STAMPED & REDACTED TIDES OF CHANDLER OWNER LLC.PDF

MARICOPA COUNTY

Office of Budget and Finance
301 West Jefferson, 9" Floor
Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM

Date: September 20, 2022
To: Clerk of the Board
From: Marcia J. Bulanda

Office of Budget and Finance

Subject: Affidavit - TIDES ON CHANDLER OWNER, LLC

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 22*25591
CLIENT: MARGARET ESPINOZA — RENTAL ASSISTANCE

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

This application is for: Duplicate or [J 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

paae 2 of this form.
TIDES ON CHANDLER OWNER LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about 97-Jun-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

contd issued to him/her.in the sum of $19,066.81 3)

Lar Ker (2)

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

Signed:

(5) Subscribed and sworn to before me this_ ‘2-0 day of Solem bo/ 20 22.

NOTARY sine

My eloey soy

sits ef
ge Sei MARGARITA E ‘ALVAFADO
Heh NOTARY PUBLIC - ARIZONA
Sy Maricopa County
Commission # 552863

My Commission Expires

October 3, 2022 (seal)
Warrant/Check Number
check Nu 3010119190
Original Date of Issue
(if known) (7) {07-Jun-2022
Reason for original issue of Warrant/Check (8): : 09/ ze 2022

O) For Services or Goods furnished

OO Payroll Auanctt 1

QO Treasurer's refund/payment
Other: Rental payment for Margaret Espinoza

FUND 222 - D220 HUMAN SERVICES - GAX1D 22*25591 - CLIENT: MARGARET ESPINOZA - RENTAL ASSISTANCE

APARTMENTS

1, Emma Escobar, authorize Ashleigh Rodriguez Ocampo, Assistant Community Manager, to
execute an affidavit on behalf of Tides at Chandler.

Yours truly,

Emma Escobar

Community Manager

COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY WARRANT NUMBER
PHOENIX, ARIZONA 3010119190

DATE

06-07-2022 91-2/1224

Ten Thousand Sixty Six And 81/100 Dollars

$10,066.81
PAY TO THE ORDER OF
AMOUNT
TIDES ON CHANDLER OWNER LLC
Void After
365 Days
For Questions - or email NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE
RETAIN THIS FOR } PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
TIDES ON CHANDLER OWNER LLC 3010119190 06/07/2022 $10,066.81
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000522803 EXPEDITE-Client: ESPINOZA, MARGARET - Rer | GAX1D D220 220000025591 10,066.814/PU

220000025591