DUPLICATE WARRANTS SCHOOLS.PDF

Maricopa County — Formal (2014-03-26)

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A P If. 0 V
Affidavi t
DATE 3 i f
STATE OF ARIZONA )
COUNTY OF MARICOPA)
—Trai/A5 "Xi(
_being first duly sworn, upon oath deposes and says:
That on the--.2.3..._..day of_ 20H. he presented
to theISM> 4:"C of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of_Pfeltir.ther-, said claim
- 79:4.40
being in the sum ofAlniAm0040 k/rxbrdkr/e/ -qW D 11
...... ... ) in payment of which the Superintendent of Schools caused his
Warrant iyirszlqg to be issued on..., tVr." 0/ 25 ., drawn on the
X. Fund O 14 f 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
bia0.5.2191 in the sum of 02 4/Y1-n
CONSUELO S. HERNANDEZ
NOTARY PLIDUC ARIZONA.
My Comm. MARICOPA Exp.: Fetrumy COUNTY 24, 20Th
Subscribed and sworn before me this. day of 20/ 47
notary public)
my commission expires t72g La-or
Following approval please r'etura,this affidavit to Maricopa County Schools.

AFFIDAVIT CLERK, BOARD OF SUPERVISORS
MARICO ,"-A COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
-13;e1,1 ,S71416 s
m on IC& Pru4'i19 A/1z
, being first duly sworn, upon oath deposes and says:
(Name and Title& Person)
That on Feb. 2C), , 20.11, he/she presented to 13U !4S b *2-0 of
(SchoolDistrict Name)
Maricopa County, Arizona, for payment, a claim for services rendered or supplies furnished durin g the
month of e.P._,-rtt bec2o13, said claim being in the sum of ($ 3 1 LY7g.•02.)
Three_ tilD us and &vek-s gg o In payment of which
the Superintendent of Schools caused his/her Warrant Number Lii41305gbg I to be Issued
1
on 0 I 4:1 ,20 , drawn on the 00i Fund of BUN S I *24) I of
(School District Name}
Maricopa County, Arizona.
Affiant further says that althou gh 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 41-4D ti 580g I in the sum of $ 3, 61 4°. 0
Signed: /1/76hUfi, 4A
(Name and
Subscribed and sworn to before me this fts mnaii day of )1atok , 2O /
efria (j/fzetic CORA OFFICIAL L. CRITTLE SEAL
NOTARY PUBLIC: NOTARY PUBLIC SINE OF ARIZONA
MAR1COPA COUNTY
My commission expires: .479' 1Ay Comm. Expires June 8, 2014
Following approval please return this affidavit to the Markopa County Education Service Agency Office.

AFFIDAVIT CLERK, BOARD OF SUPERVISORS
MAR IC0 PA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
d 4 -z -- (41 ;i4 •- (z-- 7-
4161,115e.., v,453n Velk.5 ., being first duly sworn, upon oath deposes and sa ys:
(Name and title of person )*
That on the 14 day of December, 2013, he/she presented to Agua Fria Union High School District,
District of Maricopa County, Arizona , for pa yment, a claim for services rendered or supplies furnished
during the month of March, 2014, said claim being in the sum of IS 650.00
Six Hundred Fifty Dollars in payment of which the Superintendent of
Schools caused his/her Warrant Number 440061622 to be
Issued on the January 21 , 2014 , drawn on the 526 Fund of Tax Credit Account
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 440061622 in the sum of $ 650.00
(Name & title of authorized personnel)**
Subscribed and sworn to before me this 04 171 day of r1VCA , 20 14
NOTARY PUBLIC : ,A1 012 dSeA1
r\ ,r _ A fi
My commission expires: UCA003...AC d,3(1-1 NOTARY UNMET PUBLIC ANDREWS - AR1ZONO
M I• . _COUNTY
CInemaisn ission Ihrpseru ire
Odder 23, 2017
Following approval please return this affidavit to the Maricopa County Education Service Agency Office.