STAMPED AND REDACTED - 3700918233 - FLEETPRIDE.PDF

schools Affidavit/Claim Form 
Application for a Duplicate Warrant/Check 
(doflnlUona ore on pogo 2) 
MARCOPA
COUNTY 
STATE OF ARIZONA 
COUNTY OF MARICOPA 
Note: Numbers on this form correspond 10 numbers on 1he 
lnst,uctlon sh est which Is page 2 of this form. 
FleelPrlde, Inc 
(1), being first sworn, upon oath deposes and says; 
Name/Clnlman1 
On or about 10/30/2025 
(date) (2) a warrant/check was Issued to the above,named
person/entity In the amount as stated below. Suoh warrant/oheok was either never received or 
was subsequently Inadvertently lost or destroyed and there Is no reasonable probabll!ty of lts 
being found or presented for payment, ru: II was not presented for payment within one year arter 
the date of Issuance. 
Therefore, under penalty of perjury, olalmant hereby affirms that this olalm Is correct and the 
amount shown Is due and owing, and the applicant requests that a replacement 
__,_$2_8_6._98 ____ ,. (3) 
(seal) 
Note: Pleese attach II copy of tlie warrant/check If ava/lBble and/or any other evidence
that a warrant/check was orlglnally Issued. 
Warrant/Check Number 
3700918233 
/If lmown\/61 
Original Date of Issue 
10/30/2025 
or known\ l7i 
Reason for orlglnal Issue of Warrant/Check (8): 
D Payroll 
Iii For Services or Goods furnished ___________ _ 
□Other:
S:\Flnontellesk\S<)loots-\Vamnts Clle<k> notice of d•1m.doo< 
R•vlsed May 202S