STAMPED & REDACTED CITY OF CHANDLER.PDF

MARICOPA COUNTY

Office of Budget and Finance
301 West Jefferson, 9° Floor
Phoenix, Arizona 85003

INTEROFFICE MEMORANDUM

Date: October 3, 2022
To: Clerk of the Board
From: Marcia J. Bulanda

Office of Budget and Finance

Subject: Affidavit - CITY OF CHANDLER

Please find attached 1 Affidavit for a lost 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 lost.

Please call me 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 22*23021
04.29.22 CITY OF CHANDLER — UTILITY ASSISTANCE
INV# INV-0000510815

Se,

(gal

“OUNt

Op

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

This application is for: Duplicate or CI 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.

CITY OF CHANDLER (1), being first sworn, upon oath deposes and says:
ame/Claiman
On or about 95-May-2022 (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 issued to him/her in the sum of $. 1,043.39 .3)
Signed: Lh take. (4)

Note: Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

Tiitd, and sworn to before me this “21 day of “xPkanheg. 202-2.
tf

hit. BUM

NOTARY PUBLIC

My commission expires: hrizona
seo \rizon
24 | 2024 res 09/23/24(geal)

rm No. SS1668

Warrant/Check Number 13949416528

{if known) (6)

Original Date of Issue
Gf known) (7) 05-May-2022

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

10/04/2022

C1 Payroll 7Y
. . Ud Trl LU Nk

(1 For Services or Goods furnished CKLLAL 4

C1 Treasurer’s refund/payment
Other: / original check presumed lost in the mail

FUND 222 -~ D220 HUMAN SERVICES - GAX1D 22*23021
04.29.22 CITY OF CHANDLER-UTILITY ASSISTANCE
INV# INV-0000510815

, © CHANDLER
WS arizona |

Community of Innovation

09/29/2022

State of Arizona

County of Maricopa

Applicant for a Duplicate or State-Date Warrant/Check

To Whom it May Concern,

Customer Service Supervisor, Corina Meister is authorized to sign the affidavit on behalf of City of
Chandler Utility Services.

Soke the

Jason Hafen

Utility Services Manager
City of Chandler

Utility Services Division
480-782-2274

Management Services
Utility Services

Mailing Address 480-782-2280 Location
Mail Stop 700 480-782-2295 TDD First Floor
P.O. Box 4008 480-782-2295 Fax 175 S. Arizona Ave.

Chandler, AZ 85244-4008 chandleraz.gov Chandler, AZ 85225

CQUNTY, EXPENSE, WARRANT TREASURER OF MARICOPA COUNTY

One Thousand Forty Three And 39/100 Dollars

PAY TO THE ORDER OF
CITY OF CHANDLER
MS 700 PO BOX 4008
CHANDLER AZ 85244

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

PHOENIX, ARIZONA

WARRANT NUMBER

3010116528
DATE
05-05-2022
JPMorgan Chase Bank N.A 91-2/1224
Phoenix, AZ
$1,043.39
AMOUNT
Void After
365 Days

NOT NEGOTIABLE

RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
CITY OF CHANDLER 3010116528 05/05/2022 $1,043.39
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
INV-0000510815 04.29.22 City Of Chandler- Utility Assistance GAX1D D220 220000023021 1,043.39

220000023021

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MS 700 PO BOX 4008,

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Row Labels . ; Sum of Invoice Amount

‘CSD APS CRISIS BILL - 22CSAPSCB - 2022 § “800.00
CSD CSBG CARES - 22CSBGCVH - 2022 $ 11,511.00
CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 $ 2,162.72
CSD ERA UTILITIES - 22CHERA1UA - 2022 $ 12,008.44
CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 91,156.09
CSD LIHEAP - 22CSARPALI - 2022 S 28,886.00
CSD LIHEAP - CSLIHEAPVH - 2022 S 7,321.00
Grand Total S 153,845.25

1532 S PRICE RD

CSD ERA UTILITIES -22ERAUTIL- 2022 5 202.72
“505 WEST APARTMENTS, ATIN Office 125.76
CSD ERA UTILITIES - 22ERAUTIL- 2022 125.76
30601 AGOURA RD STE 200 4,403.15
CSD ERA UTILITIES - 22ERAUTIL- 2022 1,403.15
American Homes Rent Properties Five LLC 1,675.02
CSD ERA UTILITIES - 22ERAUTIL - 2022 § 1,675.02
PO BOX 53933 MS3211 5 37,575.26
CSD APS CRISIS BILL - 22CSAPSCB - 2022 é 800.00
CSD CSBG CARES - 22CSBGCVH - 2022 5 1,200.00
CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 $ 473.60
CSD ERA UTILITIES - 22CHERA1UA - 2022 $ 2,709.79
CSD ERA UTILITIES - 22ERAUTIL - 2022 5 22,096.87
CSD LIHEAP - 22CSARPALI - 2022 § 8,975.00
$

CSD LIHEAP - CSLIHEAPVH - 2022

PO BOX 29006

1,320.00

$
CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 S
CSD ERA UTILITIES - 22ERAUTIL - 2022 $

8375 E Via de Ventura Dr

CSD ERA UTILITIES - 22ERAUTIL - 2022

ATTN RENTAL OFFICE

CSD ERA UTILITIES - 22ERAUTIL - 2022 $

” 1586 W MAGGIO WAY

"CSD ERA UTILITIES- 22CHERAIUA-2022,S ~ $ 552.04

15164 N 140TH DR gs 407.96

CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 407.96

ATTN RENTAL OFFICE oe S __210.40

CSD ERA UTILITIES - 22CHERALUA - 2022 § 210.40

ATINOFFICE S 82.56

CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 82.56

/ “ATINO'! OFFICE ee g 355.72

sb ERA UTILITIES - 22ERAUTIL- 2022 $ 355.72

_csD ERA UTILITIES - 22ERAUTIL- "2022 é 164.00
“11ss Ww W CIVIC CTR DR STE260 § 3 557.0 04

CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 3,557.04

530 E Monroe Ave . $ 7, 010. 44

CSD CSBG CARES -22CSBGCVH - 2022 § 1,550.00

CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 § 447,66

CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 4,532.78

CSD LIHEAP - 22CSARPALI - 2022 $ 480.00
MS 700 PO BOX 4008 _ — $_ 043.39

$

7 PO Box 26 ee _§$_ "6,488.95

CSD CSBG CARES -22CSBGCVH - 2022 $ 641.00

CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 $ 327.16

__ CSD ERA UTILITIES - 22ERAUTIL- 2022 _ $ 5,520.79
_Finance Department . S 855.63 ©

CSD ERA UTILITIES - 22ERAUTIL - 2022 é 855.63

8401 W Monroe St S __3,051.25

CSD CSBG CARES - 22CSBGCVH - 2022 § 300.00

CSD ERA UTILITIES - 22ERAUTIL - 2022 g 2,751.25

PO Box 29078 $8. 2,336.06

CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 § 153.09

CSDERAUTILITIES-22ERAUTIL-2022, = SS 2,182.97
“PO BOX 5002 _s 5,342.32

CSD C5BG CARES -22CSBGCVH - 2022 g 3,000.00

CSD ERA UTILITIES - 22ERAUTIL - 2022 S$ 2,342.32

1215 E BROWN RD STE 1 $ 298.48
CSD ERA UTILITIES - 22CHERA1UA ~ 2022 $ 298.48

PO BOX 37782 $ 1,670.31
CSD CSBG CARES - 22CSBGCVH - 2022 S 640,00
CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 S 88.26
CSD ERA UTILITIES - 22ERAUTIL - 2022 $

942.05

1121 W WARNER RD STE 110 2,742.90
CSD ERA UTILITIES - 22ERAUTIL - 2022 2,742,390
1131 W WARNER RD STE 102 979.29

CSD ERA UTILITIES - 22ERAUTIL - 2022 979.29

44444 N SHANGRI LA LN 891.13

eee "CSD ERA UTILITIES - 22ERAUTIL - 2022 891.13
15446 N GREENWAY HAYDEN LOOP 240,63

CSD ERA UTILITIES - 22ERAUTIL - 2022

240.63

“14920 W Camelback Rd “2,462.73

CSD CSBG CARES - 22CSBGCVH - 2022 $ 1,300.00
CSD ERA UTILITIES - 22ERAUTIL - 2022 1,162.73

“ATTN RENTAL OFFICE

CSD LIHEAP - 22CSARPALI - 2022

ATTN OFFICE PASEO ON UNIVERSITY 509.00

CSD ERA UTILITIES ~ 22ERAUTIL - 2022

11217 W NEVADA AVENUE ee __. 3 473,75
CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 $ 189.50

CSD ERA UTILITIES - 22ERAUTIL - 2022 284.25

YUGO TEMPE VILLAS ATTN OFFICE

842.29

CSD ERA UTILITIES - 22ERAUTIL - 2022

PROGRESS RESIDENTIAL

885.64

CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 885.64

9840 W YEARLING RD STE £1200

CSD ERA UTILITIES - 22ERAUTIL - 2022

601 N HAYDEN RD 480.00

CSD LIHEAP - 22CSARPALI - 2022 480.00

‘0 BO) Bon 3,234.40
CSD UTIL2 - 2022 $ 284.79
CSD ERA UTILITIES - 22CHERAIUA - 2022 $ 5,972.02
CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 17,336.59
CSD LIHEAP - 22CSARPALI - 2022 $ 14,921.00
CSD LIHEAP - CSLIHEAPVH - 2022 $ 4,720.00
© CARTER APARTMENTS ee _§ 714.16
CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 314.16
CSD LIHEAP - 22CSARPALI - 2022 $ 400.00
. “ATIN OFFICE, “UNION TE TEMPE $ 251.46
CSD ERA UTILITIES - 22ERAUTIL- 2022 5 251.46
“CSD CSBG CARES - 22CSBGCVH - 2022. $ 1,930.00
CSD ERA 2.0 UTILITIES - 22ERAUTIL2 - 2022 $ 39,54 :
CSD ERA UTILITIES - 22CHERAIUA - 2022 $ 41,004.76
CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 11,619.51
CSD LIHEAP - 22CSARPALI - 2022 $ 2,350.00
CSD LIHEAP - CSLIHEAPVH - 2022 $ 1,281.00
ATTN OFFICE, AVANTGARDE $s
CSD ERA UTILITIES - 22ERAUTIL - 2022 $
"_155N Tegner St STE A —_ _ “1783.1 15
CSD ERA UTILITIES - 22ERAUTIL- 2022 $ 1,143.15 | |
CSD LIHEAP - 22CSARPALI - 2022 $ san 00 |
CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 555.01 _
__€SD CSBG CARES - 22CSBGCVH - 2022 $ 750. 00"
PO BOX 79168 _s _AT1.A6
CSD CSBG CARES - 22CSBGCVH - 2022 $ 200.00
CSD ERA UTILITIES - 22ERAUTIL - 2022 $ 271.46
1320NMCQUEENRD : $ __ 217.56
CSD ERA UTILITIES - 22CHERAIUA - 2022 5 217.56
Grand Total $ 153,845.25

ITY OF CHANDLER (UTILITES) ‘00063800 4/26/2022 Pending afayaozz 4/31/2022:
CITY OF CHANDLER (UTILITIES) 0063800 : 4/25/2022 Fencing Wiferz 2/28/2022
‘COTY GF CHANDLER (UTILITIES) : (00063200 "4/26/2022 Pending shpor '"” ‘afaajaz
CTY OF CHANOLER (UTILITIES) - 63.18 JONES, RECO G0063800 9/26/2002 Pending. _AAf2022 4/30/2027)
Gity OF CHANDLER (uTiLiries)” . 63.18 JONES, RECO, 00083800 4/26/2022 Pending 5/1/2022 5/31/2022
NOLER (CTILITIES) "52.56, RAMIREZ, LIVVAR 00005661 8/2022 Pending wane

(OF GHANDLER (UTILS) 24,19 RAMIREZ, LIVVAN 00005661 8/2023 Pending 2/2002

(ut 4/28/2022 Pes 7 aAn02

(i 0 PO BC a : apap o22 Pe afifr0rd
‘CITY OF CHANDLER (UTILITIES) IMS 700 PO BOX 4C5D ERA UTILITIE 4/28/2022 Pending Bffaona_5/stfzon2
GW OF CHANDLER (UTILITIES) MS 700 FO BO ACSD ERA UTILITIE 14/38/2032 Pending 6Aif2an2 "6/30/2602
CITY OF CHANDLER (UTILITIES) IMS 700 PO BOX 4C5D ERA UTILTIE 96.93 RAMIREZ, IWAN 00005661 INV-o000509868. {2/28/2077 Pending DAAfuona 9/31/2023:

Marcia Bulanda (FIN)
ee

POTEET? ST LIDAR REALE LTE TERE
From: Walter Chang (FIN)
Sent: Wednesday, September 21, 2022 10:23 AM |
To: Marcia Bulanda (FIN) |
Ce: Walter Chang (FIN) |
Subject: RE: Affidavit for Warrant 3010116528 - Utility Assistance - INV-0000510815

Hello Marcia,

Still not cashed :

Warrant

ae fA Delete ue 4

Warrant Edit Attachments Print
management
lew Maintain Setup

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Ny farorites C] Agency Status Warrant nu. Issued date

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4 Accounts payable

issued
Area page coat

@ Common

4 Warrants

Albwarrants

lssued warrants a
Registered warrants A
lnvoicect warrants

Paid warrants

Thank you.

Walter Chang
Maricopa County Office of Budget and Finance

Walter.Chang@maricopa.gov

ap@maricopa.gov

AP Phone: 602-506-1379

From: Marcia Bulanda (FIN) <Marcia.Bulanda@Maricopa.gov>

Sent: Wednesday, September 21, 2022 8:24 AM

To: Walter Chang (FIN) <Walter.Chang@Maricopa.Gov>

Subject: FW: Affidavit for Warrant 3010116528 - Utility Assistance - INV-0000510815

Good morning Walter.

Could you please check Dynamics for this Warrant? Thank you.

Thank you.

Marcia J. Bulanda

Accounts Payable

Maricopa County Office of Budget & Finance
Phone: (602) 506-7291 | Fax: (602) 506-3439
A/P Phone: (602) 506-1379

ap@maricopa.gov
Website: http://www.maricopa.gov/finance/

From: Marcia Bulanda (FIN)

Sent: Thursday, September 15, 2022 11:01 AM

To: mailto:utilitybilling@chandleraz.gov

Subject: Affidavit for Warrant 3010116528 - Utility Assistance - INV-0000510815

Good morning.
Please find attached Affidavit and Instructions for Warrant# 3010116528 -- $1,043.39 - Utility Assistance
You can send the original paperwork to:

Maricopa County Department of Finance
Attn: Marcia Bulanda

301 West Jefferson Street, Suite 960
Phoenix, Az. 85003

***Please email me the signed/notarized Affidavit and Letter as well. This will speed up the reissue process. Thank you.

If you have any questions, please let me know

Thank you.

Marcia J. Bulanda

Accounts Payable

Maricopa County Office of Budget & Finance
Phone: (602) 506-7291 | Fax: (602) 506-3439
A/P Phone: (602) 506-1379
ap@maricopa.gov

Website: http://www.maricopa.gov/finance/

Marcia Bulanda (FIN)

From:

Sent:

Ta:

Subject:
Attachments:

Good morning.

Marcia Bulanda (FIN)

Thursday, September 15, 2022 11:01 AM

‘mailto:utilitybilling@chandleraz.gov'

Affidavit for Warrant 3010116528 - Utility Assistance - INV-0000510815

CITY OF CHANDLER 3010116528 -UTILITY ASSISTANCE-.pdf; Affidavit Instructions 08-09-22.doc

Please find attached Affidavit and Instructions for Warrant# 3010116528 -- $1,043.39 - Utility Assistance

You can send the original paperwork to:

Maricopa County Department of Finance

Attn: Marcia Bulanda

301 West Jefferson Street, Suite 960

Phoenix, Az. 85003

***Please email me the signed/notarized Affidavit and Letter as well. This will speed up the reissue process. Thank you.

If you have any questions, please let me know

Thank you.

Marcia J. Bulanda
Accounts Payable

Maricopa County Office of Budget & Finance
Phone: (602) 506-7291 | Fax: (602) 506-3439

A/P Phone: (602) 506-1379
ap@maricopa.gov

Website: http://www.maricopa.gov/finance,

Marcia Buianda (FIN)

From: HSD CCRApayments

Sent: Thursday, September 15, 2022 9:55 AM

To: FIN AccountsPayable

Ce: Jamie Shaver (HSD); Laurie Ontiveros (HSD); Jared Beard (HSD); Emily Vasquez (HSD); HSD CCRApayments; Regina Lopez (HSD)
Subject: Affidavit Request for GC0000000013 City of Chandler Payment Not Received

Categories: Marcia

Please start the affidavit process for GCO000000013 City of Chandler.

Email: utilitybilling@chandleraz.gov (it goes to a general mailbox for Utility Billing and does not need to be addressed to any specific person)

Warrant #: 3010116528
Date: 5/5/2022
Amount: $1,043.39

Inv #: INV-0000510815
Sincerely,

Jamie Shaver
Finance Supervisor
Administration Division

Maricopa County Human Services Department

234 N. Central Avenue, 3" Floor, Phoenix, AZ 85004

Desk: 602-506-4839 | Cell 602-525-5249 | Fax: 602-506-5212
Jamie Shaver@maricopa.gov

HUMAN SERVICES
DEPARTMENT

From: Regina Lopez (HSD) <Regina.Lopez@maricopa.gov>

Sent: Thursday, September 15, 2022 8:24 AM

To: HSD CCRApayments <CCRApayments@maricopa.gov>

Cc: Jamie Shaver (HSD) <Jamie.Shaver@maricopa.gov>; Laurie Ontiveros (HSD) <Laurie.Ontiveros@Maricopa.gov>; Jared Beard (HSD)
1

<Jared.Beard@maricopa.gov>; Emily Vasquez (HSD) <Emily. Vasquez@ maricopa.gov>
Subject: Affidavit Request for City of Chandler Payment Not Received
Importance: High

Good morning,
| have received a request to start the affidavit process for a lost check from Karina in the Utility Billing Department with City of Chandler. She has confirmed that
they have not received the check and Emily and I have been unable to track the delivery, as it appears the check was not sent via Certified Mail. May we please

have the affidavit paperwork sent out as soon as possible to:

Email: _utilitybilling@chandleraz.gov (it goes to a general mailbox for Utility Billing and does not need to be addressed to any specific person)

Warrant #: 3010116528

Date: 5/5/2022
Amount: $1,043.39
Inv #: INV-0000510815

Please let me know if there is anything else that you need from me in order to get this done.
Thank you in advance for your time and assistance. Have a wonderful day.
Best,

Regina Lopez
Community Services Division
Program Specialist

Maricopa County Human Services Department
234 N. Central Avenue, 10" Floor

Phoenix, AZ 85004

Mobile: (602) 816-7274 | Fax: 602-506-4749
Email: regina.lopez@maricopa.gov

HUMAN SCAVICES
DEPARTMENT