REDACTED - FOR AGENDA ATTACHMENT - AMBER STEEL FABRICATION INC.PDF

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MARICOPA COUNTY

TREASURER’S OFFICE

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

Phone: (602) 506-8511

Fax: (602) 506-1102
htip://treasurer.maricopa.gov

To:

From: Treasurer's Office

Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

Maria Quitangon
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez A
cathy.sanchez@meaficopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Amber Steel Fabrication Inc 949956 1,680.36 | Treasurer

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

This application is for: | Duplicate or Stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

Russell H Bryant

(1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about 10/24/2022 (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 $1 680.36 .(3)

Signed: Cue WIZ / v ng (4)

T
Print name: (required) Russell H Bryant

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 __2/ * day of Aoi velan ber 202d,

—.
NOTARY PUBLIC

CYNTHIA BLUM
a) Notary Public - Arizona

tah iz Maricopa County
ey Commission #591687

My commission expires:

/t [ofzor4} (seal)
Warrant/Check Number mai
(if known) (6) 949956

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

OO Payroll

QO) For Services or Goods furnished

Treasurer’s refund/payment

O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc
Revised 100518 AR.S. 11-632 & 11-644 ee \o5

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ENTITY INFORMATION
Search Date and Time: 12/21/2023 1:36:24 PM

Entity Details
Entity Name:
"AMBER STEEL FABRICATION INC.
Entity ID:
01710602
Entity Type:
Domestic For-Profit (Business) Corporation
Entity Status:
Active
Formation Date:
12/11/1984

In Good Standing

5/22/2018

2/11/2024

12/11/1984

Perpetual

Construction

2023

Arizona

7/11/2024

Reason for Status:

Approval Date:

Status Date:

Original Incorporation Date:

Life Period:

Business Type:

Last Annual Report Filed:

Domicile State:

Annual Report Due Date:

Years Due:

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Original Publish Date:

4/15/1985

Statutory Agent Information

Name:
RUSSELL HOWELL BRYANT
Appointed Status:
Active
Attention:
Address:
11331 E GERMANN RD , CHANDLER, AZ 85286, USA
Agent Last Updated:
6/9/2023
E-mail:
Attention:
Mailing Address:
County:
Maricopa
Principal Information
Title N Attention Address Date of Taking Last
i jame en .
Office Updated
RUSSELL
Director HOWELL 1/2/2004 6/3/2019
BRYANT
RUSSELL H NOT REQUIRED, NOT
Shareholder 12/31/9999 6/9/2016
BRYANT REQUIRED, xxxxx
RUSSELL
President HOWELL 8/22/2015 6/3/2019
~ BRYANT |
RUSSELL
Secretary HOWELL 8/18/2015 6/3/2019
BRYANT

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Date of Taking Last

Title Name Attention Address Office Updated
RUSSELL
Treasurer HOWELL 8/18/2015 6/3/2019
BRYANT
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Attention:
County: Maricopa
Last Updated: 6/9/2023
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Attention:
Address:
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Last Updated:
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Maricopa County Treasurer's Office 910-84-702 1 12/21/2023 1:49:03 PM
FE 910-284-702 1 - x
File Help
Year | Description 3 Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Acl A
2023 TAX PAYMENT 2023-10-17 = 071-91154 $3,070.68 N 2023-10-12  F 6:3
2023 TAX BILL 2023-08-26 v 12:
RES REFUND LETTER N 3
2022 RES IMPOUND 2022-10-20 AS -33223 $1,690.36 N 65
2022 9 TAX PAYMENT 2022-10-20 AS -33223 $1,805.02 N 2022-10-06 F 65
2022 POSTNEWTAX(RESOLUTION) 2022-10-20 AS -33223 $1,805.02 N 65
2022 CANCEL TAX 2022-10-20 AS -33223 $3,485.38 N 6:5
2022 RESTORE TAX 2022-10-20 AS -33223 $3.485.38 N F B5¥
< >
Parcel #: ia 0-84-702 Activity: JREFUND Act Date10/24/22
Tran # [- =| Act Times12:00 AM

Tax Year [2022

Activity Detail | Address Detail |

| cP #: [9
| Buyer #:
| Fund: [26

Refund Amount: | $1,680.36

Click icon for Disbursements Inquiry. ----->

Check Date: fi 0/24/22

Check #: [949955

Had

Close

View Image... |

Maricopa County Treasurer's Office
PM

Refund ID 20220208

40 RESOLUTION

&. Refund ID 2022020840 RESOLUTION
File Help

JI

Refund Amount — |$1 (880.36

Requester: |RE

SOLUTIONS on 10/20/2022

[Resolution has reduced taxes

Refund Reason:

Status: [ol

SBURSED on 10/20/2022

Slip ID: |20

2200779

Address:

Impounds | Stub | Comments |

Check Request: |RE

SO DESK

Reference #: |RE

S #33223

Impouni

Amount | Tax Year | Statu

Source Fund [ Linked |
033 True $1,680.36 2022
<

REAL

Parcel/Roll :|910-84-702 |

Impound Total: 1

ce#: fo |
CP buyer # :/0 |
Mortgage code :
Transaction # :

Case #:

#1
Dest fund : |026
Reso: [33223
Phase #: [14
23

[RS 33023
—

12/21/2023 1:48:54