STAMPED AND REDACTED - 3700965842 - ZONI GIRLS.PDF

Schools Affidavit/Claim Form 
Application for a Duplicate Warrant/Check 
( deflnltlons are on page 2) 
MAR
COPA
COUNTY 
Note: Numbers on this form correspond to numbers on the
Instruction sheet which Is page 2 of this form.
STATE OF ARIZONA 
COUNTY OF MARICOPA 
ZONI GIRLS LLC 
-,.,-..ȟȠ------(1), being first sworn, upon oath deposes and says: 
Name/Claimant 
On or about OSI07i2026
(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, QI 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 
er in the sum of $,_4_,a_4_4._o4 _____ (3)
Signed: ..wȡȢȣy:::::_...:::.... _______ (4) 
Prlntname:(required) ZoY'i, Giw\,;/ LLe,, lo'-\ eG\'::j \{<('.
I:.,'/-'{ ( 
-
(5) Subscribed and sworn to before me this 
d:J- R-l4v 
NOT ARV PUBLIC 
My commission explres1• 
tP I 3 I /!.-01:}-
--t--Z--day of k'J1./Y{= 20 #
VICKI R. CHAVARRIA 
Nolary Pub lie• State of Artz on a 
MARICOPA COUNTY 
Commls,ton # 040762 
CitplrQ\'I Jtl.11\.lJ:l(V 31, i027 , 
(seal) 
Note: Please attach a copy of the warrant/check If available and/or any other evidence
that a warrant/check was or/g/na/ly issued.
Warrant/Check Number 
3700965842 
(If known) (6)
Original Date of issue 
05/07/2026 
/ifknownll7l 
Reason for original Issue of Warrant/Check (8): 
□Payroll
fJ: For Services or Goods furnished ___________ _ 
D Other: 
S:\Flnancellesk\S<hools-Warrants Che<ks noUce of clalm,docx 
Revised May 2025 
A,R.S, 11-632 & 15·999