STAMPED & REDACTED OPULENT REAL ESTATE GROUP, LLC.PDF

MARICOPA COUNTY
Department of Finance

301 West Jefferson, Ste 960
Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM
Date: November 30, 2021
To: Clerk of the Board
From: Marcia J. Bulanda

Department of Finance

Subject: —Affidavit- OPULENT REAL ESTATE GROUP LLC

Please find attached 1 Affidavit for stale dated 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 is lost.

Please call me at 506-7291 if you have any questions. Please return the approved

Affidavits to my attention in the Department of Finance, Suite 960.

Thank you.

Re: Fund: 222, Dept. 220 Human Services, GAX1D 22*7034

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form

This application is for: Duplicate or [<] state-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MARICOPA nese Instruction sheet which is
OPULENT REAL ESTATE GROUP LLC (4), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 18-Oct-2021 (dete)(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/chegk be issued to a sum of $6, 109.52 3)

Signed: _Y Mud L4 Llastelle Sa

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

ote

©) Su Subscribed and sworn eon eee before me this Le (. __day of MV oe Mor 20 2}

NOTARY PUBLIC

GIANNI MARG CORABI
“2 Notary Public - State of Arizona

My cx commission expires: MARICOPA COUNTY
joe ll 225 Cormier Oe (seal)
Warrant/Check Number vnc
(Gf known) (6) 3010100828
Original Date of Issue
Reason for original issue of Warrant/Check (8): 12/1/2021

C1 Payroll
1 For Services or Goods furnished

C1 Treasurer's refund/payment
Other: / Original check presumed lost in the mail

Cp

4 ESTATE oROUe

To whom it may concern,

| Jim Ruley owner and broker of Opulent Real! Estate Group LLC authorize
Danielle Starr who is a licensed property manager/ realtor for Opulent to sign the
affidavit for the property/ tenant listed below.

Jennifer Wilcox

PI Ibs00

Sincerely,
Jim Ruley

Owner/ Broker

rn TREASURER OF MARICOPA COUNTY WARRANT NUMBER
PHOENIX, ARIZONA 3010100828

DATE
10-18-2021 - 91-2221

Six Thousand One Hundred Nine And 52/100 Dollars

$6,109.52
PAY TO THE ORDER OF
OPULENT REAL ESTATE GROUP LLC AMOUNT

Void After
365 Days

NOT NEGOTIABLE
RETAIN THIS FOR | PAYER, WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
OPULENT REAL ESTATE GROUP LLC 3010100828 10/18/2021 $6,109.52
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000435434 JENNIFER WILCOX RENTAL ASSISTANCE GAX1D D220 220000007034 6,109.52

220000007034