ARIZONA
—MARICOPA-COUNTY-
*Conn. Expires Feb. 16, 2016
My commission expires:
Following approval please return this affidavit to the Marlcopa County Education Service Agency Office.
APT4 17,"niritia
AFFIDAVIT DATEA JUL ) 8 2014
STATE OF ARIZONA , BOARD OF-SUPERVISO%
MAFIICOPA COUNTY
COUNTY OF MARICOPA
°j b ov being first duly sworn, upon oath deposes and says:
That on the day of 20 , he presented to
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of —3--UtAR 20 said claim being in the sum of
/9-4.12 KLA.440k.Aad sfrANAA-t_5 0.4,94 .5faars, ($ .S 2-0,Sto ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 11 otboysz to be
issued on &I -2-Lf , , drawn on the 012. Fund of 5X—US
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 1-101ao in the sum of $ 5-2-0 , S(i
Signed)
Subscribed and sworn to before me this day of
OFFICIAL SEAL
LORI ANN PLAITS
Solari Pubic - Sate ol Arizona
MARICOPA COUNT(
Corred NI
1.,I.••• NOTARY PUBLIC
My commission expires: /A/020
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
fr4_, Lr _
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
Dia.)04 iack , being first duly sworn, upon oath deposes and says:
That on the day of 20 , he presented to Cliszik auk Sctu0
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 20 LI4 , said claim being in the sum of
tm211lionkatreri 6-Orb-dim/ 4100 Dollars, ($-1t-1 O ) in payment of which the
Superintendent of Schools caused his/her Warrant Number HA -0100 to be
issued on -3-uv4- drawn on the Fund of QC.US
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
1-±6100?1 in the sum of $ SLIC),Lf O.
Signed:)( /it a-ft„t - 46
Subscribed and sworn to befiv me this
OFFICIAL SEAL
LORI ANN PLAITS
Heim nac • Star al Anna
WAWA COUIGY
My COM EONS Ihry 2, 2015
My commission expires:
Following approval please return this affidavit to the Maricopa County School Superintendents Office.