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APPROVED AFFIDAVIT DATE. LO th-5 STATE OF ARIZONA K, 60A DOF!.L.7 T6 MARICOPA COUNTY COUNTY OF MARICOPA .•( • I 11( c • 11 /1-- , being first duly sworn, upon oath deposes and says: That on the day of ) / 20 i , he presented to 1-E- b •14-7q District of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the month of )f 20 i , said claim being in the sum of ry ir ! 1 C oIlars, ($(- ) in payment of which the Superintendent of Schools caused his/her Warrant Number /1-/-cxy35.95i to be issued on hi , , 201i drawn on the Fund of LE51) 4* 76.1 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 $ Signed: Subscribed and sworn to before me this day of NOTARY PUBLIC My commission expires: i t I ,-:) (- 11 1.) Following approval please return this affidavit to the Maricopa County School Superintendents Office. BRITTANY CARTER Notary Public - Arizona • Marko!). County Mv Comm. Expires Apr 29. 2015 Affidavit STATE OF ARIZONA CLERK, BOARD OF SUPERVISORS MAR1OOPA COUNTY COUNTY OF MARICOPA ) ELEVATE ADVENTURES, LLc being first duly sworn, upon oath deposes and says: J-0,4 Ns afd That on the eleva day of MAY 5th, , 20_14 he presented to the MURPHY ELEM SCH DIST #21 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 FIVE THOUSAND AND 00/100 Dollars ($ 5,000.00 0 in payment of which the Superintendent of Schools caused his/her Warrant No. 44-0093845 to be issued on MAY 6, , 20 14 _, drawn on the 162 Fund of MURPHY 01ST #2j 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, afflant prays that the Board of Supervisors order and the Superintendent of Schools issue to him a duplicate of said warrant number 44-0093845 in the sum of $ 5,000.00 Subscribed and sworn before me this 3 day of ' 7-1114:/k-71°11 20 /614-s115E/ti OFFICIAL SEAL 0 "1"'*'' " JESSICA NGUYEN NOTARY PUBLIC - State of Arizona (NotaWaigaigA COUNTY My Conlin. Expires Sept. 28, 2014 Following approval please return this affidavit to the Maricopa County School Superintendent's Office. HAWork\AffIdaldiloo 07/14105 STATE OF ARIZONA COUNTY OF MARICOPA Shelley Atchison being duly sworn, upon oath deposes and says; That on the 12th 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 Two Thousand Three Hundred Seventy Six 46/100 dollars ($ 2,376.46 ) in payment of which the Superintendent of Schools caused his/her Warrant Number 140096886 to be issued on June 6 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 140096886 of Schools issue him/her a duplicate of said Warrant Number in the sum of 2,376.46 Claimant Signature Subscribed and sworn before me this 1.5.-Z day of NotaryiPublic My commission expires I ic)--Ct Q_Jol 910C 12 Ammer Nuiebra uowsiukucra 900:41JV A1111100 MS Vc1001M1 ssqnd AmoN 3INVIHVG HSAINN3r Following approval please return this affidavit to Maricopa County Education Service Agency. STATE OF ARIZONA COUNTY OF MARICOPA MAS4COPA COUNTY Vanessa Delgadillo being duly sworn, upon oath deposes and says; That on the 12th 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 S.,91,9!" 271,00, dollars (.$ 787.27 ) in payment of which the Superintendent of Schools caused his/her Warrant Number 140096889 to be issued on June 6 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 peijury, 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 140096889 of Schools issue him/her a duplicate of said Warrant Number in the sum of 787.27 Claimant Signature Subscribed and sworn before me this day oriliiiNe Li/ , VV Notary Public State of Arizona Maricops Doris Ruvo County Notary Public My Commission Expires 0601/2016 y commission expires 1 apt (c) Following approval please return this affidavit to Maricopa County Education Service Agency. STATE OF ARIZONA COUNTY OF MARICOPA Katherine Seery being duly sworn, upon oath deposes and says; That on the 12th 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 Two Hundred Eighty 27/100 dollars ($ 2-34137 ) in payment of which the Superintendent of Schools caused his/her Warrant Number 1400968,L to be issued on June 6 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 140096811 of Schools issue him/her a duplicate of said Warrant Number in the sum of 2q36 Claimant Signature Subscribed and sworn before me this g, day ofi-06 ,2_ c;c:ALI \1443-13— Notary Public VS.We' Notary Public State of Arizona My commission expires ksi- Maricopa County Doris My Commission Rua E%pif OS 06/D112016 Following approval please return this affidavit to Maricopa County Education Service Agency.