STAMPED & REDACTED URBAN PROPERTIES LLC.PDF
Extracted text (via tesseract_tsv)
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MARICOPA COUNTY
Office of Budget and Finance
301 West Jefferson
Phoenix, Arizona 85003
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INTEROFFICE MEMORANDUM 4 v nd
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Date: April 23, 2021 oo F
To: Clerk of the Board = c
From: Walter Chang —_ ”
Department of Finance
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Subject: Affidavits — Replacement of Lost Warrants
Please find attached 1 Affidavits for lost warrants to be included on the next available
Board Agenda.
e The attached items have been researched to ensure the warrant in
question have not been cashed or previously re-issued.
e The original warrants have a void/stale date/stop payment done.
Please call me at 506-8747 if you have any questions. Please return the approved
affidavits to my attention in the Office of Budget and Finance
Thank you.
Re: Fund: 222 /Dept: Human Services / Company : URBANITY PROPERTIES LLC
Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: Duplicate or C] 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
paade 2 of this form.
URBANITY PROPERTIES LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 17-Jun-2020 (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 issyed to him/her in the sum of $ 1,280.00 -(3)
Signed: (4)
Note: pidese Zetach 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 1A day of Cpudr _ 202).
NOTARY PUBLIC
NAOMI M BREWSTER
Notary Public - Arizona
My Con expires: ) C Commission Maricopa County # 549235
07 ak ]252e92 (seal)
Warrant/Check Number lanannenca
3070060546
(if known) (6)
Original Date of Issue
Reason for original issue of Warrant/Check (8):
1 Payroll
For Services or Goods furnished / COVID rental payments
11 Treasurer's refund/payment
/ original check presumed lost in the mail
Other:
urbanity
PROPERTIES, LLC.
Urbanity Properties
Scottsdale, AZ 85251
04/16/2024
To: Maricopa County Department of Finance
Atten: Accounts Payable
Phoenix, AZ 85003
RE: Request for duplicate check #3010060546 which is presumed lost
To whom it may concern -
|, Brenda Nath, authorize Swapnadeep Nath, Administrator, to execute and affidavit on behalf of
Urbanity Properties.
Both Brenda Nath and Swapnadeep Nath are authorized representatives for Urbanity Properties
and are authorized to sign on Urbanity Properties behalf.
Thank you for your time and consideration in this matter. Don’t hesitate to contact me if you
have any questions.
incerely,
af
Brenda Nath, Property Manager
Cell:
Ceceipy ’ 4{\9 21
Soyt View cockiGed | retven
Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: Duplicate or [1 Stale-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
paae 2 of this form.
URBANITY PROPERTIES LLC ( 1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 17-Jun-2020 (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 issyed to him/her in the sum of $ 1,280.00 -(3)
Signed: (4)
Note: pidese Cetach 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 1A day of Cpud 202) .
NOTARY PUBLIC
NAOMI M BREWSTER
Notary Public - Arizona
Maricopa County
Commission # 549235 '
My
5 1 28 2 1 2 1397 2111 81 23 96.670219 Comm.
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5 1 30 1 1 2 502 2054 242 101 5.635595 onesie
5 1 30 1 1 3 763 2055 166 48 96.440498 expires:
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5 1 36 1 1 2 696 2227 196 60 72.745087 Number__
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5 1 37 1 1 4 932 2247 341 71 55.985992 307806054
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4 1 44 1 2 0 427 2598 210 50 -1
5 1 44 1 2 1 427 2603 40 36 41.217480 (1
5 1 44 1 2 2 500 2598 137 50 95.277603 Payroll
4 1 44 1 3 0 500 2662 1300 62 -1
5 1 44 1 3 1 500 2687 68 37 93.432800 For
5 1 44 1 3 2 582 2686 173 37 93.432800 Services
5 1 44 1 3 3 769 2695 45 27 96.731972 or
5 1 44 1 3 4 829 2683 132 39 92.927193 Goods
5 1 44 1 3 5 974 2682 200 41 58.304714 furnished
5 1 44 1 3 6 1194 2664 21 42 58.304714 /
5 1 44 1 3 7 1229 2662 170 44 88.841835 COVID
5 1 44 1 3 8 1416 2662 133 44 96.943863 rental
5 1 44 1 3 9 1568 2664 232 52 96.637299 payments
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3 1 45 1 0 0 427 2761 1217 138 -1
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4 1 45 1 2 0 498 2837 1146 61 -1
5 1 45 1 2 1 498 2858 132 40 91.366104 Other:
5 1 45 1 2 2 671 2839 16 44 91.366104 /
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5 1 45 1 2 5 1048 2837 237 55 95.992195 presumed
5 1 45 1 2 6 1303 2837 84 43 96.387039 lost
5 1 45 1 2 7 1403 2837 38 41 96.833145 in
5 1 45 1 2 8 1459 2837 73 43 96.934708 the
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