Extracted text (via pymupdf_layout)
2377 characters
NOTICE OF CLAIM STATE OF ARIZONA COUNTY OF MARICOPA AMANUEL TSEHAYE, being first sworn, upon oath deposes and says: That on the 31ST day of January 2013, they presented to Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of January 2013 , said claim being in the sum of One Thousand Nine Hundred Fifty four and 16/100 dollars, ($1,954.16) in payment of which the Maricopa County Board Supervisors caused the Warrant Number 782625 to be issued on 1/31/13, drawn on the County's Expense Fund. Claimant 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, claimant requests that the Board of Supervisors issue to him/he duplicate of said Warrant Number 782625 in the sum of $1,954.16. Signed: Subscribed and sworn to before me this \ day of Pv 2.0 4 NOTARY PUBLIC Stole of California, County of los Angeles .Sabscilbed and sworn to (otaftrfned)before me on this My commission expires: J5 /2(2a15 ILCO0Y of (4,"G 2e-, by f-4-r1f\ ,SE proved to me on the bosi; of satisfactory evidence to be The person(s) wbo eoted befoT me. ‘,7 11csldatalFinance$1AP PAY\FORMS\07 Affidavit Form Blank.doc Almon M. Acid Revised March 2007 ms 4/15/2014 10:29:38 AM NOTICE OF CLAIM STATE OF ARIZONA COUNTY OF MARICOPA Sprint (Subpoena Compliance), being first sworn, upon oath deposes and says: That on the 12th day of May 2012, they presented to Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of April 2012 , said claim being in the sum of Thirty and 00/100 dollars, ($30,00) in payment of which the Maricopa County Board Supervisors caused the Warrant Number 320024342 to be issued on 6/08/12, drawn on the County's Expense Fund. Claimant 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, claimant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant Number 320024342 in the sum of $30.00. Signed: k,.!„\NA:,— C\ 1/6-46n, My commission expires: NOTARY PUBLIC - State ot Kansas 1 Shelly LT/ren My Appl, Expires \lcs1data\FinanceVAP PAY\FORMS\07 Affidavit Form Blank.doc Revised March 2007 ms 4/18/2014 1:49:37 PM