STAMPED & REDACTED - FOR AGENDA ATTACHMENT - SHEPARD INVESTMENTS GROUP LLC- 3010170676.PDF

— cd

MARVCOPA
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: 03.01.24

Subject: Affidavit — Shepard Investment Group, LLC

Please find attached one Affidavit for a lost/stolen warrant 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*11851 — Traylor, Teaira ~ Rental
Assistance

Affidavit/Claim Form

|
This application is for: Duplicate or OC state-Dated {definitions are on page 2) |
STATE OF ARIZONA “Note: Numbers on this form correspond to |

COUNTY OF MARICOPA numbers on the Instruction sheet which is
page 2 of this form.

SHEPARD INVESTMENT GROUP, LLC oa ri 7 PERS, zecoteyoery
meade (1), being first sworn, upon oath deposes and says:
On or about 09-Jan-2024 (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/ be issued to him/her in t e sum of $2,040.39 wo -(3)
Signed# ___ a (4)
Note: Please attach of the warrant/check if available andfor any other

evidence that a errant was originally issued.

fy Sébgizibed atid swom to before ma this". _ day of! ma Vel ny 20? |.

-| mar —

LIC
cia ! mE ae
ET IE. ree rr)

WwW. ‘Check Numbe!
arranyicheck mmmer 13010170676

‘Original Date of I Inc
Cranage) \O9-Jan-2024

Reason for original issue of Warrant/Check (8):
0 Payroll
O For Services or Goods furnished

LU Treasurer's refund/payment
@ Other: Fund 222 - 0220 HUMAN SERVICES - GAX1D 24°11851 - TRAYLOR, TEAIRA - RENTAI. ASSISTANCE

3/7/24

emcees inept

an

_

Attention: Marcia Bulanda
Accounting Document Processor

RE:_ AFFIDAVIT for lost Check
reissue a replacement warrant
From:

Lina Wharton

Asset Manager

Desert Sage Apartments (Shepard Investments)

| Lina Wharton Asset Manager for PEM Management give Christina King Property Manager of
Desert Sage permission to sign affidavit for reissue of warrant/replacement of check numbers
3010170854 11-Jan-2024 and 3010170676 $2040.39 dated 09-Jan-2024. If you have any
questions, please reach out to me or Christina King the Property Manager for Desert Sage
Apartments.

Warm Regards, [) ,; x
Wa

. Ef |
LINA WHARTON ; ASSET MANAGER “~~”

PEM REAL ESTATE GROUP

county sxeensewarrawt — TREASURER OF MARICOPA COUNTY — WARRANT NUMBER

} SEED co PHOENIX, ARIZONA 301 0 1 70676
a ¥ oS ONY DATE

ies 01-09-2024 974-2/4221
ees =

Two Thousand Forty And 39/100 Doflars

4 $2,040.39

PAY TO THE ORDER OF
AMOUNT

SHEPARD INVESTMENT GROUP, LLC

ATTN RENTAL OFFICE, DESERT SAGE lel Aner

Po _

For Questions - 602-506-1379 or email AP@MAIL.MARICOPA.GOV
MARICOPA COUNTY DEPARTMENT OF FINANCE

RETAIN THIS FOR | PAYER, WARRANT NO. | WARRAN WARRANT AMOUNT

YOUR RECORDS — a
: 3010170676 01/09/2024 $2,040.39

ee SHEPARD INVESTMENT GROUP, LLC
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT

NOT NEGOTIABLE

iNV-0000625284  |TRAYLOR, TEAIRA-RENTAL ASSISTANCE |GAX1D 0220 240000011851 | 2,040.39
240000011851

Warrantnumber — issued date Paid date Arr unt
‘301170676 x | © +
14972024 W800 am 2046.39:

Warrant number: TO fone

Amount Payee Account
2,040.38 SHEPARD INVESTMENT GROUP, LLC f |