STAMPED & REDACTED AMERICAN HOMES 4 RENT LP.PDF

MARICOPA COUNTY

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

INTEROFFICE MEMORANDUM

Date: August 25, 2022
To: Clerk of the Board
From: Marcia J. Bulanda

Office of Budget and Finance

Subject: Affidavit - AMERICAN HOMES 4 RENT LP

Please find attached 1 Affidavit for a stale-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.

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*26632
06.16.22 AMERICAN HOMES 4 RENT LP- Utility Assistance

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

This application is for: Duplicate or C1 Stale-Dated (definitions are on page 2)

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

AMERICAN HOMES 4 RENT LP (1), being first sworn, upon oath deposes and says:

Name/Claimant

STATE OF ARIZONA Note: Numbers on this form correspand to |

On or about 21-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

warrant/check be jssued to him/her in the sur of ¢606.93 (3)

Signed: __* ¢ (4)

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

(5) Subscribed and sworn to before me this V4 day of Aucgusi 20 AA.
NOTARY PUBLIC
WILLIAM LEWANDOWSKI
My commission, expires: MOMARICOPA COUNTY
O6/22/26 Expos lune 22,2028 (seal)
Warrant/Check Number
Check Mu 3010120539
Original Date of Issue
LL. (if known) (7) 21 -Jun-2022
Reason for original issue of Warrant/Check (8): 08/26/2022
0 Payroll ~ fy 3
; ; Uanilal jou
[J For Services or Goods furnished sed {

C1 Treasurer’s refund/payment
Other: UTILITY ASSISTANCE PAYMENT

AMERICAN

ftomes

August 22, 2022

RE: Shanndoria Gandy Affidavit

To Whom It May Concern:

|, Aaron Ehrlich, authorize Joanna Homer, Property Manager, to execute an affidavit on behalf
of American Homes 4 Rent LP.

Sincerely,

X 2 C*

Aaron Eh‘lich
Agent, American Homes 4 Rent LP

Aaron Ehrlich

Property Manager

Direct:

Main Fax:

COUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY

PHOENIX, ARIZONA

DATE
06-21-2022
Six Hundred Six And 93/100 Dollars
PAY TO THE ORDER OF
AMERICAN HOMES 4 RENT LP
Void After
365 Days

WARRANT NUMBER
3010120539

91-2/1221

$606.93
AMOUNT

For Questions - or email NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE,
RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR. RECORDS

AMERICAN HOMES 4 RENT LP 3010120539 06/21/2022 $606.93
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000526469 06.16.22 AMERICAN HOMES 4 RENT LP- Utility ,|GAX1D D220 220000026632 606.93} PU

220000026632