STAMPED AND REDACTED - NATIONAL MEDICAL SERVICES INC. 3010213887.PDF

v
MAR) COPA
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: 11/04/2025

Subject: Affidavit — Replacement of lost warrants

Please find attached 1 Affidavit for a lost warrant to be included on the next available
Board Agenda.

* 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 Joyce Maurmann at 506-1343 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: Warrant #3010213887National Medical Services INC
Fund 100 — D190 PRM 250000039665 $172.00

4
MA R) COPA Application for a Duplicate or Stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for ly] Duplicate or L] Stale-Dated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to the numbers
COUNTY OF MARICOPA on the Instruction sheet which is page 2 of this form
Greg Schuh (1), being first swom, upon oath deposes and says:
Name/Claimant
On or about 9/ B/S (date) (2) a warrant/check was issued to the above named

person/entity in the amount 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 issues to hipn/ erin the sum of $172.00 (3)
Signed: A4 A wt ~~ (4)

Print Name: (required) Greg Schuh
Note: Please attach 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 angi eso ser 20/2.
NOTARY PUBLIC 1

Wy! a7

——Camminion

My commission expires:
| 3 (seal)

Warrant —_ |3010213887

Original Date of Issue : 11/12/25
tt known) ) 6/2/25 g i
Reason for original issue of Warrant/Check (8):

O Payroll
For Services or Goods furnished FY25 Li.igat.i
© Treasurer's refund/payment
© Other:

S:A\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc Revised
100518

ARS. 11-632 & 11-644

MAJORITY CONSENT OF
THE BOARD OF DIRECTORS OF
NATIONAL MEDICAL SERVICES, INC.

The undersigned, being a majority of the Board of Directors of National Medical Services, Inc., a
corporation organized and existing under the laws of the Commonwealth of Pennsylvania (the
“Corporation”), do hereby consent to the adoption of the resolution set forth below:

David Delia, CEO has the authority to bind National Medical Services, Inc. and to sign contracts, RFPs
and agreements pertaining to the normal course of business of the Corporation.

Tatyana Kosheleva, CFO has the authority to bind National Medical Services, Inc. and to sign contracts,
REPs and agreements pertaining to the normal course of business of the Corporation in an amount not to
exceed $250,000.

Gregory Schuh, Controller has the authority to bind National Medical Services, Inc. and to sign contracts,
RFPs and agreements pertaining to the normal course of business of the Corporation in an amount not to
exceed $100,000.

DATED: May 14, 2025 LAA

wa) F. Rieders, Ph.D.

Eric Bf Rieders, Ph.D.

AEE Rican