STAMPED & REDACTED -IRONWOOD ESTATES APARTMENTS.PDF

MARICOPA COUNTY ;
Office of Budget and Finance p pew
301 West Jefferson, 9" Floor :
Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM

Date: October 26, 2022
To: Clerk of the Board
From: Marcia J. Bulanda

Office of Budget and Finance

Subject: Affidavit — IRONWOOD ESTATES 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 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 222 —- D220 HUMAN SERVICES — GAX1D 23*4427
FAVELA, BARRINGTINA — RENTAL ASSISTANCE

Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form

This application is for: Duplicate or CJ 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
page 2 of this form.
IRONWOOD ESTATES APARTMENTS

(1), being first sworn, upon oath deposes and says:

Name/Claimant

On or about 26-Aug-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 Jost or destroyed and there is
no reasonable probability of its being found or presented for payment, ar 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 him/her in the sum of $4,963.32 (3)

Signed: Fro AMA. Eadsyqu eC (4)

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

ie a this_ A\ST day of Octcner_ 2082s
7

NOTARY PUBLIC

s ALEXUS GILLESPIE

i. a Notary Public - Arizona
My com is | expires: Maricopa Co. / #607089

Ol |S | ie (seal)

20o.S Expires 96/15/2025

Warrant/Check Number 301 0125538

{if known) (6)

Original Date of Issue
(if known) (7) 26-Aug-2022

10/31/2022
Reason for original issue of Warrant/Check (8): -

CO Payroll
{1 For Services or Goods furnished

(3 Treasurer’s refund/payment
Other: / Original check presumed lost in the mail

FUND 222 - D220 HUMAN SERVICES - GAX1D 23°4427
FAVELA, BARRINGTINA - RENTAL ASSISTANCE

CHAMBERLIN
ASSOCIATES

Real Estate Management

October 25" 2022

|, Lonna Crosta, Senior Regional Manager, authorize Frania Rodriguez, Property Manager, to
execute an affidavit on behalf of Chamberlin & Associates LLC / Renue Properties . lronwood
Estates .

Yours truly,

Lonna Crosta
Senior Regional / Compliance Manager HCM-R

CHAMBERLIN
ASSOCIATES

Real Estate Management
2712 N. 7th St Phoenix, AZ | 85006
O 480.782.5100 | F 480,782,5102

lonna@ca-mgmtcom | www.ca-memtcom,

COUNTY EXPENSE WARRANT

So
ATEEZAVNCN:

ount

TREASURER OF MARICOPA COUNTY WARRANT NUMBER

PHOENIX, ARIZONA 3010125538
DATE
(08-26-2022
JPMorgan Chase Bank N.A ot-2/1224
Phoenix, AZ

Four Thousand Nine Hundred Sixty Three And 32/100 Dollars

PAY TO THE ORDER OF
IRONWOOD ESTATES APARTMENTS
ATTN RENTAL OFFICE

8930

W MONROE ST

PEORIA AZ 85345

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

$4,963.32
AMOUNT

Void After
365 Days

NOT NEGOTIABLE

RETAIN THIS FOR | PAYEE

YOUR RECORDS

WARRANT NO. | WARRANT DATE | WARRANT AMOUNT

INV-0000553780

TRONWOOD ESTATES APARTMENTS 3010125538 08/26/2022 $4,963.32
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
Favela, Barringtina - Rental Assistance GAX1D B220 230000004427 4,963.32

230000004427

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ATTN RENTAL OFFICE

8930 W MONROE ST

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city PEORIA

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