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APPROVED
DATE
AFFIDAVIT
K BOARD OF SUPL V
STATE OF ARIZONA MARICOPA COUNTY
COUNTY OF MARICOPA
l'‘) tJ , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
r;
That on --I-PIN. ;I"; , 20 I , he/she presented to 3ts ert -It 3 1 of
(Scnool District Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished during the
month of -1-1 L's-c 20 Ji , said claim being in the sum of ($ 4115,C t) )
• 0D/
1-0 K /12,1-(N DKZ.J.D (--) 4 4:6`-)C-C, 7/00 Dollars in payment of which
the Superintendent of Schools caused his/her Warrant Number AP-4 6C.‘ 40 I I to be issued
on :Sri Ai. ,3".Q ,20 ) , drawn on the 51C) Fund of 3„,{11-S2 %.c) c)-10c1- 0'Z) of
(School District Name)
Maricopa County, Arizona.
Affiant further says that although he r/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 4-I 1/416c fo e 1 cr in the sum of $ `),1-77. OC) .
Signed:
(Name and Title of Authorized Personnel) j .
Subscribed end sworn to before me this , -2..) day of "ILi , 20
NOTARY PUBLIC: Lifilti-tf I MARGARET JOHNSON
Notary Public.Stato of Arizona
Maricopa County
My commission expires: My Commission Expires
August 05,2016
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.
AFFIDAVIT
STAIE OF ARIZONA FiK. BOARD OF SUPERVISORS
MARICOPA COUNTY
COUNTY OF MARICOPA
_ yAd 8 -jsj Ferr61.) being first duly sworn, upon oath deposes and says:
That on the 4 r" day of 5e.,01.. 20 13 , he presented to Avi-YNkdi 61emert -FAr
District of Maricopa County, Arizona, for payment, a claim for services rendered .
•
Or supplies furnished during . th
month of • 6..r - said ., being .. in the. sum - • ..•:•
41 .tiyhAite pollars, . . ($4 9 ) • payment . . which the
• • . •• . • ' ••
SUPerintendent of Schools caused his/her Warrant $U4e -r 'PI 00 3-7 to be
. •. . -
issued on ; drawn on the O& Fund of ANII1JAAje-- EICY4eqtarl tIT
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
6-0 t 3i in the sum of $ 93 .
• Signed:
Subscribed and sworn to before me this day of ,20 /47
8tk Crams
teSsyPulie
likopelkeg Mora NOTARY PUBLIC
Following approval please return this affidavit to the Maric.opa Count y School Superintendents Office.
AFFIDAVIT
!,,,I• 4.4/ .
K, BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF AIARICOPA
C.Atoak f'frtivrocis being first duly sworn, upon oath deposes and says:
That on the day of Fe,410Ai i , 20.1..(:( he presented to
Queen Creek Unified School District #95 of Maricopa County, RyYmC16, a claim for
(,)
services rendered or supplies furnished during the month A f ci ..1.4e0/ge 9' , said claim
_
being in the sum of .'.v.--.2./.4."M-P1). HOOME4 dollars
) in payment of which Queen Creek Unified School District #95
caused Warrant No. is/4100'7016 Y to be issued on Feelead r ("420
drawn on the 040 fund of Queen Creek Unified School District #95 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
Queen Creek Unified School District #95 issue to him a duplicate of said Warrant No.
IP4'Do A7016y in the sum of $./. Oa
AjtAmIn11 071--0
Signature
Slibscrieed and sworn before me this le2411 day of Pn 20 1 4
Noa Public Noisy KELLY Public BLACKHAM - $tile of Minns
My Commission Expires My MARICOPA Commission COUNTY Expires
• - • December-2,2017
rr- • 'I •
APPROVED
AFFIDAVIT
CLERK. BOARD OF SUPERVISORS
MARICOPA COUNTY
STATE OF ARIZONA
COUNTY OF AIARICOPA
C.14201-SA) ;rig AIO/being first duly sworn, upon oath deposes and sa ys:
a U
That on the -3-4.6 day of in.. ..ttseoAx...1 , 20 ./..Y., he presented to
Queen Creek Unified School District #95 of Maricopa County, for payment, a claim for
services rendered or supplies furnished durin g the month of .i...etellAg. . y..c r s ai laim
being in the sum of 7.i.—.D.C./1)5-14.QUWI I) FX,R. iqUA)Z 4- ./ I/ '<liars c
($ 1o. ‘100,>° r in payment of which Queen Creek Unified School District #95
caused Warrant No. 1/1106 Z94-70S-ti to be issued onfWdelar s.., 201..`f
drawn on the 040 fund of Queen Creek Unified School District #95 of
Maricopa County, Arizona.
Affiant further says that although he was informed and believes that the above
mentioned warrant was regularl y issued, the same has never been received, or has been
lost.
WHEREFORE, affiant prays that the Board of Supervisors order and the
Queen Creek Unified School District #95 issue to him a due9 16ate of said Warrant No.
in the sum of
Avg c7)40
Signature
ciscribel and sworn efore _ me _ this day of t\n.a-S-C---\r) ., 20 14
4
4r1/ Public KELLY BLACKHAM
Notary Public - SW of Arizona
My Commission Expires. . It/. IAARICOPA OOPV)4449^.COres COUNTY
December I, 2017
APPROVED
DAT;et_Slibei
AFFIDAVIT
CLERK,BC —IT/TR-57)FiripgrM
STATE OF ARIZONA MARICOPA COUNTY
COUNTY OF MARICOPA
EclAnkertict., being first duly sworn, upon oath deposes and says:
That on the 144day of WW1 204, he presented to 1016A Urgovi 1-b5ik—hco(
District of Maricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month of 06 feill I 201 said claim being in the sum of
0114-144OUS01441)64.,keirvirAgYea rs , /co ($ 6 /OR. 03 ) in payment of which the
Superintendent of Schools caused his/her Warrant Number /1/00.7014.5- to be
issued on P4014 , 20 itt drawn on the 00/ Fund of / &See/ tin i lAA
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
14-601011-15 in the sum of
Signed:
Subscribed and sworn to before me this tNN6 day of tAratICAA ,20 kti
TARY PUBLIC
My commission expires: VD • 41\ Z..0‘N
Following approval please return this affidavit to the Maricopa County School Superintendents Office.
AID AZDVZ
DAT.—
./1) 7.17
CLZAK, 80ARD OF SUPE— AV-IS.-0-RS-
STATE CIF ARIA-NA MARICOPA COUNTY
COUNri . OF MARICOPA
17e .4 6.11*1 1.
rkcSOCAb-AA.0(\
trk-11(rat b I kct1 , being first duly sworn, upon oath deposes and says:
Thai. on the -3tA day t(Virth2011-; , he presented to IcAeyn Untcn
District of iylaricopa County, Arizona, for payment, a claim for services rendered
or supplies furnished during the
month or 20 4-1, said claini being in the sum of
IA
Lki\.Y.303.Sa(1431'u-InC.11-pc_ rs, in pFyment of which the
Superintendent of Schools caused his/her VVErrant Number Li4Ocioa---4- to be
issued on ,.`arkVirrifU , 2i1 4 drawn on the ook Fund of ie r
j-kit3I,‘ Sc3^Qcs
District of Maricopa County, Arizona.
Afflant further says that although he/she vaas informed and believes that the above
mentioned warrant was regularly issued, the same has never been received, or has
beer. lpst.
WHEREFORE, affiant prays that the Board of Supervisors order and the
Superintendent of Schools issue to him/her a duplicate of said Warrant Number
(.00673" in the sum of
Signed:
1.4141-1-1 -k--
Subsc-ibed and sworn to bafore me this day of
JOYCE C. COUNCIL
wars Pubic. Slate oFAdzoni
MARICOPA cOuNTI
Bakes UK 11, 2017
11=77151:71371C
ivry commission expires: .:--11 --(.22iV 7
p::ticEe ustum tri; affids: tc arop Cou t Schea. Superin'...widenth Cffice,
AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MARICOPA
Manuel R. Murillo , being first duly sworn, upon oath deposes and says:
(Name and Title of Person)
That on March 17 2014 , he/she presented to Agua Fria Union High School Dist. 216 of Maricopa
(School District Name)
County, Arizona, for payment, a claim for services rendered or supplies furnished during the month of
March 2014 said claim being in the sum of ($498.69), Four Hundred Ninety Eight Dollars and 69/100
Dollars in payment of which the Superintendent of Schools caused his/her Warrant Number 140072418
to be issued on March 13, 2014 drawn on the 001 Fund of Agua Fria Union High School Dist. 216 of
Maricopa County, Arizona. (School District Name)
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 140072418 in the sum of $498.69.
(A
Signed tiV.61.A.4.419-4nitN
(Name and le o A thorized Personne
Subscribed and sworn to before me this 171-1 day of AfrCii ,20 ir
WE : I•••I sturnmc
NOTARY P Cift-lefAL SEAL
,,ANGF.LICA q.Enki .110E!
' 14: .c.).r6t.v -,(.18L: ,;...- Stga ol Atrz,)ro
P.i.'-"AkeePt COUNT!
Exiraso. 23,1W -
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.