STAMPED AND REDACTED - 3010214936 ASLID LLC - FRAUD UPDATE 10 28 2025 - APPROVED.PDF

To:        Clerk of the Board 
From:       Office of Budget & Finance, Accounts Payable 
Date:       2/26/2025 
Subject:  Affidavit ― Replacement of lost warrants 
 
Please find attached 2 Affidavit for a lost warrant to be included on the next available 
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 #3010214936 – ASLID LLC 
Fund 255 ― D260 PRC 250000000281 - $260.00 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Office of Budget & Finance 
301 W. Jefferson St., 9th Floor 
Phoenix, Arizona 85003 
 
 
P: 602-506-3561 
F: 602-506-4451 
 
Maricopa.gov

Application for a Duplicate or Stale Dated 
Warrant/Check Affidavit/Claim Form 
This application is for I II I Duplicate or D Stale-Dated (definitions are on page 2)
ST A TE OF ARIZONA 
COUNTY OF MARICOPA 
Note: Numbers on this form correspond to the numbers 
on the Instruction sheet which is page 2 of this form 
_A_S_L_ID_L_L_C _____________ (1 ), being first sworn, upon oath deposes and says: 
Name/Claimant 
On or about 16 Jun 2025 
(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 issued 
1
0 jim/her in the sum of $260.00 
. (3) 
Signed; .t<w.JP,LJ f!Jdr:t 
(4) 
Print Name: (r;uJed) -+f< 
.... 'i.,_,J_..,._.J‰
+--+ ....... a"-'C'"""Š‹....,_---------
Note: Please attach a copy of the warrant/check if available and/or any other evidence that a
warrant/check was originally issued. 
My commission expires: 
{-q Z,e,0y 
Warrant/Check Number 
(if known) (6) 
Original Date of Issue 
(if known) (7) 
VICTORIA JEANNE MILLER
Notary Public - Arizona 
Maricopa County 
M ,, 
. 
Commission# 619113 
. • ' .@@lliffii%J00 • Ires January 9, 2026 
3010214936 
16 Jun 2025 
Reason for original issue of Warrant/Check (8): 
(seal) 
□ Payroll ___________________________ _
0 For Services or Goods furnished __________________ _
□Treasurer's refund/payment _____________________ 
□Other: -----------------------------
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\ 100518 Warrants Checks notice of claim.doc Revised 
100518 
ADC 11_/:,.,'J") 0 11_hAA