STAMPED & REDACTED - FOR AGENDA ATTACHMENT - LAZ PARKING SOUTHWEST LLC.PDF
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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: = 11/21/2023 Subject: Affidavit — LAZ Parking Southwest LLC LAZ Karp Associates, LLC Please find attached one Affidavit for a Duplicate payment 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. * 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, 3 Floor. Thank you. Re: Lost Warrant - Fund 100- D540 Legal Defender ~ |.N. 23*35195 — FY23 Parking Garage Anplication for a Duplicate or StaleDated Warrant/ Check Avidavit/ Claim Form This application ts for: 4] Duplicate or Cl STATE OF ARIZONA [ Note: umbers on this form correspa COUNTY OF MARICOPA numbers art the instruction sheel which ts pana 2 of thisform, _— LAX HARIOG SOUTWEST LLG DUA LAL KAKP ASSOCIATES UT (4), being fg ewiorn, lipon oath deposes ane $8 NARSTC a aAL On or about 28-Dec-2022 aate(2) a warrant/check was issued to the son/entity inthe amount.as stated below, Such warrant/check was Wvertently lost or destroyed and there is ent, ar it was not above named pers either. never received cr Was subsequently inac no seasonable probability of Its being found or presented for payn 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 dué and owing, and the applicant requests that a replacement Signed: Ae barr Dey en Note. Please attach a copy af ihe? evidence that a warrant/check was originally bs ai) be issued to him/her in ae Ayartani/check if avallable ardor any ather (5) ai and sworn to before me this 17 day of Novernae 220.083 oe z NOTARY PUBLIC SIYAUDEEN SMA Notasy: Publis - Arizona ee expires: atatieape county ot Ah, ie i ry 1H a TLE oho — My Conimlesion Explras rugust ee be0 Warrant/Check Number : 3010138627 on cepereereee tl Known) (6) Original Date of Issue a (i kown) (2) _. 28-Dec-2022 - a Reason for original issue of Warrant/Check (8): Ci Payroll Ci For Services or Goods furnished. C7 Treasurer's refund/payment | i) Other: Lost Warrant-540 Lage Partners in Parking™™ COMPANY RESGLUTION 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 (ihe “Company") hereby represents that: A Meeting of the Members of the Company was held on November 21, 2023. At said meeting after motion duly made and seconded, the following Resolutions were unanimously adopted: RESOLVED, that the Company is hereby authorized to sign any and all documents, contracts and agreements in regard to: Stale-dated warrant/check documents FURTHER RESOLVED, that Adam Deyden 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 21st day of November, 2023 fo Gienn T. Terk EQUNTY EXPENSE WARRANT TREASURER OF MARICOPA COUNTY ARRANT NUMBER PHOENIX, ARIZONA 3010138627 DATE Two Thousand Seven Hundred Sixty Four And 80/100 Dollars QA Z2d $2,784.80 PAY TO THE ORDER OF ee AMOUNT LAZ Parking Southwest LLC LAZ Karp Associates LLC Vold After 365 Days For Questions - 602-506-1279 or ematl AP@MAIL.M ARICOPA COV NOT NEGOTIABLE MARICOPA COUNTY DEPARTMENT OF FINANCE RETAIN THIS FOR | PAYEL ~ T WARRANT NO. | WARRANF BATE | WARRANT AMOUNT YOUR RECORDS * LAZ Parking Southwest LLC SOO13B27 1202812022 2,764. ENVOICE NUMBER | DESCRIPTION - | PURCHASE ORDER NO. | VOUCHER NO. AMOUNT we _—_- INV00726 196 december parking A0O1157G6 DO D540 2300000G0946 | 230000019026 INV@C726196 TAX DO HS5d0 23000000094E | 230000018026