STAMPED & REDACTED - NEXMETRO CENTERRA CROSSING LLC .PDF

MARICOPA COUNTY
Office of Budget and Finance

Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM

Date: November 7, 2022
To: Clerk of the Board
From: Marcia J. Bulanda

Office of Budget and Finance

Subject: Affidavit - NEXMETRO CENTERRA CROSSING LLC DBA AVILLA
CENTERRA CROSSING APARTMENTS

Please find attached 1 Affidavit for a lost 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.

e The original warrant is lost.

Please call me at 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 222- D220 HUMAN SERVICES — GAX1D 23*00979
ESTUS, ANNA — RENTAL ASSISTANCE

Application for a Duplicate or Stale-Dated Warrant /Check

Affidavit/ Claim Form

This application is for: ka Duplicate or ia Stale-Dated (definitions are on page 2}

STATE OF ARIZONA Note: Numbers on this form correspond to

COUNTY OF MARICOPA numbers on the Instruction sheet which is
pade 2 of this form.

NEXMETRO CENTERRA CROSSING LLC (1) heing first sworn, upon oath deposes and says:
NamerClamanit

On or about 22-Jul-2022 (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 hino/agr in the sum of $2,474.00 (3)
signea: LUC thet 2 (4)

Note: Please attach 8 copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

before me this .2 th ~day of Nav emlorv-20 22.

—

(5) Subscribed and swor!

NOTARY PUBLIC

My commission expires: es oe
Qall x[rteas a (seal)

Sr ra ota sc roemet

Warrant/Check Numb
arrany (it ‘enn) o. “13010122693

Original Date of Issue
(if known) (7) 22-Jul-2022

Reason for original issue of Warrant/Check (8): 11/08/2022
Payroll
C For Services or Goods furnished

Cl Treasurer's refund/payment
Other: / Original check presumed fost in the mail

FUND 222 - D220 HUMAN SERVICES - GAX1D 23*00979
ESTUS, ANNA - RENTAL ASSISTANCE

—

11/3/2022

|, Tabitha Martinez, authorize Mckinzie B. Parris, Business Manager, to execute an affidavit-on behalf of
Avilla Centerra Crossings.

Sincerely,

Tabitha Martinez

Portfolio Manager

counry expense warrant TREASURER OF MARICOPA COUNTY — WARRANT NUMBER

PHOENIX, ARIZONA 3010122693
DATE
07-22-2022 91-2/1224
Two Thousand Four Hundred Seventy Four And 00/100 Dollars
$2,474.00
PAY TO THE ORDER OF
AMOUNT
NEXMETRO CENTERRA CROSSING LLC
ATTN RENTAL OFFICE F
Void After
365 Days

For Questions - oremail
MARICOPA COUNTY DEPARTMENT OF FINANCE

NOT NEGOTIABLE

RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
NEXMETRO CENTERRA CROSSING LLC 3010422693 07/22/2022 $2,474.00
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000534253 ESTUS, ANNA - Rental Assistance GAX1D D220 230000000979 2,474.00

230000000979