STAMPED & REDACTED-ADVANCED MANAGEMENT GROUP OF NEVADA LLC.PDF
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MAR! COPA COUNTY Office of Budget & Finance 301 W. Jefferson St., 9" Floor Phoenix, Arizona 85003 P: 602-506-3561 F: 602-506-4451 Maricopa.gov To: Clerk of the Board From: Office of Budget & Finance, Accounts Payable Date: 09.23.25 Subject: Affidavit — ADVANCED MANAGEMENT GROUP OF NEVADA LLC Please find attached one Affidavit for a Duplicate Dated warrant to be included on the next available Board Agenda. « he 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 Marcia Anderson at 506-7291 if you have any questions. Please return the approved Affidavit to my attention in the Office of Budget and Finance, 9" Floor. Thank you. Re: D220-HUMAN SERVICES-FUND222-GAX1D 26*844-FY26 MARZAYVEIS ANDERSON-RENTAL ASSISTANCE MAR COPA Application for a Duplicate or Stale Dated COUNTY Warrant/Check Affidavit/Ciaim Form This application is for lv] Duplicate or (| Stale-Dated (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to the numbers COUNTY OF MARICOPA on the Instruction sheet which Is page 2 of this form ADVANCED MANAGEMENT GROUP OF NEVADA LLC (1) being firsl sworn, upon oath deposes and says: Name/Claimant On or about 17-JUL-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, er tt 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 issues to him/her in the su of $1409.00 ee (3) sine 0) bo, O l Print Name: (required) vou fy Tod 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 Vio eee this _A2_ day of Sephtibex 20 AS “BH NOTARY PUBLIC BETA RICKERSON NOTARY PUBLIC STATE OF NEVADA Appt No. 16-3202 My commission expires: My Appt Expires June 23, 2028) & -43- Aoas (seal) Merten nh 2010217487 Original Date of Issue 17 JULY 9025 (if known) (7) ' 9/23/25 Reason for original issue of Warrant/Check (8): - 1 Payroll vee (For Services or Goods furnished Treasurer's refund/payrnent Oo Other: D220-HUMAN SERVICES-FUND 222-GAX 1D 28°844-FY 26 MARZAYVEIS ANDERSON-RENTAL ASSISTANCE SAPROCESSES \Warrants ~ Duplicate ar Stale\O2 Forms\Current Claim Form\i00518 Warrants Checks notice of claim.doc Revised 100514 ARS. 11-632 & 11-644 ADVANCED MANAGEMENT GROUP Advanced Thinking \ Advanced Solutions \ Advanced Results September 22, 2025 Treasurer of Maricopa County To Whom it May Concern Advanced Management Group gives Tammy Tod, as the company Controller, Permission to sign the affidavit to reissue the rental assistance check payable to Residence at McDowell - warrant voucher # 260000000844 original date of issuance 07/17/25 in the amount of $1409.00 ~ for ~ Marzayveis Anderson (copy attached). Thank you for the clarification to assist in getting this rental assistance voucher reissued. /) Bret Holmes Owner Advanced Management Group COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY PHOENIX, ARIZONA PAY TO THE ORDER OF DATE WARRANT NUMBER 3010217487 P| — One Thousand Four Hundred Nine And 00/100 Dollars ADVANCED MANAGEMENT GROUP OF NEVADA LLC DOWELL OFFICE For Questions - 602-506-1379 or email AP@ MAIL. MARICOPA.GOYV MARICOPA COUNTY DEPARTMENT OF FINANCE, Void Afler 365 Days $1,409.00 AMOUNT NOT NEGOTIABLE RETAIN THIS FOR | PAYEE YOUR RECORDS WARRANT NO. | WARRANT DATE | WARRANT AMOUNT 260000000844 ADVANCED MANAGEMENT GROUP OF NEVADA 3010217487 OF/LT/2025 $1,409.00 INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT 963499 FY26 MARZAYVE!IS ANDERSON - RENTAL ASS |GAX1D D220 260000000844 1,409.00 [err v [] gency Status Warrant number — Issued date Paid date Amount ~ Issued FON G2 17487 ~ ~ . + Issued 3010217487 ‘Marranit number 30'S Amount Payee Secount 1A SDYENCED MANAGEMENT GROUP OF fi.