STAMPED & REDACTED SAN CLEMENTE APARTMENTS LP.PDF

Maricopa County — Formal (2021-04-21)

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MARICOPA COUNTY
Office of Budget and Finance
301 West Jefferson Street Ste 960 2021 MAR 29 PM 3:36
,
Phoenix, Arizona 85003
04
INTEROFFICE MEMORANDUM
Date: March 29, 2021
To: Clerk of the Board
From: Walter Chang
Office of Budget and Finance
Subject: Affidavits — Replacement of Lost Warrants
Please find attached 1 Affidavits for lost warrants to be included on the next available
Board Agenda.
e The attached items have been researched to ensure the warrant in question
have not been cashed or previously re-issued.
e The original warrants have a void/stale date/stop payment done.
Please call me at 506 - 8747 if you have any questions. Please return the approved
Affidavits to my attention in the Office of Budget and Finance , Suite 960.
Thank you.
Re: Fund: 200 / Dept: Human Services / Company: SAN CLEMENTE APARTMENTS LP

Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: Duplicate or LJ 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
paae 2 of this form.
SAN CLEMENTE APARTMENTS LP
(1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 19-Jan-2021 (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 _nnt.
presented for payment within one year after the date of issuance. nae
2	1	13	0	0	0	659	879	548	4	-1	
3	1	13	1	0	0	659	879	548	4	-1	
4	1	13	1	1	0	659	879	548	4	-1	
5	1	13	1	1	1	659	879	548	4	95.000000	 
2	1	14	0	0	0	353	1184	1861	106	-1	
3	1	14	1	0	0	353	1184	1861	106	-1	
4	1	14	1	1	0	353	1184	1861	49	-1	
5	1	14	1	1	1	353	1187	219	46	96.153999	Therefore,
5	1	14	1	1	2	598	1187	120	38	96.730133	under
5	1	14	1	1	3	740	1186	150	47	96.174263	penalty
5	1	14	1	1	4	912	1186	42	38	96.852631	of
5	1	14	1	1	5	975	1188	161	45	96.390617	perjury,
5	1	14	1	1	6	1159	1186	177	37	96.681664	claimant
5	1	14	1	1	7	1358	1185	140	47	96.823898	hereby
5	1	14	1	1	8	1520	1185	143	38	96.639542	affirms
5	1	14	1	1	9	1684	1184	84	38	96.818756	that
5	1	14	1	1	10	1788	1184	74	38	96.468346	this
5	1	14	1	1	11	1884	1184	106	38	96.357262	claim
5	1	14	1	1	12	2017	1185	28	36	95.536224	is
5	1	14	1	1	13	2067	1186	147	35	96.416946	correct
4	1	14	1	2	0	355	1241	1858	49	-1	
5	1	14	1	2	1	355	1244	74	38	96.312271	and
5	1	14	1	2	2	447	1244	67	38	96.312271	the
5	1	14	1	2	3	530	1247	161	35	96.744385	amount
5	1	14	1	2	4	705	1244	133	37	96.136589	shown
5	1	14	1	2	5	857	1245	30	36	95.827133	is
5	1	14	1	2	6	902	1243	77	38	96.952568	due
5	1	14	1	2	7	995	1243	75	38	96.755768	and
5	1	14	1	2	8	1087	1244	137	46	96.248970	owing,
5	1	14	1	2	9	1243	1242	75	38	96.102058	and
5	1	14	1	2	10	1335	1242	66	38	96.102058	the
5	1	14	1	2	11	1417	1242	189	47	96.613609	applicant
5	1	14	1	2	12	1622	1245	177	43	96.787025	requests
5	1	14	1	2	13	1813	1241	85	38	96.876678	that
5	1	14	1	2	14	1912	1251	22	28	96.553673	a
5	1	14	1	2	15	1953	1241	260	46	96.471260	replacement
2	1	15	0	0	0	1434	1396	652	5	-1	
3	1	15	1	0	0	1434	1396	652	5	-1	
4	1	15	1	1	0	1434	1396	652	5	-1	
5	1	15	1	1	1	1434	1396	652	5	95.000000	 
2	1	16	0	0	0	354	1339	1809	195	-1	
3	1	16	1	0	0	354	1339	1809	195	-1	
4	1	16	1	1	0	354	1339	1809	195	-1	
5	1	16	1	1	1	354	1355	254	53	92.506493	warrant/che
5	1	16	1	1	2	560	1359	88	175	51.096260	if
5	1	16	1	1	3	671	1359	49	38	96.852753	be
5	1	16	1	1	4	738	1359	126	37	96.292419	issued
5	1	16	1	1	5	880	1361	41	35	96.030922	to
5	1	16	1	1	6	939	1358	164	45	96.725258	him/her
5	1	16	1	1	7	1120	1360	33	35	95.673103	in
5	1	16	1	1	8	1170	1358	67	37	96.772781	the
5	1	16	1	1	9	1254	1368	84	28	96.270615	sum
5	1	16	1	1	10	1355	1358	43	37	93.280693	of
5	1	16	1	1	11	1411	1357	23	45	93.192780	$
5	1	16	1	1	12	1448	1339	213	49	96.202057	1,500.00
5	1	16	1	1	13	2089	1356	74	46	69.500015	.(3)
2	1	17	0	0	0	625	1410	1314	107	-1	
3	1	17	1	0	0	625	1410	1314	107	-1	
4	1	17	1	1	0	625	1410	1314	107	-1	
5	1	17	1	1	1	625	1430	181	84	46.902023	duc
5	1	17	1	1	2	834	1410	341	103	0.000000	WVnckee,
5	1	17	1	1	3	1881	1471	58	46	96.579735	(4)
2	1	18	0	0	0	427	1566	1792	106	-1	
3	1	18	1	0	0	427	1566	1792	106	-1	
4	1	18	1	1	0	427	1566	1792	48	-1	
5	1	18	1	1	1	427	1571	134	36	73.574272	Note,
5	1	18	1	1	2	587	1569	136	38	96.277779	Please
5	1	18	1	1	3	746	1569	132	37	95.877739	attach
5	1	18	1	1	4	903	1578	26	28	95.877739	a
5	1	18	1	1	5	956	1578	102	36	95.955719	copy
5	1	18	1	1	6	1080	1568	53	37	96.363403	of
5	1	18	1	1	7	1151	1568	69	37	92.988937	the
5	1	18	1	1	8	1248	1567	300	45	92.467659	warrant/check
5	1	18	1	1	9	1569	1567	38	37	84.009499	if
5	1	18	1	1	10	1623	1567	184	37	95.914337	available
5	1	18	1	1	11	1832	1566	145	44	96.454834	and/or
5	1	18	1	1	12	1999	1575	80	37	96.614700	any
5	1	18	1	1	13	2103	1566	116	37	96.724602	other
4	1	18	1	2	0	429	1625	1092	47	-1	
5	1	18	1	2	1	429	1627	187	37	96.500664	evidence
5	1	18	1	2	2	630	1627	88	37	96.732239	that
5	1	18	1	2	3	726	1636	26	28	92.362846	a
5	1	18	1	2	4	769	1625	300	45	91.884270	warrant/check
5	1	18	1	2	5	1083	1635	83	28	96.548141	was
5	1	18	1	2	6	1177	1625	194	47	96.548141	originally
5	1	18	1	2	7	1380	1625	141	37	95.822571	issued.
2	1	19	0	0	0	354	1474	154	47	-1	
3	1	19	1	0	0	354	1474	154	47	-1	
4	1	19	1	1	0	354	1474	154	47	-1	
5	1	19	1	1	1	354	1474	154	47	96.483162	Signed:
2	1	20	0	0	0	527	1511	1353	7	-1	
3	1	20	1	0	0	527	1511	1353	7	-1	
4	1	20	1	1	0	527	1511	1353	7	-1	
5	1	20	1	1	1	527	1511	1353	7	95.000000	 
2	1	21	0	0	0	322	1690	1948	17	-1	
3	1	21	1	0	0	322	1690	1948	17	-1	
4	1	21	1	1	0	322	1690	1948	17	-1	
5	1	21	1	1	1	322	1690	1948	17	95.000000	 
2	1	22	0	0	0	1707	1776	486	6	-1	
3	1	22	1	0	0	1707	1776	486	6	-1	
4	1	22	1	1	0	1707	1776	486	6	-1	
5	1	22	1	1	1	1707	1776	486	6	95.000000	 
2	1	23	0	0	0	427	1718	1721	150	-1	
3	1	23	1	0	0	427	1718	1721	150	-1	
4	1	23	1	1	0	427	1718	1721	150	-1	
5	1	23	1	1	1	427	1741	58	47	96.948875	(5)
5	1	23	1	1	2	503	1741	223	127	25.616547	see
5	1	23	1	1	3	746	1740	74	38	93.267006	and
5	1	23	1	1	4	838	1743	181	35	44.909000	sworf)to
5	1	23	1	1	5	1037	1740	133	37	96.385155	before
5	1	23	1	1	6	1188	1749	62	28	96.385155	me
5	1	23	1	1	7	1266	1739	73	38	79.887497	this
5	1	23	1	1	8	1403	1730	233	55	0.000000	_\\wt_day
5	1	23	1	1	9	1653	1738	42	38	92.553848	of
5	1	23	1	1	10	1745	1718	162	59	53.168110	_Maren
5	1	23	1	1	11	2038	1733	110	42	64.643898	20.21
2	1	24	0	0	0	427	1899	1444	72	-1	
3	1	24	1	0	0	427	1899	1444	72	-1	
4	1	24	1	1	0	427	1899	1444	72	-1	
5	1	24	1	1	1	427	1915	177	37	95.611221	NOTARY
5	1	24	1	1	2	621	1915	153	37	82.748650	PUBLIC
5	1	24	1	1	3	856	1885	34	80	48.156605	|
5	1	24	1	1	4	910	1899	135	55	0.000000	N\\
5	1	24	1	1	5	1411	1903	203	68	0.000000	ec
5	1	24	1	1	6	1795	1902	76	11	31.115059	a
2	1	25	0	0	0	1538	1972	321	62	-1	
3	1	25	1	0	0	1538	1972	321	62	-1	
4	1	25	1	1	0	1614	1972	168	28	-1	
5	1	25	1	1	1	1614	1973	83	27	96.845459	Notary
5	1	25	1	1	2	1706	1972	76	23	96.506340	Public
4	1	25	1	2	0	1538	2005	321	29	-1	
5	1	25	1	2	1	1538	2006	116	28	96.804726	Maricopa
5	1	25	1	2	2	1662	2006	94	28	96.760590	County,
5	1	25	1	2	3	1765	2005	94	23	96.702621	Arizona
2	1	26	0	0	0	426	2029	1451	67	-1	
3	1	26	1	0	0	426	2029	1451	67	-1	
4	1	26	1	1	0	426	2029	1451	46	-1	
5	1	26	1	1	1	426	2030	58	45	96.395508	My
5	1	26	1	1	2	500	2030	242	36	96.311241	commission
5	1	26	1	1	3	759	2029	160	46	96.902809	expires:
5	1	26	1	1	4	1519	2041	37	27	96.499298	My
5	1	26	1	1	5	1564	2040	90	23	93.284081	Comm.
5	1	26	1	1	6	1664	2039	91	28	96.252441	Expires
5	1	26	1	1	7	1765	2038	112	23	96.862221	10-14-24
4	1	26	1	2	0	1544	2072	308	24	-1	
5	1	26	1	2	1	1544	2073	156	23	95.083389	Commission
5	1	26	1	2	2	1709	2073	35	22	92.913811	No,
5	1	26	1	2	3	1759	2072	93	23	96.562057	591264
2	1	27	0	0	0	560	2060	1595	79	-1	
3	1	27	1	0	0	560	2060	1595	79	-1	
4	1	27	1	1	0	560	2060	1595	79	-1	
5	1	27	1	1	1	560	2075	149	59	48.480354	10-144
5	1	27	1	1	2	718	2075	148	59	43.467422	-20244
5	1	27	1	1	3	1357	2060	172	79	13.173027	song
5	1	27	1	1	4	2060	2088	95	40	96.621056	(seal)
2	1	28	0	0	0	815	1809	3	91	-1	
3	1	28	1	0	0	815	1809	3	91	-1	
4	1	28	1	1	0	815	1809	3	91	-1	
5	1	28	1	1	1	815	1809	3	91	95.000000	 
2	1	29	0	0	0	422	1892	1537	9	-1	
3	1	29	1	0	0	422	1892	1537	9	-1	
4	1	29	1	1	0	422	1892	1537	9	-1	
5	1	29	1	1	1	422	1892	1537	9	95.000000	 
2	1	30	0	0	0	1331	1911	577	10	-1	
3	1	30	1	0	0	1331	1911	577	10	-1	
4	1	30	1	1	0	1331	1911	577	10	-1	
5	1	30	1	1	1	1331	1911	577	10	95.000000	 
2	1	31	0	0	0	1359	1941	179	152	-1	
3	1	31	1	0	0	1359	1941	179	152	-1	
4	1	31	1	1	0	1359	1941	179	107	-1	
5	1	31	1	1	1	1359	1941	179	107	95.000000	   
4	1	31	1	2	0	1359	2048	179	45	-1	
5	1	31	1	2	1	1359	2048	179	45	95.000000	  
2	1	32	0	0	0	1902	1934	8	162	-1	
3	1	32	1	0	0	1902	1934	8	162	-1	
4	1	32	1	1	0	1902	1934	8	162	-1	
5	1	32	1	1	1	1902	1934	8	162	34.448551	Sera
2	1	33	0	0	0	1895	1893	10	235	-1	
3	1	33	1	0	0	1895	1893	10	235	-1	
4	1	33	1	1	0	1895	1893	10	235	-1	
5	1	33	1	1	1	1895	1893	10	235	95.000000	 
2	1	34	0	0	0	1339	1904	7	232	-1	
3	1	34	1	0	0	1339	1904	7	232	-1	
4	1	34	1	1	0	1339	1904	7	232	-1	
5	1	34	1	1	1	1339	1904	7	232	95.000000	 
2	1	35	0	0	0	1331	2110	579	16	-1	
3	1	35	1	0	0	1331	2110	579	16	-1	
4	1	35	1	1	0	1331	2110	579	16	-1	
5	1	35	1	1	1	1331	2110	579	16	95.000000	 
2	1	36	0	0	0	422	2125	600	5	-1	
3	1	36	1	0	0	422	2125	600	5	-1	
4	1	36	1	1	0	422	2125	600	5	-1	
5	1	36	1	1	1	422	2125	600	5	95.000000	 
2	1	37	0	0	0	353	2199	937	70	-1	
3	1	37	1	0	0	353	2199	937	70	-1	
4	1	37	1	1	0	353	2199	937	70	-1	
5	1	37	1	1	1	353	2199	314	68	91.598198	Warrant/Check
5	1	37	1	1	2	684	2199	164	52	96.050156	Number
5	1	37	1	1	3	938	2220	352	49	95.433418	3010079591
2	1	38	0	0	0	519	2258	217	35	-1	
3	1	38	1	0	0	519	2258	217	35	-1	
4	1	38	1	1	0	519	2258	217	35	-1	
5	1	38	1	1	1	519	2258	34	35	96.701324	(if
5	1	38	1	1	2	564	2258	114	34	95.797989	known)
5	1	38	1	1	3	692	2258	44	34	96.545280	(6)
2	1	39	0	0	0	327	2289	1257	6	-1	
3	1	39	1	0	0	327	2289	1257	6	-1	
4	1	39	1	1	0	327	2289	1257	6	-1	
5	1	39	1	1	1	327	2289	1257	6	95.000000	 
2	1	40	0	0	0	323	1857	17	542	-1	
3	1	40	1	0	0	323	1857	17	542	-1	
4	1	40	1	1	0	323	1857	17	542	-1	
5	1	40	1	1	1	323	1857	17	542	95.000000	 
2	1	41	0	0	0	921	2192	3	206	-1	
3	1	41	1	0	0	921	2192	3	206	-1	
4	1	41	1	1	0	921	2192	3	206	-1	
5	1	41	1	1	1	921	2192	3	206	95.000000	 
2	1	42	0	0	0	352	2305	1885	91	-1	
3	1	42	1	0	0	352	2305	1885	95	-1	
4	1	42	1	1	0	352	2305	457	39	-1	
5	1	42	1	1	1	352	2305	159	39	96.005424	Original
5	1	42	1	1	2	531	2308	95	35	96.313942	Date
5	1	42	1	1	3	642	2305	42	38	96.948982	of
5	1	42	1	1	4	699	2307	110	36	96.910339	Issue
4	1	42	1	2	0	414	2316	1823	80	-1	
5	1	42	1	2	1	414	2316	24	37	0.000000	-
5	1	42	1	2	2	519	2361	34	35	96.461655	(if
5	1	42	1	2	3	564	2361	113	35	95.819817	known)
5	1	42	1	2	4	691	2360	45	35	96.915825	(7)
5	1	42	1	2	5	942	2322	354	50	95.776787	19-Jan-2021
5	1	42	1	2	6	1979	2343	258	41	96.713387	03/30/2021
2	1	43	0	0	0	327	2392	1257	7	-1	
3	1	43	1	0	0	327	2392	1257	7	-1	
4	1	43	1	1	0	327	2392	1257	7	-1	
5	1	43	1	1	1	327	2392	1257	7	95.000000	 
2	1	44	0	0	0	354	2464	1428	225	-1	
3	1	44	1	0	0	354	2464	1428	225	-1	
4	1	44	1	1	0	354	2464	987	50	-1	
5	1	44	1	1	1	354	2468	148	37	96.966301	Reason
5	1	44	1	1	2	521	2467	57	38	96.978638	for
5	1	44	1	1	3	594	2466	150	48	96.790588	original
5	1	44	1	1	4	763	2467	102	37	96.818245	issue
5	1	44	1	1	5	882	2466	41	38	93.100426	of
5	1	44	1	1	6	937	2465	315	45	92.477837	Warrant/Check
5	1	44	1	1	7	1268	2464	73	48	96.554459	(8):
4	1	44	1	2	0	425	2563	206	48	-1	
5	1	44	1	2	1	425	2566	36	35	80.562675	O
5	1	44	1	2	2	496	2563	135	48	96.567894	Payroll
4	1	44	1	3	0	496	2629	1286	60	-1	
5	1	44	1	3	1	496	2652	66	37	96.990685	For
5	1	44	1	3	2	578	2651	170	37	96.676590	Services
5	1	44	1	3	3	764	2659	43	29	96.987518	or
5	1	44	1	3	4	822	2649	129	38	93.212166	Goods
5	1	44	1	3	5	967	2630	234	57	89.821930	furnished_/
5	1	44	1	3	6	1218	2629	166	41	89.821930	COVID
5	1	44	1	3	7	1404	2629	128	41	96.980957	rental
5	1	44	1	3	8	1553	2630	229	49	96.804443	payments
2	1	45	0	0	0	425	2736	1216	129	-1	
3	1	45	1	0	0	425	2736	1216	125	-1	
4	1	45	1	1	0	425	2736	655	47	-1	
5	1	45	1	1	1	425	2739	36	35	38.057690	QO
5	1	45	1	1	2	493	2736	234	39	90.775581	Treasurer’s
5	1	45	1	1	3	745	2736	335	47	91.147499	refund/payment
4	1	45	1	2	0	494	2802	1147	63	-1	
5	1	45	1	2	1	494	2802	130	63	96.707855	Other:
5	1	45	1	2	2	681	2804	15	40	93.235474	/
5	1	45	1	2	3	712	2803	168	51	95.557053	original
5	1	45	1	2	4	899	2803	137	40	95.557053	check
5	1	45	1	2	5	1054	2802	233	51	96.101303	presumed
5	1	45	1	2	6	1308	2802	79	40	96.016205	lost
5	1	45	1	2	7	1405	2802	35	40	96.578453	in
5	1	45	1	2	8	1458	2802	72	40	96.888222	the
5	1	45	1	2	9	1549	2802	92	39	96.087379	mail
2	1	46	0	0	0	1163	2686	936	7	-1	
3	1	46	1	0	0	1163	2686	936	7	-1	
4	1	46	1	1	0	1163	2686	936	7	-1	
5	1	46	1	1	1	1163	2686	936	7	95.000000	 
2	1	47	0	0	0	1094	2772	1014	7	-1	
3	1	47	1	0	0	1094	2772	1014	7	-1	
4	1	47	1	1	0	1094	2772	1014	7	-1	
5	1	47	1	1	1	1094	2772	1014	7	95.000000	 
2	1	48	0	0	0	643	2859	1483	8	-1	
3	1	48	1	0	0	643	2859	1483	8	-1	
4	1	48	1	1	0	643	2859	1483	8	-1	
5	1	48	1	1	1	643	2859	1483	8	95.000000	 
2	1	49	0	0	0	2256	1690	14	497	-1	
3	1	49	1	0	0	2256	1690	14	497	-1	
4	1	49	1	1	0	2256	1690	14	497	-1	
5	1	49	1	1	1	2256	1690	14	497	95.000000

March 16" 2021
execute an affidavit on behalf
Assistant Manager, to
Authorize Valerie Montes,
I, Hunter Jay,
Management.
of San Clemente Apartments/Trinity
feel free to contact me at
need further documentation, please
If you
Thank you,
Hunter Jay
District Manager
_
Hunter Jay
District Manager
IN TRINITY
MANAGEMENT COMPANY, L.U-G.
Suite 200 e Tucson, AZ 85716
°F: ;
P:
Ph: ~ | Fax:
\
San Clemente Apartments | Lo