Extracted text (via pymupdf_layout)
10772 characters
AFFIDAVIT DATE SEP 0 013 STATE OF ARIZONA (LERK, OARDDFSUPERVISCRS 441/ 4. MARCOPA COUNTY COUNTY OF MARICOPA National Curriculum and Training Institute, Inc (NCTI), being first sworn, upon oath deposes and says: That on the 2nd day of July, 2013, they presented to Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of June 2013, said claim being in the sum of Nineteen thousand eiohty seven and 89/100 dollars, ($19,087.89) in payment of which the Maricopa County Board Supervisors caused the Warrant Number 340000277 to be issued on 07/02/13, drawn on the County's Expense Fund. 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 requests that the Board of Supervisors issue to him/her a duplicate of said Warrant Number 340000277 in the sum of $19,087.89. Signed: A001 Subsaribed and sworQ t •-before ale this 11' day of_ NOTARY PUBLI My commission expires: OFFICIAL SEAL KELLY L. NELSON Notary Public - State of Arizona j Revised March 2007 MS MAR1COPA COUNTY 8/30/2013 11:18:35 AM MykOoiem. Expires Aug. 8. 201.6 From: 09118/2013 13:27 #643 P.002/002 "i1,1 id AFFIDAVIT DATE Se 1 913 rek isOARDOF 5UPEFNISOF15 STATE OF ARIZONA, MAR100 PA COUNTY COUNTY OF MARICOPA Concepcion Ortiz , being first sworn, upon oath deposes and says: That on the 5th day of September, 2013 , Maricopa County agreed to an Indemnity payment in the sum of one thousand four hundred twenty seven dollars, ($ 1,427.00, in payment of which the Board of Supervisors caused the Warrant No.AD 00340006038 to be issued on September 9, 2013, drawn on the Expense Fund. Affiant further say that although they were informed and believe that the above mentioned warrant was regularly issued, the same has never been received, or has been lost. Wherefore, affiants pray that the Board of Supervisors issue to them a duplicate of said Warrant No.AD 00340006038 in the sum of $1,427.00 Signed: 1.49 )ti d24 Subscribed and sworn to before me this id — day of .5?-leAr Á&ç ec.511. My commission expires: 0 CA/I R OSA NIGOA Wary MARiCOPA Pubk - State COUNTY &Alters My Comm. Expires May 14, 20?5 Return original signed, notarized form to: Marieopa County-Risk Management Dept. 222 N. Central Avenue, St., #1110 Phoenix, AZ 85004 AFFIDAVIT/NOTICE OF CLAIM STATE OF ARIZONA -7-4 -i3 rEtovEla rd. to) E S-Fial- 8 /13 0.1,43 COUNTY OF MARICOPA dr"171111 F CLERK, BOARD OF SUPERVISORS 71" JuIt e. SCa_1\ C.) L:ARCOPA COUNTY cs-rDuLY svviaN Se • OATH, DEPOSES AND SAYS: Le co I I That on the day of 2013 , hi/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of Sopa rrthe, r , said claim being in the sum of Dollars ($ q --ps.ug , in payment of which the Board of Supervisors caused the Warrant No. 00,12 ir2G-clq to be issued on e 1 , 20 I .70 , drawn on the Payroll Clearing Account fund. 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. Under penalty of perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No. ocj I 3 In the sum of $ ct15.1ps- . Dated: W-wrriote I I , 20 ±_*_ Sig-ned A ffi ant ***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the replacement check.*** Subscribed and sworn to befor.e4w this I 1.0 day of far5, Public My commission expires: °YANA HOCKING Notary Public - Arizona n'Yaj .0?olc5 Madam County My Comm. Expires May 3, 2015 UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: Name:1 Addres1 Address: 01131i2013 AFFIDAVIT/NOTICE OF CLAIM STATE OF ARIZONA COUNTY OF MARICOPA ei" cle4V.144:444079 ' -1 1,4 werfiRl'fl+r PrAi IOACIL.Ah/77 Pdriti DO MI v C BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the 1 6 day of Sc ketker , 20 3 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of See-ieft , said claim being in the sum of Dollars ($ 4'0 7 —Pc., ) in payment of which the Board of Supervisors caused the Warrant No. g2/2 52o to be issued on S ePle , 20 ) 3 , drawn on the:-.7 Payroll Clearing Account fund. 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. Under penalty of perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No. g 742- 5107o In the sum of $ I Ye) 7 Dated: 9-- , 20 12 Signed: Affiant ***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the replacement check.*** Subscribed and sworn to before me this I 1.c..7 day of , 20 13 • PORTIA M. LOMAX 3 tidal Pubic- Me of kizona MAR1COPA COUNTY Notary Public Sion expose:* COMInISSIOn 2017 BOBS I UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: Name: Addres Address: 01/31,2013 AFFIDAVIT/NOTICE OF CLAIM APPROVED STATE OF ARIZONA DME SEP i\ss 2013 13 SEP 1 PM 3: COUNTY OF MARICOPA AwitiumEeissis AK, SOAFIDOF SUPERVISORS NIARICOPA COUNTY Ict c-U A 11-6,.: I betA BEING FIRST DULY SWORN •4 OATH, DEPOSES AND SAYS: That on the 16, day of , 20 13 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of A LL L.5 , said claim being in the sum of aso. Dollars ($ , in payment of which the Board of Supervisors caused the Warrant No.aaarlaIa to be issued on tuAi- 2% , 20 13 , drawn on thC Payroll Clearing Account fund. 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. Under penalty of perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No. Th_PAY06% In the sum of $ t3 Signed: 1-0e4Li: it Cu kuz.,-ig Affiant ***A $12.00 fee for the stop payment and reissuance of the warrant will be deducted from the replacement check.*** Subscribed and sworn to before me this 16. day of 1[7:77"'PEKTriX7 WW1 Notary Pubic.- eitats al Arizona Notary Public ° My corn!, ph.* MARICOPA Commission COUNTY Expires June 15, 2917 UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO: Name: Addres Addres 01 31 2013 AFFIDAVIT --APPROVLAJ DA— SUN 6 2013 RK,130MUOF gbYrEirrOtrg STATE OF ARIZONA MAFIICOPA CCYJNTY COUNTY OF MARICOPA Phoenix Computer Academy, dba Amba Solutions Inc. , being first sworn, upon oath deposes and says: That on the 10 day of July , they presented to Maricopa County, for payment, a claim for services rendered or supplies furnished during the month of July 2013 , said claim being in the sum of Three Hundred Fifty Five dollars, ($355.00) in payment of which the Maricopa County Board Supervisors caused the Warrant Number 00340003377 to be issued on 08 2013, drawn on the County's Expense Fund. Affidavit 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 requests that the Board of Supervisors issue to him/her a duplicate of said Warrant Number 00340003377 in the sum of $355.00. Signed: -i)ar>ici- 6 Subscribed and sworn to before me this 9i day of NOTARY PUBLIC LING ARNOLD WHO, Public - State of Arizona My commission expires: My MARICOPA CoInmission COUNTY Expires Dedernber 24,2015 llcs1datz..Tinance$1AP PAY\FORMS107 Affidavit Form Blank.doc Revised March 2007 ms 9/9/2013 3:59:00 PM SEP. 13, 201 1 . :40AM POSTAL DEPOT O. 477 P 2 P4T,61 V 711! AFFIDAVIT/NOTICE OF CLAIM STATE OF ARIZONA CLER(, BOARD OF SUPERVISORS COUNTY OF MARICOPA MARICOPA COUNTY BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: vo That on the _213113._,..cllix_of4ugult. 02213_, he/she presenter CD to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of said claim being in the sum of jirseiloadtg4.nyaudIP1122 Dollars $2O in payment of which the Board of Supervisors caused the Warrant No. 22i1268 to be issued on ___musagt___, 31_, drawn on the Payroll Clearing Account fund. 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 Iost. Under penalty of perjury, afgant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE., affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No. 2211M, In the sum of $327,„fl(L_ bated; ,2013 Signed: MEtunt "BA S12.00 fee for the stop payment and resonance of the warrant will be deducted from the replacement check,**h Subscribed and sworn to before me this day of Public JOSEPHINE KEELER My commission expires: Commission # 1869987 Aha-DAt$,Loo Notary Public California A. an Diego County UPON APPROVAL, PLEASE MAIL REPLAVEMENT CHECK To: :42MPr _ C.,o2m.Fstiresatavv4404 Name: Addres Addres 01/31/2013 APPROVED SRI 1 6 2013 AFFIDAVIT/NOTICE OF CLAIM STATE OF ARIZONA COUNTY OF MARICOPA SeP it 2: 161 03 *it litteotit 1/606116 4(onli(e, BEING FIRST DULY SWORN OATH, DEPOSES AND SAYS: That on the _28th day of August , 2013 , he/she presented to Maricopa County, for payment a claim for services rendered or supplies furnished during the month of August 2013 , said claim being in the sum of three hundred fifty three Dollars ($ 353.00 ) in payment of which the Board of Supervisors caused the Warrant No. _22121745 to be issued on _August 28 th , 2013 , drawn on the Payroll Clearing Account fund. 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. Under penalty of perjury, affiant hereby affirms that this claim is correct and the amount shown is due and owing. WHEREFORE, affiant requests that the Board of Supervisors issue to him/her a duplicate of said Warrant No. 22121745_ In the sum of $ 353.00 Dated: q/l1/13 , 20 )3 Signed: di Jz ZLdct, Affiant Subscribed and sworn to before me this day of My commission expires: MARICELA CAMPA 4 NOTARY PUERJO -ARIZONA k,IW I MARICOPA COUATY My Commission MarC!'t 90, 2Cr UPON APPROVAL PLEASE MAIL REPLACEMENT CHECK TO: Name: Address: Address: 7/23/2010