STAMPED & REDACTED HORIZON EQUIPMENT.PDF

INTEROFFICE MEMORANDUM 
TO: 
MARICOPA COUNTY CLERK OF THE BOARD 
FROM: 
MCSS FINANCE DESK (ANDIE DE LA ROSA) 
SUBJECT: 
AFFIDAVITS – REPLACEMENT OF LOST WARRANTS 
DATE: 
10/07/2022 
Please find attached 1 Affidavit/Notice of Claim(s) for lost warrants for inclusion on the next 
available Board agenda. 
The attached item(s) have been researched to ensure that the warrant(s) in question have not been 
cashed or previously re-issued. 
The original warrant(s) have had a stop payment done. 
If you have any questions, please contact the MCSS Finance Desk at  (Option 1) or via e-mail 
at . Approved Affidavits may be routed back to the Superintendent of Schools - Finance Desk 
at . 
Thank you 
District 
Payee 
Warrant # 
Amount 
Queen Creek Dist #95 
Horizon Equipment 
3700556741 
$444.16

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Warrant Void/Stop Request 
II, 
jIIIE 1
1 
Original Warrant 
Lost Warrant Affidavit (required for ALL reissues) 
Vendor Letter (if requesting Vendor reissue) 
District Name / Number: Queen Creek Unified School District #95 
Contact Name: Rachel Ontko 
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Payee 
(as it appears in Check Manager) 
Horizon Equipment 
Amount 
$ 444.16 
Warrant Date 
(mm/dd/yyyy) 
7/14/2022 
Warrant Number 
(starting with "37") 
3700556741 
Warrant lost in the mail. 
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For Internal Use Only 
Void Report Date: 
Clerk of Board Date: 
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Schools Affidavit/Claim Form 
Application for a Duplicate Warrant/Check (definitions are on page 2) 
STATE OF ARIZONA 
COUNTY OF MARICOPA 
Note: Numbers on this form correspond to numbers on the 
Instruction sheet which is page 2 of !his form. 
Bethanyy Thompson, of Horizon Distributors Inc (1); being first sworn, upon oath deposes and says: 
— Aame7 1aimant 
On or about 07/1412022 
 (ciate)(Z) a warrant/check was issued to the 
above named person/entity in the amount as stated below. 
Such warrant/,check was 
never received aged there is no reasonable probability of its being found or presented 
for payment. 
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 of444.16 
Signed: 
L4
/4~/t..—s~ 
(I.c~ro i AL ~1 ~ o, — _(4) 
Note: Please attach a copy of the warrant/check if available and/or any other 
evidence that a warrant/check was originally issued. 
NOTARY PUBLIC 
TERESA DEWYER 
NOTARY 
ARIZONA 
9 l=i 
Marco~a County 
5 
Cemrn ==_ron ;.' 536433 
4y C 1m;r. ti . ' y 16.2024 
Warrant/Check Number 
(if known) (6) 
Original Date of Issue 
(if known) (7) 
3700556741
07/14/2022 
.(3) 
Reason for original issue of Warrant/Check (8): 
O Payroll 
C For Services or Goods furnished Inv 1 D284460~1 D284467 
a other:  
_ 
5:1PRDCESSESIwarrants - Duplicate or Staie102 Fcrms\5chcctsl!chcots-Warrants C1te:ks retie:: :iairn,dc: 
Revised ]une 2015 
.:•R.S. I1-632 & 15.999 
i

CUR 
Where Outdoor Living Comes to Life 
Horizon 
October 4, 2022 
To Whom It May Concern: 
Please be advised that Horizon Distributors, Inc., a Delaware corporation, is a wholly owned, indirect 
subsidiary of Pool Corporation, a Delaware corporation. Please be further advised that Bethany Thompson 
is the Regional Accounts Receivable Manager for Horizon Distributors, Inc. As such, Ms. Thompson is 
authorized to execute the attached Schools Affidavit / Claim Form regarding a Warrant/ Check which was 
never received by Horizon Distributors, Inc. 
Please do not hesitate to contact me directly with any questions concering the above. 
Kindest regards, 
IJJ~~i'lll~L. 
Albert L. Bossier, III, Esq. 
Asst. General Counsel 
ZPOQLCORP• 
109 Northpark Blvd.,1st Floor 
Covington, Louisiana 70433 
Off.: 985.801.5170 
Email: albert.bossler(a~poolcorp.com
Nasdaq "POOL" 
Pool Corporation • 109 Northpark Boulevard • Covington, LA 70433 • Phone 985.892.5521 
Accounting Fax 985.892.3769 • Executive Fax 985.801.8105 • Human Resources Fax 985.892.0517 
Investor Relations Fax 985.809.1045 • Marketing Fax 985.892.0667 •Operations Fax 985.801.8102

10/7/22, 8:19 AM
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https://horizon.maricopa.gov/portal/webclient/#/desktop
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