030817 STALE DATED WARRANTS 1.PDF

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MARICOPA COUNTY BOARD OF CL SLJP.RVL5..- LS
Department of Finance tV,RICOP nl,"TY
301 West Jefferson, Ste 960 .2011 FEB 7 rf; 3: 1 1
Phoenix, Arizona 85003
INTEROFFICE MEMORANDUM
Date: February 17, 2017
To: Clerk of the Board
From: Beth Brown
Department of Finance
Subject: Affidavit — Notice of Claim
Please find attached Affidavit for stale dated warrant to be included on the next
available Board Agenda.
• The attached item has been researched to ensure that warrant in question
has not been cashed or previously re-issued.
• The original warrant has a void/stale date/stop payment done.
Please call me at 506-1329 if you have any questions. Please return the approved
Affidavit to my attention in the Department of Finance, Suite 960.
Thank you.
Re: 1 STOP MONEY CENTERS, LLC

Application for a Duplicate or Stale-Dated Warrant/Check
1 2
Affidavit/Claim Form
This application is for: Ei Duplicate or (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to
COUNTY OF MAR1COPA numbers on the Instruction sheet which is
one 2 of this form.
inorYN C"ecs' LLc(1), being first sworn, upon oath deposes and says:
Name/claimant
On or about — 2 01 Cs, (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, uncer penalty of perjury, claimant hereby affirms that this claim is correct
and the amour t shown is due and owing, and the applicant requests that a replacement
warrant/check be issued to him/her in the sum of $ 26, 1.5q .( 3 )
Signed: te_ (,t 47"i (4)
Note: Please attach a copy of the warrant/check if available and/or any other
evidence tit a warrant/check was originally issued.
(5) Subscribed ancliaor-rpto before-r5,is— day of -e\:Icu‘a:r(A 20 VT .
NOTAR
STEPHEN JOHNSTON 1
My commiSiion expires: a Notary Public - Arizona
1131 Expires Maricopa 07/31/2018 County (seal)
Warrant/Check . Number ?) 69 00 i ,S 7
(if known) (6)
Original Date cf Issue I-11- 2,01(0
(if knowr ) (7).
Reason for oricinal issue of Warrant/Check (8):
O Payroll
O For Services or Goods furnished
• Treasurr's refund/payment
Other:

CALIFORIAA JURAT WITH AFFIANT STATEMEM
7'
Cy:tee Attached Document (Notary to cross out lines 1-6 below)
El See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
State of California
County of Lr
Subscribed and sworn to (or affirmed) before me on this
day of , 20 I , by
Date Month Year
(1) 1,.re_
Name ral Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) (,)
(and
DEENA M. LAMB (2)
Commission # 1919160 Name of Signer
Notary Public - California
Los Angeles County proved to me on the basis of satisfactory evidence
My Comm Expires Jan 23, 2015 F, to be the person who appeared before me.)
Signature ‘L'5.. c '.<1\ \\
Signature of Notary PtlUiiC
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove
valuable to persons relying on the document and could prevent 111110IF SIGNER #2
fraudulent removal and reattachment of This form to another document, Top of thumb here
Further Description of Any Attached Document
`(\ht-c.c QcN\V. \.
Title or Type of Document:__EX„xvc.A. s
Document Date: 1\\\:_./.S\* e\,. 2x ( Number of Pages: r>0-1
Signer(s) Other Than Named Above:
02e07 National Notary Association • 9250 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 913 )3-2402 • www.NationalNotary.org Item #5910 Reor4er:Call Trati ,Free 141004179-6tt27

Articles of Amendment
Pursuant to ARS §29-633(F)
1. The name of the limited liability company is 1 Stop Money Centers, LLC (the "Company").
2. The Articles of Organization of the Company are amended by adding Article V as follows:
Article V. The Members do hereby appoint the following individuals as
officers of the Company:
A. Richard Bauer — Chief Executive Officer,
B. Grace Barton — Senior Vice President of Collections,
C. Anthony Fernandes — Vice President of Collections,
D. Monica Andreas — Vice President of Collections.
Each of these officers is authorized to undertake the powers and duties authorized to them in
the Operating Agreement of the Company, including, among other things, representing the
Company in actions to collect Company assets.
Executed thitrAt day of August, 2012 by:
Castle N' Coasters, Inc.
Member
By
Its: Authorized Agent
GNS Development Corporation
Member
By
6: Authorized Agent

Page 1 of -
Warrant 3-6-0015787 Details
Wt Number 3-6-0015787 Wt Amount $261.59
Wt Status STALE CANCEL/VOID Wt Interest 0
Acct Num 31-767-000 Issue Date 1/11/2016
Paid Date 1/31/2017 Register Date
Voucher 000 Claim Number 000000
PO Num 000000 Fund Number 767
Dept Num 0000 Low Orig 00000
Payee 1 Stop Money Centers, LL Sub Fund 000
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