STAMPED & REDACTED - FOR AGENDA ATTACHMENT - KV AVENTURA APARTMENTS.PDF

MAR! COPA
COUNTY

Office of Budget & Finance
301 W, Jefferson St., 9 Floor
Phoenix, Arizona 85003

P: 602-506-3561
F: 602-506-4451

Maricopa.gov

To: Clerk of the Board

From: Office of Budget & Finance, Accounts Payable
Date: 02.27.24

Subject: KV Aventura Apartments

Please find attached one Affidavit for a duplicate to be included on the next available
Board Agenda.

e The attached item has been researched to ensure the warrant in question has not
been cashed or previously re-issued.

e The original warrant is presumed lost.

Please call Marcia Bulanda at 506-7291 if you have any questions. Please return the
approved Affidavit to my attention in the Office of Budget and Finance, 9" Floor.

Thank you.

Re: FUND 222 — D220 Human Services - GAX1D 24*11411 - Adams, Aerial — Rental
Assistance

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

This application is for: [4 Duplicate or CJ 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.

KV AVENTURA APARTMENTS

- (1), being first sworn, upon oath deposes and says:
On or about 02-JAN-2024" (dateX2) 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/che to him/her in the-stim of $3712.32 (3)

Signed: __{ So (4)
Note; Please attach a copy of the warrant/check Jf available and/or any other
evidence that a warrant/check was originally issued,

mus

(5) erly sworn to beffpe me this day of ¥tlo. 2024.

NOTARY PUBLIC (WO
KE
My commission expires ( i. Ware ron
i ; 3 icopa County |
DG /VS) 2524 _ rycen Fash |
[ Warrant/Check Number
(If known) (6) 3010170279

Original D: f Issue ;
cal pene: 02-JAN-2024 | |

Reason for original issue of Warrant/Check (8):
O Payroll

0 For Services or Goods furnished

© Treasurer’s refund/payment :
C) Other; 220-Humen Services kk asad 24r41414- ndan. Aerial - Rental Assistance

S:\PROCESSES\Werrants - Duplicate or Stale\02 FermaWararts Obes nots
Revised April 2085

3/1/24

LENNOX KNI EST

| LUKviY LIVING RESIDENTIAL

February 27", 2024

To Whom It May Concern:

|, Jami Davis Regional Manager for Knightvest Residential, Authorize Nicole Suarez the property
manager for Lennox Apartments, to sign the requested Affidavit to reissue payment for Aerial Adams
in unit 2180.

Thank you, ~ 7

KNIGHTVEST

VESIDENTIAL

Thriving Communities, Dependabie Results, Winning Teams

counry expense varrant TREASURER OF MARICOPA COUNTY WARRANT NUMBER

PHOENIX, ARIZONA 30190170273

DATE

Three Thousand Seven Hundred Twelve And 32/160 Dollars

$3,712.32
PAY TO THE ORDER OF
AMOUNT
KV AVENTURA APARTMENTS
ATTN RENTAL OFFICE
Vaid After
365 Days
For Questions - 602-506-1379 or email AP@MATL.MARICOPA.GOV NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE
RETAIN THIS FOR | PAYEE . WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS =
KV AVENTURA APARTMENTS 3610170279 01/02/2024 $3,712.32
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000624982  |ADAMS, AERIAL-RENTALASSISTANCE _ |GAX1D D220 24000001 1411 3,742.32

240000011411

le Issued warrants ¢

nsaved fiter) +

‘Oo Agency Status Warrantnumber — fseued date Paid date Amount
i + Issued :3010170279 * » -
Issued 3010170278. T/e/2024 12:00:30 am _ 3,712.32:
u
1
| Warrant numbers 3010070275
Amount Payee Account

4712.32 RYCAVEMTURA APARTMENTS