REDACTED - FOR AGENDA ATTACHMENT - DAL ELIT LLC #950267.PDF

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

v
MA R) COPA COUNTY pax (602) 506-1102

TREASURER’S OFFICE http://treasurer.maricopa.gov

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

From: Treasurer’s Office
Maria Quitangon aad
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez ca

cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Dal Elit LLC 950267 $441.52 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form

This application is for: O Duplicate or MW 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.
Dal Efu, LLC (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about (o/: 2y/22 (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 $__ 44) ¢ 2 (3)
Signed: a La (4)

Print name: (required) Mike. Me natolo Pircetoe Tax

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 And day of re 20 AY
NOTARY PUBLIC \° 0g
Ry JOYCE E JEFFERY
My,comission ex ies a ere
Warrant/Check Number
(if known) (6) 450467
Original Date of Issue
(if known) (7) ? l2glee
Reason for original issue of Warrant/Check (8):
O Payroll
For Services or Goods furnished
Linosne ’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 A,R.S, 11-632 & 11-644
VERIFIED
s)iaizny4

he

01/
MOHAWK: | DAL-TILE

INDUSTRIES, INC.

March 2, 2024

Maricopa County Treasurer’s Office
301 West Jefferson St., Rm 100
Phoenix, AZ 85003

To Whom It May Concern,

This letter is regarding refund check #950267, and the required Affidavit/Claim Form for reissuing the
check. Please reissue the refund check. The check has not been presented for payment, because it has not
been received by the Tax Department. The following pages are the Affidavit/Claim form for reissuance of
the check and is signed by Mike Memmolo the Director of Tax for both Dal Elit, LLC and Dal-Tile
Distribution, LLC. He has the authority to execute the attached Affidavit/Claim Form.

When sending the reissued check, please mail to the below address.

Mohawk Industries, Inc
If you should have any questions, please do not hesitate to reach out.

Rachel McNeese

Bar ll Médloere

SR Manager Tax-Legal Entity and Property
Mohawk Industries, Inc

Dal-Tile Distributions, LLC

Dal Elit, LLC

Maricopa County Treasurer's Office

946-48-524 2

5/17/2024 9:53:10 AM

PBB 946-48-524 2 - x
File Help
Year_| Description ‘| ActDate | TranNum | Amount | Images | Pmt Date | Half Code | Act a
2023. TAX PAYMENT 2023-12-18 071-49460 $1,815.58 N 2023-12-14 F 65
2023 TAX BILL 2023-08-26 ba 12:(
2022 REFUND 20 0-2 i 12
2022 RES REFUND LETTER 2022-10-20 N 7:3t
2022 RES IMPOUND 2022-10-20 RS -35367 $441.52 N 6:5¢
2022 TAX PAYMENT 2022-10-20 RS -35367 $2,025.76 N 2022-10-03 F 6:5¢
2022 POSTNEW TAX(RESOLUTION) 2022-10-20 AS -35367 $2,025.76 N 6:5¢
2022 CANCEL TAX 2022-10-20 RS -35367 $2,467.28 N 6:56
2022 RESTORE TAX 2022-10-20 AS -35367 $2,467.28 N F 65 v
< >
Parcel #: [946-48-524 Activity: JREFUND Act Date:/10/24/22
Tax Year: [2022 Tran #:[- i Act Time i2:00 AM
Activity Detail | Address Detail |
CP #: jo Check Date: fi0724/22
Buyer #: jo Check #: [950267
Fund: [26 Refund Amount: | $441.52

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Maricopa County Treasurer's Office Refund ID 2022021151 RESOLUTION 5/17/2024 9:53:22
AM

& Refund ID 2022021151 RESOLUTION = go x
File Help z
&|B)
Refund Amount, [8441.52 Requester. [RESOLUTIONS on 1072072022
Refund Reason: |Resolution has reduced taxes Status: |DISBURSED on 10/20/2022

Slip 1D: |202200773

Address: AL ELIT LLC Check Request JRESO DESK
Reference #: [RES # 35367

=

Impounds | Stub | Comments |

Impound #1
Source Fund | Linked | Amount | Tax Year | Status Parcel/Roll :[946-48524 Dest fund : [026
033 True $441.52 2022 READ CPH: fo Reso #: [35367

CP buyer # -[0 Phase #: fia

Mortgage code : |
< > Transaction #: [RS 35367

Impound Total: 1 Case #: J