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• 1111 <br /> Farm 8038-G(Rev.5-2010) Page 2 <br /> Pait VI. Miscellaneous <br /> 35 Enter the amount of the state volume cap allocated to the issue under section 141(bX5) . - 35 <br /> 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract <br /> (GIC)(see instructions) 36a, <br /> b Enter the final maturity date of the GIC ► <br /> 37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other <br /> governmental units 37a <br /> b If this issue is a loan made from the proceeds of another tax-exempt issue, check box to❑ and enter the name of the <br /> issuer • and the date of the issue It- <br /> 38 If the issuer has designated the issue under section 265(b)(3)(B)(i)QII)(small issuer exception), check box . . . ► <br /> 39 If the Issuer has elected to pay a penalty in lieu of arbitrage rebate, check box • ❑ <br /> 40 If the issuer has identified a hedge, check box ► ❑ <br /> Under penalties of penury.I declare the have examined this return and accompanying schedules and statements,and to the best of my knowledge <br /> Signature and belief,they are true,correct. nd c plate.I further declare that I consent to the IRS's disclosure of the issuer's return Information,as necessary <br /> and to process this return,to the pe on t t I/ha uthonxed above. <br /> Consent 1/`G Nelson Fialho, City Manager <br /> Signature of issuer's authorized representative Date Type or print name and title <br /> Preparer's Date Check if Preparer's SSW or PTIN <br /> Paid signature sett-empbyed❑ <br /> UsPa <br /> Onll 8' yours name(or EIN <br /> Wily yours if,and ZIP� Phone no. ( ) <br /> address,and Z1I <br /> Form 8038-0 (Rev.5-2010) <br />