SIGNED & REDACTED AERO EQUIPMENT RENTAL & SALES 2.PDF

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 Aifidavit/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
OUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
VO sain Lomacth Sa lay, being first sworn, upon oath deposes and says:
YName/Clainjant)
On or about QB 2090 (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/her in the sum of $ 206 GAS (3)
+] vel TAA (4)
Signed: oA
(5) Subscribed and sworn to before me this __/ eth day of December 202e.
br.- tv
NOTARY PUBLIC
COLE HOLLAN
Notary Public - Slate ot Athena
My commission expires: MARICOPA COUNTY
Commission # 558091
xpires January 18, 2908 (seal)
Note, Please attach a copy of the warrant/check if available and/or any other
evidence that a warrani/check was originally issued.
Warrant/Check Number :
(if known) (6) 4) = O02 64 0
Original Date of Issue
(if known) (7) Ge H- D020
Reason for original issue of Warrant/Check (8):
[J Payroll
02/12/2021
CY For Services or Goods furnished
() Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Schools\Schools-Warrants 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:
Phone #: _
Fax #:
PO #’s Are Required.
Banking Information:
Bank:
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
<=

3161 N. 35th Ave. AZ 85017
RENTAL & SALES
January 26, 2021
Isaac School District #5
To Whom It May Concern:
Listed below are the designated signers for our company.
Jason Palmer, President
Nicole Palmer, Vice President
Regards,
Jason Palmer