SIGNED & REDACTED AERO EQUIPMENT RENTAL & SALES 1.PDF
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INTEROFFICE MEMORANDUM Maricopa County Schools Superintendent Office TO: CLERK OF THE BOARD FROM: Terri Ysaguirre SUBJECT: Affidavits — Replacement of Lost Warrants DATE: 2/10/2021 Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next available Board agenda v The attached item(s) have been researched to ensure that the warrant(s) in question have not been cashed or previously re-issued. v The original warrant(s) have had a stop payment done. If you have any questions, please contact Terri Ysaguirre at 602-372-1245 or via e-mail at terri.ysaguirre@maricopa.gov. Approved Affidavits may be routed back to the Superintendent of School Finance Division at 4041 N. Central Avenue #1200, (12th Floor) Thank you. #05 Isaac Elementary Aero Equipment Rental & Sales $904.35 #05 Isaac Elementary Aero Equipment Rental & Sales $305.95 FEB 1 I 292 Schools Affidavit/Claim Form Application for a Duplicate Warrant/ Check (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the COUNTY OF MARICOPA Instruction sheet which is page 2 of this form. L. 10) (ouupment VY ocl@, being first sworn, upon oath deposes ancl says: Name/Claimant * ¥ On or about 4) “do: 2030 (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/check be issued to him/herin the sum of $ GY. a5 (3) Vcd A Signed: (4) ee (5) Subscribed and sworn to before me this leth day of December 2022... [nc NOTARY PUBLIC COLE HOLLAND AG F a), Notary Public - State of Arizona My commission expires: MARICOPA COUNTY ‘ + Commission # §58091 THE” Expires Janniary 16, 2093 (seal) Note: Please attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued. Warrant/Check Number 31-0036 1) (if known) (6) Original Date of Issue (if known) (7) G ~~ 2ZOD0 Reason for original issue of Warrant/Check (8): 02/12/2021 [1 Payroll = “ MY For Services or Goods furnished ] Other: S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warranis Checks notice of claim.doc Revised June 2015 A.R.S, 11-632 & 15-999 7*'™ <e) AERO Equipment rentaia Sales EQUIPMENT Specializing in Equipment for Turf Management BUSINESS INFORMATION: Corporate Name: Palmerosa Enterprises INC dba: Aero Equipment Rental & Sales Business Type: Corporation (Sub S Corp) Date of Incorporation: 10/12/18 in the state of Arizona Date Established: Jan 1, 2019 Nature of Business: Rental, Sales, Parts, & Service of Equipment for the Golf & Landscape Industries Federal ID #: AZ Resale #: DUNS # Names of Officers: | Jason Palmer President Nicole Palmer Vice-President Ship To Address: Billing Address: AZ 85017 AZ 85338 Phone #: (602) Fax #: (602) PO #’s Are Required. Banking Information: Bank: AZ 85338 Account #: Phone: Vee wroale Pei Ler Aero Equipment Supply ceased business as a sole proprietor LLC under the ownership of George Palmer. As he begins retirement, Jason and Nicole Palmer have purchased the assets and naming rights of the company. As of January 1, 2019, Palmerosa Enterprises INC, dba AERO Equipment Rental and Sales will begin doing business at the same location that Aero Equipment Supply occupied. Please note our new corporate EIN and TPT license. Jason Palmer ran the operations and sales for Aero Equipment Supply LLC since the company started in 2011. For any questions regarding the business (old or new), please contact Jason Palmer. I certify that the above information is true. Signature: a Title: President Date: 01/02/2019 <= Phoenix, AZ 85017 www.AeroAz.com RENTAL & SALES January 26, 2021 Isaac School District #5 3348 W. McDowell Rd. Phoenix, AZ 85009 To Whom It May Concern: Listed below are the designated signers for our company. Jason Palmer, President Nicole Palmer, Vice President Regards, Jason Palmer