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MARICOPA COUNTY Department of Finance 301 West Jefferson, Ste 960 2013 JUL 31 PH 12: 02 Phoenix, Arizona 85003 INTEROFFICE MEMORANDUM Date: July 31, 2019 To: Clerk of the Board From: Marcia J. Clark Department of Finance Subject: Affidavit — AAA AJAX PUMPING SERVICE INC Please find attached 1 Affidavit for stale dated warrant to be included on the next available Board Agenda. • The attached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. • The original warrant is lost. Please call me at 506-7291 if you have any questions. Please return the approved Affidavits to my attention in the Department of Finance, Suite 960. Thank you. Re: FUND ACCOUNTING: FUND 240, UNIT 3001, OBJECT 8250, SUB OBJECT 50 ACCOUNTING DETAIL/ACTIVITY: GNMT D300 — PARKS & RECREATION INVOICE#'S: 17681, 179396, 180325, 180777, 108851, 180943, 181304 Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: VI Duplicate or 0 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 pane 2 of this form. AAA AJAX PUMPING SERVICE INC (1), being 'first sworn, upon oath deposes and says: Name/Claimant On or about 31-May-2019 (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/chec e issued to /her in the sum of $ 9,395.00 -(3) Signed: (4) Note; Please altaelf 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 day of 20 /9 . /Z NOTARY PUBLIC Sn dhAb.daretolemakiMIN~ MICHAEL C BYRNES Notary Public - Arizona My commission expires: MaricopA County 4 My Comm. ExpirP§ Jun B, ?WI (seal) iIMIPII4VP,M1111WWW •wSPW EWP400411Pfis Warrant/Check Number 3010035124 (If known) (6) Original Date of Issue 31-May-2019 (if known) (7) mom OM_ _Ink Reason for original issue of Warrant/Check (8): I=1 Payroll El For Services or Goods furnished ID Treasurer's refund/payment Other: LOST WARRANT AAA Ajax Pumping Service, Inc. P.O. Box 5782 Glendale, AZ 85312-5782 (602) 278-0075 Fax (602) 340-8182 July 26, 2019 To Whom it May Concern, I, Dustin N. Huey, Director of Operations for AAA Ajax Pumping Service, Inc, am fully authorized to sign documents on behalf of MA Ajax Pumping Service, Inc. Sincerely, Dustin N Huey Director of Operations. 000003010035124 1000 S9,395.00 05/31/2019 NIA 369696 Account: Number: Number: Number: Amount: Date: Indicator: Category: Run ID: Date: ID Issue Reconciliation: Printed Bank Check/EFT Routing Routing Check/EFT Check/EFT Status Disbursement Check Transit Print Internal Se Amount 9,395.001 [DACRSPDAOS01: date Paid Outstanding AZ am 12:000D Governments, Is of Warrant Issued date 5/31/2019 Association number Account 210100-... ---- Maricopa Warrant 3010035124 3010035124 - warrants 7-31-19 to Excel . INC AX All Export Microsoft List - SERVICE Dynamics I on filter) Warrants Refresh (Unsaved PUMPING Microsoft I Printed Import Status Issued 3010035124 AJAX Common & warrants number Payee AAA I E4i Print management Setup All Agency r2000 Warrant Amount 9,395.00 payable Researched 'If 0 Accounts Attachments I MCTO Delete warrants warrants El Warrant Edit Maintain payable warrants warrants warrants PaYable I favorites page Common Warrants All Issued Registered Invoiced Paid Home Accounts 03- 11rj 431 Warrant New Favorites My Accounts Area • • Itt • • AFFIDAVIT AAA AJAX PUMPING SERVICE INC WARRANT# 3010035124 ISSUED: 05-31-19 AMOUNT: $9,395.00 Marcia Clark (FIN) From: Marcia Clark (FIN) Sent: Tuesday, July 23, 2019 9:23 AM To: Dawn Barnhill Subject: RE: AFFIDAVIT - AAA AJAX PUMPING INC - WARRANT# 3010035124 $9,395.00 Follow Up Flag: Follow up Flag Status: Completed Categories: COMPLETE, AFFIDAVIT Invoice Numbers & Amounts: 176871 --- $3,375.00 179396 --- $ 720.00 180325 --- $1,125.00 180777 --- $1,125.00 180851 --- $1,125.00 180943 --- $1,125.00 181304 --- $ 800.00 Total Warrant Amount: $9,395.00 If you need any further assistance, please Email or call. Thank you. Marcia J. Clark Accounts Payable 602-506-7291 ap@maricopa.qoy Marcia.clark@maricopa.cloy From: Dawn Barnhill [mailto:dawnbarnhill@ajaxpumping.com] Sent: Tuesday, July 23, 2019 9:09 AM To: Marcia Clark (FIN) <Marcia.Clark@Maricopa.Gov > Subject: RE: AFFIDAVIT - AAA AJAX PUMPING INC - WARRANT# 3010035124 $9,395.00 Good morning Marcia, could you please list which invoice numbers were paid on warrant# 3010035124 amount $9,395.00. Thank you, Dawn Barnhill -,onn: Marcia Clark (FIN) <Marcia.Clark@Maricopa.Gov > ,ent: Tuesday, July 23, 2019 8:56 AM To: Dawn Barnhill <dawnbarnhill@ajaxpunnping.com > Cc: Kara Currie-Gonzalez (PRK) <Kara.Currie-Gonzalez@Maricopa.Gov >; FIN AccountsPayable