STAMPED & REDACTED-YES COMMUNITIES OP LP - 3010209457.PDF

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: 07.22.25

Subject: Affidavit — YES COMMUNITIES OP LP

Please find attached one Affidavit for a Duplicate Dated warrant to be included on the
next available Board Agenda.

e 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 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: FUND 296 ~ D220 HUMAN SERVICES - GAX1D 25*15921 - KUHN, PATRICIA - RENTAL
ASSISTANCE

'
MA R) COPA Application for a Duplicate or Stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for [UC s<pticate 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
Ves Cemmanilies OP Lp (1), being first sworn, upon oath deposes and says:
? Name/Clairmant

On or about % Apt LOR Adare) (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 de and owing, and the applicant requests that a replacement warrant/check

be issues to hip/her we of $ . i? _ (3)
Signed: "YA ; (Zam L2 ___(4)
Print Name: (required) Par, bu aA

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

eet ee _ sae nt 7 la
(5) Subscribed and swogn te pefore me this ol! day of _¢ tly 20f5..
bes end swam popetngane st y
NOTARY PUBLIC

GERRICK’S GARRETT
Notary Public - Arizona
A} + Marteopa County
My commission expires: dS Commission # 627312
GREE My Comm, Expires May 22; 2026
{Ney Ad do24 | rennet ap usenet
iy ui

(seal)

Warrant/Check Number BA a) za. O4us 7

Original Date of Issue ’
{if known) (7) x Ab#é AOD
Reason for original issue of Warrant/Check (8):

C1 Payroll
[1 For Services or Goods furnished

7/22/25

[] Treasurer's refund/payment
Cl Other:

SAPROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc Revised
400518

ARS. 11-632 & 11-644

COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY WARRANT NUMBER
PHOENIX, ARIZONA 3010209457
SP sae

SEITEN DATE
Cones,

One Thousand Two Hundred Seventy Three And 58/100 Dollars

$1,273.58
PAY TO THE ORDER OF
AMOUNT
YES COMMUNITIES OP LP
S WFC LLC Void After
365 Days
For Questions - 602-506-1379 or email AP@MAH..MARICOPA.GOV NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT? OF FINANCE,
RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
YES COMMUNITIES OP LP 3010209457 04/08/2025 $1,273.58
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000640446 KUHN, PATRICIA - RENTAL ASSISTANCE GAX1D D220 250000015921 673.58
250000015921
INV-G060640447 KUHN, PATRICIA - RENTAL ASSISTANCE GAX1D D220 250000015921 600.00

250000015921

Rosewood Estates
42721 W,; Greenway RD
EL Mirage Rd AZ 85335

| Yes Communities OP LP Authorized Tani Pantoja,
Administrator/ acting Manager to execute an affidavit on Behalf

| of Rosewood Estates

Thank you, |

Warrant number

3010209437 |

Issued date

Paid date

Amount

Warrant number: 2070258.

Amount Payee

3010208457

4f8 2025 12:00:00 arn

V2ta.38 YES COMMUNITIES GP LP

Account