DUPLICATE WARRANTS-SCHOOLS 1.PDF

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AFFIDAVIT
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STATE OF ARIZONA
COUNTY OF 1VIARICOPA
Tiff any Pierce being first duly sworn, upon oath deposes and says:
That on the 4th February day of 14 he presented
To ALHAMBRA SCHOOL DI ST. .of Maricopa County, for payment, a claim
for services rendered or supplies furnished during the month of NOVEMBER said claim
Being inthe sum of Two Hundred Ninety Three 75/100 Dollars.
293.75 ) in payment of whichAl hamb r qhP.O.1.111,s.t
Caused Warrant No 14-0041759 to be issued on 1:1/25 20,1 1
Drawn on the 030 fund of Alhambra School Dist 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
Alhambra School Dist.
issue to him a duplicate of said Warrant No.
14-0041759 In the sum of $ 293.75
Sig
Subscribed and sworn before me this L- Tr, day of (F4- c'n .244
Notary Public
My Commission Expires. ..
Following approval please return this affidavit to County Schools Office

CLERK, BOARD OF SUPERVISORS
AFFIDAVIT MARIOOPA COUNTY
STATE OF ARIZONA
COUNTY OF MARICOPA
LCi 4 Cl
ett4
*Taila_12.1 iteci i0 C. lecAton rep , being first duly sworn, upon oath deposes and says:
(name and title of n r
That on the day of 20 IL-1 , he/she presented to TRy,-.1_%Akcy35- c - op cif tir rel / 14
District of Maricopa County, Arizona , for payment, a claim for services rendered or supplies furnished
during the month of -1,rionnk•A r 20 t , said claim being in the sum of ($ /541. t'S" )
0720 —44eved-ce-d , 0411.7 414V-11 4.7101 tat //70 Dollars in payment of
Which the Superintendent of Schools caused his/her Warrant Number 4/4/0 S' IF 3 el 3 to be
Issued on the Cieklibil_C , drawn an the I Fund of ceCIA.C41.4.3aar
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 4'9a' 5 01 go 3 in the sum of $ /S-9 . .
signed: ** P(ill,t, _a_cd 0)11240- a- ei&e,kat, -Rez414-taa444-Dwe-
(Name 14 title of authorizell personnel)"
Subscribed and sworn to before me this r day of 20 py
La,
NOTARY PUBLIC :
121447
My commission expires:
Following approval please return this affidavit to the Maricopa County Education Service Agency Oftice