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AFFIDAVIT K. aoARD OF SUPERVISORS MARICOPA COUNTY STATE OF ARIZONA COUNTY OF MARICOPA Michael Babicky, being first sworn, upon oath deposes and says: That on the 1Z of April 2014, they presented to Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of April 2014, said claim being in the sum of One Thousand Four Hundred Fifty Six and 00/100 dollars, ($1,456.00) in payment of which the Maricopa County Board of Supervisors caused the Warrant Number 340025370 to be issued on 4/17/14, drawn on the County's Expense Fund. 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 requests that the Board of Supervisors issue to him/her a duplicate of said Warr t Number734002537o in the sum of $1456.00. Subscribed and sworn to before me this day of LI NOTARY PUBLIC My commission expires: llcs1data \Finance$1AP PAY\ FORMS107 Affidavit Form 13Iank.doc Revised March 2007 ms 5/13/2014 9:02:04 AM AFFIDAVIT STATE OF ARIZONA COUNTY OF MARICOPA INTERIOR SOLUTIONS, being first sworn, upon oath deposes and says: That on the 4th day of April, 2014, they presented to Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of March 2014, said claim being in the sum of One thousand seven hundred sixty one and 87/100 dollars, ($1,761.87) in payment of which the Maricopa County Board Supervisors caused the Warrant Number 340024310 to be issued on 04104/14, drawn on the County's Expense Fund. 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 requests that the Board of Supervisors issue to him/her a duplicate of said Warrant Number 340024310 in the sum of $1,76L87; Signed: rn to be/f/9re me this day of AL, 7, e 2-e/e7/ My commission expires: MATT BERRY Notary Public a State of Utah Commission # 664719 My Commission Apr ii 1. 2017 Expires 1Icslciata\F .anceSNAP PAYWORMS‘07 Affidavit Form Biank.doc Revised March 2007 ms 5/9/2014 1041:30 AM AFFIDAVIT/NOTICE OF CLAIM STATE OF ARIZONA 14 MAY -2 Milt 31 COUNTY OF MARICOPA NOW 14001111016 DONNA DOLESHAL BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the Ag day of APRIL , 20 14 he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of NOVEMBER 2013 , said claim being in the sum of THREE HUNDRED AND THIRTY - SEVEN DOLLARS AND FORTY-FIVE CENTS Dollars ($ 337.45 ) in payment of which the Board of Supervisors caused the Warrant No. 22139333 to be issued on NOVEMBER 6 20 13 drawn on the Payroll Clearing Account fund. 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. Under penalty of perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No. 22139333 In the sum of & 337.45 awiAltot Dated: (2/2,70 , 20_1 Signed: Affiant ***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the replacement check.*** Subscribed and sworn to before me this? day o \ My commission , exp'res: DAWN CRAWFORD NotetyPublle.Stateofkizone comnbilion _MAR1COPACOUNIY Evian Feb. 13. NIS