Extracted text (via pymupdf_layout)
8519 characters
APPROVED
STATE OF ARIZONA IJATM ( '
COUNTY OF MAR1COPA CLERK ROARD OF SUPEPVI5c ,,
MARICOPA C,r1".
Cheri Emerson being duly sworn, upon oath deposes and says;
That on the 26th day of March , 2014 he/she presented to the
Treastirers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of March , said claim being in the sum of
One Thousand Four Hundred Eighty Eight 00/100 dollars ($ 1488.00 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140074563 to be issued on
March 20 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 140074563 in the sum of
1488.00
Claimant Signat
Subscribed and sworn before me this al
Katherine H. Halley Notary Public
NOTARY PUBLIC - ARIZONA
My MARICOPA Commission COUNTY Expires My commission expires 3 -ZQfl
March 01,201T
Sd
Following approval please return this affidavit to Maricopa County Education Service Agency.
AFFIDAVIT
STATE OF ARIZONA DLEFtk, BOARD OF rSUP—ERVIS07-?;
MARICOPA COUNTY
COUNTY OF MARICOPA
11\\ctv,-,61 rif)a-/ , being first duly sworn, upon oath deposes and says:
That on the 61 day of he , \ 20 1 1-1 , he presented to
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of Javwcv,-) 10 20 l , said claim being in the sum of
I_ -7 t'.) ; DollarsA$ q`‘ ) in payment of which the
Superintendent of Schools caused his/her Warrant Number ) 1iPOS-'-_-.-A Li 1 to be
issued on _36vw . t,--1 , 20 V-1 , drawn on the 1eCl Fund of -To ikso, tv;_ S-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
LIVO's-S C i \ in the sum of $
19
Signed:
Subscribed and sworn to before me this day of di/244:i ,20271
JOYCE C. COUNCIL
Notary Public. State of AriZ01101
MARICOM COUNTY
MYeammisslon Expires Sept 11, 2e11-
My commission expires: g--/1`(.2a7
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
A PPR O rVED
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
er el/ 710 rl L.- H1614
b iQr&C)c -te-y ,, i bi c . cL'I(.fl'IV/-..r- icivd, being first duly sworn, upon oath deposes and says:
(Narhe and Title of Person)
That on February 14th, 2014 , he/she presented to Phoenix Elementary School District
(School District Name)
of Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of February , 2014 , said claim being in the sum of ($100.00 ) One
Hundred Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number 44-0069568 to be issued on
February 14th , 2014 , drawn on the 530 Fund of Phoenix Elementary School District
(School District Name)
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 44-0069568 In the sum of $100.00 .
Signe 1:›fetr\IE OPTEG7t 800kstore
(Nhme'and Title of Authorized Personnel) ar.ut
Subscribed and sworn to before me this day of , 20 /4
DIANA V. GARCIA
NOTARY PUBLIC
NOTARY PUBLIC: 1 U.t COUNTY
STATE OF ARIZONA
My commission expires:
MY COMM EXP: 10-5-16
Following approval please return this affidavit to the Maricopa County Education Agency
APPROVIED
STATE OF ARIZONA ("1 IA!
DA7,1
COUNTY OF MARICOPA I r—j4,,eystal4e ,
MARCOPA AH6'OF COUNTY StJi"E
Briana L Scott being duly sworn, upon oath deposes and says;
That on the 21st day of April , 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of April , said claim being in the sum of
one-hundred five 65/100 dollars ($ 105.65 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140080542 to be issued on
April 17th 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 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
of Schools issue him/her a duplicate of said Warrant Number 140080542 in the sum of
105.65
Claimant Signature
Subscribed and sworn before me this day of c)f , awl
coo\Ad 0,,
Notary Public
My commission expires / / 3 / 0 7
Notary Public Slate of Arizona
Maricopa County
My Marisa Commission A Brio Expires D710312017
Following approval please return this affidavit to Maricopa Count y Education Service Agency.
STATE OF ARIZONA
COUNTY OF MARICOPA
Rosendo Campos being duly sworn, upon oath deposes and says;
That on the 25th day of April 2014 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services Tendered or
supplies furnished during the month of April , said claim being in the sum of
six-hundred sixty-nine 60/100 dollars ($ 669.60 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number 140080482 to be issued on
April 17th 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 140080482 in the sum of
669.60
Claimant Signature ,/
,
Subscribed and sworn before me this a 5 day of A Qv , JO)
Notary Public
My commission expires 7 ( /g011
Notary Public State of Anzona
Maricopa County
Marisa My Commission A Brito Expires 07/0312017
Following approval please return this affidavit to Maricopa County Education Service Agency.
LITCHFIELD ELEMENTARY SCHOOL DISTRICT
272 East Sagebrush Street Litchfield Park, Arizona 85340 o 623.535.6000 Fax 623.935.1448 o www,lesd.k12.az.us
StrongeArtdiffs .x51-rvffr Future"
APPRUVE6.
STATE OF ARIZONA DAT
SS.
COUNTY OF MARICOPA it, BOARD OF SUPERVISORS
AAARICOPA COUNTY
A representative of School Nutrition Association of Arizona being first
duly sworn, upon oath deposes and says:
That on the 21th of Feb, 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
March, 2014, said claim being in the sum of TWO HUNDRED SDCY
AND 00/100 Dollars ($260.00) in payment of which the Superintendent
of Schools caused Warrant No. 440072320 to be issued on 02/25/2014,
drawn on the FOOD SERVICE 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 School Nutrition Association of
Arizona a duplicate of said Warrant No. 440072320 in the sum of
$260.00.
Pay4 Signature
Subscribed and sworn to before me this .a3
My commission expires: 30-9.oi2
Following approval, please return this affidavit to Maricopa County
Superintendent's office.
Oscar D. lbarra
11 Notary Public
Maricopa County, Arizona
My Comm. Expires 01-30-18