STAMPED & REDACTED - FOR AGENDA ATTACHMENT - LAZ PARKING SOUTHWEST LLC 3010162671.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: 02.16.24

Subject: Affidavit — LAZ Parking Southwest LLC LAZ Karp Associates LLC

Please find attached one Affidavit for a duplicate 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 presumed lost.

Please call Marcia Bulanda 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: D540-Legal Defender-Fund 100- I.N.# 24*18972 - Security Building Parking Garage

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/ Claim Form

This application is for: Fa Duplicate ar 1 state-Dated (definitions are on page 2)

numbers on the Instruction sheet which is
COUNTY OF MARICOPA pane 2 of this form.

being first sworn, upon oath deposes and says:

STATE OF ARIZONA “Note: Numbers on this form correspond to |

LAZ FARKING SOUTHWEST LLC LAZ KARP ASSOCIATES LLC (4)
G

~WNamelCiainiant

On or about 95-Oct-2023 (date)(2) a warrant/check was issued to the
above named person/entity in the amount as stated below. Such watrant/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 $. 3,409.92 .(3)

Signed: __ B22 (4)

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

orn to before me this aay of, we aan aallh20 ay,

NOTARY P' JEANNE ANN BLOSSER
NORICDPROOUNTT |

My commission expires: Commission # 631007 |

daly 21 226 Expres Juy 27,2028 | (seal)

Wi it/Check Numb
are tenn). {3010162671

Original D f Issu
“one (if rene) Q_ © 05-Oct-2023

Reason for original issue of Warrant/Check (8):
1 Payroll
© For Services or Goods furnished

(1 Treasurer's refund/payment
a Other: LOST WARRANT-D540 LEGAL DEFENDER- FUND 100 - SECURITY BUILDING PARKING GARAGE

$7 LPSPLE RS EE

One Financial Plaza

Pi
Fs
www.lazparKing.com

Partners in Parking™

COMPANY RESOLUTION
OF MEMBERS OF

LAZ PARKING SOUTHWEST, LLC

THE UNDERSIGNED, LAZ KARP ASSOCIATES,
LLC, being the sole member of LAZ PARKING
SOUTHWEST, LLC a limited liability company organized
and existing under the laws of the State of Arizona (the
"Company") hereby represents that:

A Meeting of the Members of the Company was
held on February 16, 2024.

At said meeting after motion duly made and
seconded, fhe following Resolutions were unanimously
adopted:

RESOLVED, that the Company is hereby
authorized fo sign any and all documents, contracts
and agreements in regard to: Stale-dated
warrant/check documents

FURTHER RESOLVED, that Benny Rios is
authorized to sign such documents, contracts and
agreements and such documents, contracts and
agreements shall be binding upon the Company.

DATED at Hartford, Connecticut, this 16th day of
February, 2024

Glenn T. Terk

General Counsel, Contract Compliance

<r, EXPENSE WARRANT

TREASURER OF MARICOPA COUNTY

PHOENIX, ARIZONA

DATE

WARRANT NUMBER
3010162671

Three Thousand Four Hundred Nine And 92/100 Dollars

For Questions - 602-506-1379 or emai] AP@MAIL. MARICOPA. GOV
MARICOPA COUNTY DEPARTMENT OF FINANCE

PAY TO THE ORDER OF
LAZ Parking Southwest LLC

LAZ ~ Associates LLC

Void Afier
365 Days

$3,409.92

AMOUNT,

NOT NEGOTIABLE

RETAIN THIS FOR | PAYEE

YOUR RECORDS

WARRANT NO. | WARRANT DATE

WARRANT AMOU

|

LAZ Parking Southwest LLC

301016267)

1/05/2023

$3,409.92

——

lINVO2318590

iNV02318590

INVOICE NUMBER | DESCRIPTION

TAX

PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
october parking A00115706 DO D540 230000008403 | 240000010367 3,330.00
DO D540 230000008403 |240000010367 79.92

sep

1 "F Issued warrants (Unsaved filter) +
I] Agency Status

Warrant number — Issued date Paid date Ameunt
~ Issued (30112671 . ¥
(2000 Issued. | 3010162671. 10/5/2023 12:00:00 am 3,409.92 |

Warrant number: 3010162671

Amount Payee
3,409.52 LAZ Parking Southwest LLC

Account