STAMPED & REDACTED-STARWOOD REIT OPERATING PARTNERSHIP LP-3010215107.PDF

MAR! COPA

COUNTY

Office of Budget & Finance
301 W. Jefferson Si. 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: 07/16/25

Subject: Affidavit — JENNIFER BAXTER FOR SREIT LAKE PLEASANT VILLAGE

Please find attached one Affidavit for a Duplicate payment 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 Marcia Bulanda 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: LOST WARRANT - FUND 100- D220 HUMAN SERVICES - GAX1D 25*19771 — FY25
SHARON JONES, RENTAL ASSISTANCE

lL |
MA R) COPA Application for a Duplicate or Stale Dated |

COUNTY Warrant/Check Affidavit/Claim Form
This application is for 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 Z of this form

Jennifer Baxter for SREIT Lake Pleasant Village (1), being first sworn, upon oath deposes and says:
Name/Clalmant :

On or about June 18, 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 issues to him/her in the sum of $586.00 . 8)

Signed: oS SF (4)

Print Name: (required) Jennifer Baxter

Note: Please attach a copy of the warrant/check if available and/or any other evidence that a
warrant/check was originally issued.

(5) Subsptbed and ayy to before methis_|\__ day of LAY) 20S

NOTARY PUBLIC

Notary Publle State of Adzona
Maricopa County

a . ‘Amy Rudolph
My commission expires: uy a zion Explras 4/4/2028
u yy 2A p mmisson,Number 82077 (seal)

Warrant/Check Number 201 0215107

Original Date of I
Mora tle) 0) 06/18/2025

Reason for original issue of Warrant/Check (8):
(] Payroll 7/16/25

EI For Services or Goods furnished

1 Treasurer's refund/payment
Other: Check not received

S\PROCESSES\Warrants - Duplicate or Stale\02. Forms\Current Claim Form\100518 Warrants Checks natice of claim.doc Revised
100518

ARS, 11-632 & 11-644

a

te
u Hy

HIGHMARK

RESIDENTIAL

July 16, 2025

Re: Sharon Jones/A {fidayit/Claim for re-issuance of a lost or stale dated check (warrant)

Dear Team,

I, Steven Hopkins, as General Counsel for Highmark Residential, LLC and as an
authorized agent of SREIT Lake Pleasant Village LLC, hereby authorize Jennifer Baxter,

Community Director at Lake Pleasant Village, to execute an affidavit on behalf of SREIT Lake
Pleasant Village LLC.

Should you have any questions, please do not hesitate to contact me (

via email at

Sincerely,

tf

y

Steven W. Hopkins
General Counsel |
Highmark Residential, LLC

COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY WARRANT NUMBER
PHOENIX, ARIZONA 3010215107

DATE :

aa ot-2i221
Five Hundred Eighty Six And 60/100 Dollars :
$586.00
PAY TO THE ORDER OF AMOUNT i
STARWOOD REIT OPERATING PARTNERSHIP LP
ATTN OFFICE, SREIT LAKE PLEASANT VILLAGE ;
Void After
- a 365 Days
NOT NEGOTIABLE

For Questions - 602-506-1379 or emai! AP@MAIL.MARICOPA.GOV
MARICOPA COUNTY DEPARTMENT OF FINANCE

RETAIN THIS FOR | PAYEE WARRANT NO, | WARRANT DATE | WARRANT AMOUNT

YOUR RECORDS
STARWOGD REIT OPERATING PARTNERSHIP LP
INVOICE NUMBER | DESCRIPTION

3O10215107 06/18/2025 $586.00
PURCHASE ORDER NO. | VOUCHER NO. AMOUNT

FY25 SHARON JONES ~ RENTAL ASSISTANCE |GAX1D D220 250000019771 586.00

838495
250000019771

[1 Agency | Status Warrant number — Issued date Paid date Armount
~ | Issued (3elozisOy . * ¥
Issued 310215107 5/18/,

Warrant number: 3

Amount Payee

Account

(QOD REIT OPERATING PARTNERSH... P|