REDACTED-FOR AGENDA ATTACHMENT - 3010198325 - LINCOLN PROPERTY COMPANY.PDF

W
MARICOPA
COUNTY

Office of Budget & Finance
301 W. Jefferson St., 9" Floor
Phoenlx, Arizona 85003

P: 602-506-3561
F: 602-506-4451

Maricopa.gov

To: Clerk of the Board

From: Office of Budget & Finance, Accounts Payable
Date: 06.26.26

Subject: Affidavit - LINCOLN PROPERTY COMPANY

Please find attached one Affidavit for a Stale Dated warrant to be included on the
next available Board Agenda.

e The attached item has been researched to ensure the warrant In question has not
been cashed or previously re-issued.

¢ The original warrant Is presumed lost.

Please call Marcia Anderson at 506-7291 if you have any questions. Please return the
approved Affidavit to my attention in the Office of Budget and Finance, 9" Floor.

Thank you.

Re: FUND 640-TRANSPORTATION-FUND 232-GAX1D 25*8505-RELEASE OF CASH BOND
TC202200501

M A ay COPA Application for a Duplicate or stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for CJ Duplicate or lv] Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to the numbers
COUNTY OF MARICOPA on the Instruction sheet which Is page 2 of this form
LINCOLN PROPERTY GOMPANY (1), being first sworn, upon oath deposes and says:
Name/Clalmant
_ On or about Z1-NOV-2024 (date) (2) a warrant/check was issued to the above named

person/entity in the amount stated below. Such warrant/check was either never received or
was subsequently inadvertently lost or destroyed and there is no reasonable probability of its
being found or presented for payment, or it was not presented for payment within one year
after the date of issuance. .

Therefore, under penalty of perjury, claimant hereby affirms that this claim Is correct and the
amount shown Is due and owing, and the applicant requests that a replacement.warrant/check
be issues tolhin/her in aK suin of $281,270.75 (3)

(4)

Note: Please attach a copy of the warrant/check if available and/or any other evidence that a
warrant/check was originally issued.

(6 ‘ubscribed agd sworn to before me this 23 day of Tone, __. 20, 26
RRO Sai)

NOTARY PUBLIC

RE Re,
COMMISION # 855198
My Comm, Exples November 8, 2007 (seal)

Ni commission ay

Wenber @ 7 2027

Warrant/Gheck Number 3010198325
Original Pate ee 21-NOV-2024

Reason for original issue of Warrant/Check (8):
1 Payroll
(1 For Services or Goods furnished

(1 Treasurer's refund/payment
Other: 2840 - TRANSPORTATION- FUND 232-GAX1D 25*8505-RELEASE OF GASH BOND TC202200601

S\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Clalm Form\100518 Warrants Checks notice of clalm.doc Revised
400518

ARS. 11-632 & 11-644