DUPLICATE WARRANTS SCHOOLS.PDF

AFFIDAVIT
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BO- . EfrFFS
MARI CC PA COUNTY _
STATE OF ARIZONA
COUNTY OF MARICOPA
C‘. , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on 0 .20 , he/she presented to tJt1-1 "
(School District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of \ k.‘G, k•-‘ , 20 , said claim being in the sum of ($ 3. )
•, CA 01 4:k k 00 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number H to be issued
on drawn on the tP L- Fund of V VH . 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
Signed:
< ( rhe ad Titl fofikbthoirized'Personnel)
Subscribed and sworn to before me this LI day of
PAT ROGEL
NOTARY PUBLIC: Notary Public —Arizona
Mancopa County
Expires 0245/2016
My commission expires: 0Q-
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.

Affidavit
STATE OF ARIZONA
COUNTY OF MARICOPA )
David Avila being first duly sworn, upon oath deposes and says:
That on the JL_ day of , 20_14_ he presented to the
Murphy Elementary School Dist 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 Six Hundred Fifty Three and 09/100 Dollars ($ 653.09
in payment of which the Superintendent of Schools caused his/her Warrant No. 140083393
to be issued on May , 20 14 , drawn on the OQL Fund of
Murphy Elam Dist 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, affiant prays that the Board of Supervisors order and the SUperintendent of
Schools issue to him a duplicate of said warrant number 140083393 in the sum of
$ 653.09
Subscribed and sworn before me this 1(0 day of
Alit_D----1 1 OFFIOAL SEAL
MARY E. DUENAS
Notary Public State of Arizona
aMisiR4)0PA COUNTY •
My Comm. Expires Sept. 16, 2014 -
My CoInrnisskm Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
HAWorkVkifidavif clo 07114/05

AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
Ay %0 , being first dUly sworn, upon oath deposes and says:
That on the 1 day of CI 20 i3, he presented to 1,41E-L-Sb. (02.
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 'te tg-er . 20 13, safd claim being in the sum of
(51\e, humid 4b . 1 Dollars, ($ f ) in payment - of which the'
Superintendent of Schools caused his/her Warrant Number 414 oo5001,0 to be
issued on D:=C 1 1 , 20 19, drawn on the g 50Fund of UESO (12.
District of Maricopa County, Arizona.
Afriant 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
44005 mg?" in the sum Of $ .
MELISSA ANN 110RUNDA
Notary Public - Arizona .
Signed: Maritopa County
My Comm. Expires Feb 14, 2018
Subscribed and sworn to before me this
My commission expires; ,2- (41)I
Following approval please return this affidavit to the Maricopa County School Superintendents Office.

AFFIDAVIT V g
STATE OF ARIZONA
‹, gor [Tor so-prrorscA8
COUNTY OF MARICOPA ICOPA COUNTY
.6&._//,‘„ , being first duly sworn, upon oath depos4s and says:
That on the IP day ofAfK 2014 , he presented to IcAbp,k gm.
District of Maricopa County, Arizona, for payment, a claim for service's rendered
or supplies furnished during the
month of cana..Avi 2014 , said claim being in the sum of
(*. I111. 1m4.041)N SAccl—tAttAt 27-1(00 Dollars, ($ 1A. 2Z ) in payment of Iwhich the
Superintendent of Schools caused his/her Warrant Number • to be
issued on Ogg. , 20 , drawn on the tosj Fund of nti4,504
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
LtLtitiA5tAll in the sum of ,$ net2Z -
crittetiPaltidadvekliatit Maricopa County 'fore me this . fi-7//,6 day of /-1, 2_t_ ,20 el" V
Mancele Sesma Lerma
My Commission Expires 11117/2015
NOTARY PUBLLIC
My commission expires:
Following approval please return this affidavit to the Maricopa County School Superintendent Office.