DUPLICATE WARRANTS PURSUANT TO A.R.S §11-632, APPR - DUPLICATE WARRANTS.PDF

Duplicate Warrants County/Schools
2011
County/
Meeting Date Name Fund School Warrant No. Amount
September 14,2011 Steve Nissle Photography Fountain Hills Unified SD #9 410071046 $992.36
Barbara S. Gomez Higley Unified SD #60 120002960 $1,151.17
Constantino Flores Treasurer 120006143 $189.37
Joseph G. Pallo Payroll 21891201 $1,128.27

Affidavit
STATE OF ARIZONA
COUNTY OF MARICOPA )
571a/&* rtn5SC.4r AitriDiNWIV being first duly sworn, upon oath deposes and says:
That on the arLday of Pee Le AR .1 , 20 /( he presented to the
FeC4tirlf/6) /_ $. 0 • of Maricopa County, for payment, a claim for services
rendered or supplies furnished during the month of F673/2-1.644 ,7 , said claim being
in the sum of /V011ar //14/1,4207 Plit'erY MAO 40 Dollars ($ 9907- 34. )
in payment of which the Superintendent of Schools caused his/her Warrant No. 91.907 I D V6
to be issued on Fe525/21M-A25/ , 20 /t , drawn on the Dif0 Fund of
ri-/ces eo 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 Superintendent of
Schools issue to him a duplicate of said warrant number 41/4907/0 Li in the sum of
9101 '
Subscribed and and sworn before me this tg6clay of , 201/
my Public
My Co mission Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
H:1V1/orkkAffidavit.doc 07/14/05

Affidavit
• ; -1. —•• I•-• - '") 1 4.-%1T1/4'
STATE OF ARIZONA
Adb
COUNTY OF MARICOPA
• • •• • —•r•
, a „ 130,-FD
C:PlirVhD) r (ITN being first duly sworn, upon oath deposes and says:
That on the 11 day of 11.9 uLei-A--- , ,20 // he presented to the
mo44(p D of Maricopa County, for payment, a claim for services
rendered or supplies furnished durin g the month of —1611 , said claim bein g
in the sum of (Ale 411AlkintilA,-()ALliiii41.riqt t ,-+- 1:gC Dollars ($ 31 1 7 )
in payment of which the Superintendent of Schools caused his/her Warrant No. 1o1 CCD-99 tr
to be issued on u±vj , 20 )1 ,drawn on the C. Fund of
I tiy) _ f t
(f) of Maricopa County, Arizona.
Affiant further sa ys that althou g h 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 14 cr,--Nc496.0 in the sum of
$ 15). 7
Subscribed and sworn before me this /
OFFICAAL SEX. 1
JEANINE MASUMURA
Notary Putorx - Sale of Atmala Notary Public
.,R100PACOUNTY
Cri-nro Expires Nei. 1, 2013
My"Calmmission Expires
Following approval please return this affidavit to the Maricopa County School Superintendent's Office.
H :\WorkV\ffidavit.doc 07/14/05

\,
STATE OF ARIZONA tigov 4,EP 2 _2011
i
COUNTY OF MARICOPA
30k-kRD OF 3 OR3
Constantino Flores being duly sworn, upon oath deposes and says;
That on the 18th day of August , 2011 he/she presented to the
Treasurers of Maricopa County, for payment, a claim for services rendered or
supplies furnished during the month of August , said claim being in the sum of
One Hundred Eighty Nine 37/100 dollars ($ 189.37 ) in . payment of which the
Superintendent of Schools caused his/her Warrant Number ‘ 120006143 to be issued on
August 4 2011 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
120006143
of Schools issue him/her a duplicate of said Warrant Number in the sum of
189.37
Claimant Signatuk.__ /
Subscribed and sworn before me this ;451day of gtej' --c)
v
Ubvt be -
Notary Public
My commission expires
Following approval please return this affidavit to Maricopa County Education Service Agency.

SEP 2 Zei
AFFIDAVIT/NOTICE OF CLAIM
ir.771.f4.7
STATE OF ARIZONA
COUNTY OF MARICOPA
-3-cpc it2k BEING FIRST DULY SWORN
OATH, DEPOSES AND SAYS:
That on the -4 day of Au I 0 S .k" , 20 k ,10she presented
to Maricopa County, for payment a claim for services rendered or supplies furnished during the
month of Ati Li Si- , said claim being in the sum of
n 1
4.0 I J Cej
Dollars ($ L'9 -1 ) in payment of which the Board of Supervisors caused the
1
Warrant No. a_c_lai O . to be issued on Aui ()Si— —7 , 20 I , 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. g‘b/411-2_0( In the sum of $
Dated:411,,j- ,20 U Signed:
Affi
Subscribed and sworn to before moNthis 224 ly of kk.311..€ , 20 1 k
Lek_ C.euv
Notary Public OFFICIAL SEAL
My commission expires: NoV ORLANDA A PRobbe - Stole CARR of ArLeono
ICOPA COUNTY
—1\a). ,) Dpi5 My Comm. Expires Nov. 19, 2013
UPON APPROVAL, PLEASE MAIL REPLACEMENT CHECK TO:
Name: Telephone Number:
Address: „
Address: 19 i..tw 2 r. MG 2 4 2011
4 I ,r %A Le Hu
7/23/2010