STAMPED & REDACTED - FOR AGENDA ATTACHMENT - ENTERPRISE HOLDINGS INC.PDF

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MARICOPA
COUNTY

Office of Budget & Finance
301 W. Jefferson St., 9t' Floor
Phoenlx, 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: 42.05.23

Subject: Enterprise Holdings inc EAN Services LLC

Please find attached one Affidavit for a duplicate to be included on the next available
Board Agenda.

* The attached item has been researched to ensure the warrant in question has nat
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.

Fund 251

Re: FUND 100 — D500 Sheriff — 1.N. 24*10630, 24*10639, 24*10616, 24*10598 — Open
Order-Vehicle Rental .

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

This application is for: Duplicate or I 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
page 2 of this form.

being first sworn, upon oath deposes and says:

ENTERPRISE HOLDINGS INC EAN SERVICES LLC (1)
Vame/Claimant '

On or about 06-Sep-2023 (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 fost 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 $67,225.21 .3)

Signed: Yon \y AW ack (4)

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

/ sworn to before me this [ Y day of N wavbe 2008.
eta,
AIOTARY PUBLIC Syria,
H i ny asic F
My yi expires: S {eae tis’
9a L2G se enasl OS
104; OF OR
Warrant/Check Number
(if known) (6) 3010159944 ;
Original Date of Issue
(if known) (7) 06-Sep-2023

12/05/2023
Reason for original issue of Warrant/Check (8): a /05/

C] Payroll
1 For Services or Goods furnished

1 Treasurer's refund/payment

FUND 100 - DSG0 SHERIFF- OPEN ORDER - VEHICLE RENTAL -I.N. DOCUMENTS; 24 10630, 24710639, 24710016, 24"10598
Other: a

GOUNTY EXPENSE WARRANT

TREAS

URER OF MARICOPA COUNTY

WARRANT NUMBER

PHOENIX, ARIZONA 3010159944
i
|
DATE i |
O06 3025 g1-2nzet |
|
Sixty Seven Thousand Two Hundred Twenty Five And 21/100 Dollars
$67,225.24
PAY TO THE ORDER OF AMOUNT
ENTERPRISE HOLDINGS INC
EAN SERVICES LLC Void Atter
: Ce eC ore
For Questions - 602-506-1379 or email AP@MATL, MARICOPA.GO¥ NOT NEGOTIABLE
MARICOPA COUNTY DEPARTMENT OF FINANCE
RETAIN THIS FOR | PAYEE WARRANT NO. | WARRANT DATE | WARRANT AMOUNT
YOUR RECORDS
ENTERPRISE HOLDINGS INC 3010159944 09/06/2023 $67,225.21
INVOICE NUMBER | DESCRIPTION PURCHASE ORDER NO. | VOUCHER NO. AMOUNT
33647035 33647035 DO DS00 249000000804 | 240000005657 2,620.00 '
33647035 TAX DO PSC0 240000000804 | 240000005657 217.46 |
33647035 33647035 NO Nean daannnneces « 57 431.00
33647058 3364, 64 7,900.00 |
ORIGIN ID-RVSA (918) 401-6000 SHIP DATE: 27NOV23 /
33647058 TAX TANCUARGT Shee earAL ACTWGT: 0.50 LB fd 837.40
OBE Ore CAD: 4538027/INET4536
33647058 33647 SUITE 7000 164 256.75
, BILL SENDER
33647058 338471 ue STATES US 164 395.00
ATTN:ACGOUNTS PAYABLE
ase47058 ssea7t_ MARICOPA COUNTY BUDGET AND FINANCE zs vent
33647058 TAX 301 W JEFFERSON ST g 84 192.62
a
33647088 336470 9TH FLOOR 5 4 118.90
33646932 336469. wh HOENIX AZ 85003 REF i 31,904.45
INV:
33646932 TAX PQ. OUMswuu vaUULUUUOUTS 1240000005864 3,381.87
33646932 33646932 BO DS00 240000000013 |240000005664 1,036.89)
33646932 33646932 DO D500 240000000013 |240000005864 1,595.22
33646932 33646932 DO BS00 240000000013 |240000005664 6,608.00!
33646032 TAX DO D500 240000000013 |240000005664 535.25
33646032 33646932 DO S00 240000000013 ]240000005684 330.40
33647084 33647084 DO D500 230000008149 |2400G0005666 6,000.00
33847084 TAX DO D500 230000008149 /24000G005668 486.00
33647084 33647084 DO D500 230000NNR 149 | 240000005666 300.00

ENOLDINGS

November 15, 2023

I, Becky Scarpace, authorize Kari Hutchcraft, Human Resources Coordinator, to
execute an affidavit.

on behalf of Enterprise Holdings (EAN Services, LLC).

Sincerely,

Bedi Chagpee

Business Rental Department Manager
EAN Services, LLC