STAMPED & REDACTED HRH REALTY.PDF

MARICOPA COUNTY

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

INTEROFFICE MEMORANDUM
Date: June 16, 2022
To: Clerk of the Board
From: Joyce Maurmann

Department of Finance

Subject: Affidavit - Replacement of lost warrant

Please find attached 1 Affidavit for a Stale-date warrant to be included on the next

available Board Agenda.
e The attached items have been researched to ensure the warrant in question
have not been cashed or previously re-issued.

e The original warrant was lost and not received by vendor

Please call me at if you have any questions. Please return the approved

Affidavits to my attention in the Office of Budget and Finance, 9" Floor.

Thank you.

Re: HRH Realty LLC
Treasurer warrant for tax lien

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

This application is for: Duplicate or CI state-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.
HRH Reality LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about 09-Mar-2021 (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 him/her in the sum of $ 887.12 (3)
signed: (una 3. Aerebhig (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 orn fore m¢ this ik day of Ja ae 202,

NOTARY PUBLIC

My commission expires:

{U3-20r3

Warrant/Check Number
(if known) (6) 922960

Prorat

Original Date of Issue
(if known) (7) 09-Mar-2021

Reason for original issue of Warrant/Check (8):
O Payroll
For Services or Goods furnished
Treasurer's refund/payment 4X lien 06/16/2022
(1 Other: .

HRH Realty LLC

6620 W. Monroe St., Phoenix, AZ 85043 | 623-262-4493 |

June 13, 2022

Maricopa County Office of the Budget of Finance

c/o Accounts Payable

Phoenix, AZ 85003

Jume 13, Z0ZZ

To Whom It May Concern:

Please re-issue the check in the sum of $887.12. The said check was issued to my business, HRH Realty. I
run my business solely and this check was never received and is very unlikely to be found. For that
reason, I am requesting a replacement of this check.

Sincerely,

demo Sonraline

Lorna Ferreline

Joyce Maurmann (FIN)

From: Tammy Roy (TRS)

Sent: Wednesday, May 25, 2022 2:48 PM
To: Joyce Maurmann (FIN)

Ce: Cathy Sanchez (TRS)

Subject: Stale check 922960

Good afternoon:

Check 922960, in the amount of $887.12, was issued to HRH Realty LLC on March 9, 2021. It was stale dated, and the
monies transferred to the general fund on 03/31/2022.

Please let me know if you have any questions.

Kind regards,

Business Systems Analyst Sr.
Maricopa County Treasurer's Office

Phoenix, AZ 85003