REDACTED - FOR AGENDA ATTACHMENT - ADVANTAGE INVESTMENT #952591.PDF

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

e
MA R) COPA COUNTY Oe er weciae

TREASURER’S OFFICE http://treasurer.maricopa.gov

To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer’s Office
Maria Quitangon Mey
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez Choa

cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Advantage Investment 952591 $298.90 | Treasurer

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

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

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.
x: wncf (1), being first sworn, upon oath deposes and says:
Name/Claimant |
On or about _! if 1$ [Wrz (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 $ 298 5 q .(3)

Signed: Gurcfed’ Chee Ch a 2 (4)
Print name: (required) Tunsfe Grow

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 ar day of Agr | 202U.

NOTARY PUBLIC //
See Attached

ie con ieee lhe eal sa AK \ ¥\ a (seal)

Warrant/Check Number
(if. known) (6) :28 Ss 2X ‘ss q/

Original Date of Issue
(if known) (7) nig /wrr
Reason for original issue of Warrant/Check (8):
O Payroll

O) For Services or Goods furnished

Treasurer's refund/payment

QO Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc
Revised 100518 A.R.S, 11-632 & 11-644
Vide ey
Sel

Mo

CALIFORNIA JURAT GOVERNMENT CODE § 8202

A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California

County of SO md S la rQ

Subscribed and sworn to (or affirmed) before me on

this ao. day of Apr fa 20 LY, by

Date lonth Year

j ra S (and (2) )

SALLY RICCITIELLO 3 Name(s) of Signer(s)

SD qj COMM. # 2418586
PUBLIC * CALIFOR!
ee)

Se wy perp postal proved to me on the basis of satisfactory evidence to
COMM. EXP. SEPTE} 13, 2026 be the person(s) who appeared before me.
Signature asus

Nant Signature/of Notary Public

Place Notary Seal and/or Stamp Above

OPTIONAL

Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.

Description of Attached Document

Title or Type of Document: Attidauv+ cla | M borm

Document Date: Number of Pages:

Signer(s) Other Than Named Above:

©2019 National Notary Association

,

Maricopa County Treasurer's Office 101-19-018 3 5/16/2024 3:52:58 PM

[BH 101-19-018 3 = x
File Help
Year_| Description | Act Date il Tran Num | Amount | Images _| Pmt Date | Half Code a
2022. CP BUYER PAYMENT 2024-02-06  087-00077 $1,248.33 N 2024-02-06 F
2022 =DELINQUENT NOTICE 2023-11-21 x
2023 TAX BILL 2023-08-26 ¥
¥:

2022 DELINQUENT NOTICE
020 REFUND 2 -13 2 O)
2020. REDEMPTION PAYMENT 2022-11-17 0011-01471 $308.90

N 2022-10-14
2021 TAX PAYMENT 2022-11-17 011-0147 $270.15 N 2022-10-14 F
2020 BTX_IMPOUND 2022-10-17 052-13263 $579.05 Y
2022 TAX BILL 2022-08-20 ¥; v
< : >
Parcel #: [101-19-018 Activity: JREFUND Act Date:[11/18/22
Tax Year: [2020 Tran#[- fel] Act Time {12:00 AM

Activity Detail | Addiess Detail |

CP #: [20008330 Check Date: fi 1/18/22
Fund: 50 Refund Amount: | $298.90
Click icon for Disbursements Inquiry. ---> Ea

View Image...

Maricopa County Treasurer's Office

Refund ID 2022024027 CP_BUYER

& Refund ID 2022024027 CP_BUYER
File Help

EaIey

Refund Amount: fs298. 30

Requester. JANE TTE.CANCEL on 11/17/20.

| Refund Reason: cP Redemption refund

Address:

Impounds | Stub | Comments |

Status. [DISBURSED on 11/18/2022
Slip: {202200840

Check Request: [MAIL
Reference # [CP 20008330

Amount | Tax Year | Status

Source Fund | Linked |
050 True $298.90 2020
|
|
|
|

READ

Impound Total: 1

Impound #1
Parcel/Roll :}101-19-018 Dest fund : }050
CP #: 20008330 Reso #: Jo

Mottgagecode: [|

Transaction #: 01101471

-————

Case #:

5/16/2024 3:54:05 PM

OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO

CERTIFICATE OF FACT OF GOOD STANDING

1, Jena Griswold, as the Secretary of State of the State of Colorado, hereby certify that, according to the
records of this office,
Advantage Investment Consulting LLC

isa
Limited Liability Company
formed or registered on 08/02/2021 under the law of Colorado, has complied with all applicable

requirements of this office, and is in good standing with this office. This entity has been assigned entity
identification number 20211716012 .

This certificate reflects facts established or disclosed by documents delivered to this office on paper through
07/20/2023 that have been posted, and by documents delivered to this office electronically through
07/24/2023 @ 10:56:13 .

[have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this
official certificate at Denver, Colorado on 07/24/2023 @ 10:56:13 in accordance with applicable law.
This certificate is assigned Confirmation Number 15170486

Secretary of State of the State of Colorado

However, as an option, the issuance and validity of a certificate obtained ae may be established ie visiting the Validate a
Certificate page of the Secretary of State's website, hitps://www.coloradosos.gov/biz/CertificateSearchCriteria.do entering the
certificate 's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate
{smerely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our website,
hups:/Avww.coloradosos, gov click “Businesses, trademarks, trade names” and select "Frequently Asked Questions.”