STAMPED AND REDACTED - 3010223273 - OLYMPUS CHANDLER AT THE PARK INVESTORS LLC .PDF

Office of Budget & Finance To: Clerk of the Board
301 W. Jefferson St., 9th Floor From: Office of Budget & Finance, Accounts Payable
Phoenix, Arizona 85003
Date: 9/9/2026
Subject: Affidavit ― Replacement of lost warrants
P: 602-506-3561
F: 602-506-4451
Please find attached 1 Affidavit for a lost warrant to be included on the next available
Maricopa.gov Board Agenda.
• 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 Joyce Maurmann at 506-1343 if you have any questions. Please return the
approved Affidavit to my attention in the Office of Budget and Finance, 9th Floor.
Thank you.
Re: Warrant #3010223273/OLYMPUS CHANDLER AT THE PARK INVESTORS LLC
Fund 296 ― D220 GAX1D 260000004671

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/ Claim Form
This application is for: fZ:I Duplicate or D Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA numbers on the Instruction sheet which is
paqe 2 of this form.
OLYMPUSCHMJDLERATTHEPARKINVESTORSLLC (1) , b eing . fi 1rs t sworn, upon oa th d eposes an d says:
Name/Claimant
On or about 3o Aug 2026 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as 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/chejk
Signed: /" e,
._/ V
Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.
(5) Subscribed and sworn to before me this __ ;_· _day of_×--±=-- 20Ø.
1-t g;;
NOTARY PUBLIC
My commission expires:
ti I / 2-0 7 (seal)
Warrant/Check Number 3010223273
ifknown 6
Original Date of Issue 30 Aug 2026
if known 7
Reason for original issue of Warrant/Check (8):
D Payroll
□For Services or Goods furnished ----------------
□Treasurer's refund/payment ________________ _
0 Other: D220IGAX1D 26*4671