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State Transportation Obligations Issued During Year and Allotment of Proceeds

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This public report burden for this information collection is estimated to average 5 hours. OMB No. 2125-0032
STATE TRANSPORTATION OBLIGATIONS ISSUED
DURING YEAR AND ALLOTMENT OF PROCEEDS		 STATE STATE TRANSPORTATION OBLIGATIONS ISSUED
DURING YEAR AND ALLOTMENT OF PROCEEDS
YEAR ENDING (mm/yy)
ITEM TOTAL DESCRIPTION OF ISSUE  DESCRIPTION OF ISSUE
     

I
T
E
M

                
1. Statute Authorizing Issue         1.                
2. Total Bonds Authorized          2.                
3. Total Bonds Sold to End of Year         3.                
4. Posted Interest Rate(s) Percent         4.                
5. Source of Funds For Debt Service         5.                
6. Nominal Date of Issue         6.                
7. Date of Sale         7.                
8. Proceeds of Sales During Year:         8.                
A. Par Value         8.A.                
B. Premium (+)  or  Discount(-)         8.B.                
C. Accrued Interest         8.C.                
D. Total (A To C)         8.D.                
9. Allotment of Proceeds of Sales:         9.                
A. Allotments For Highways and Mass Transit         9.A                
(1). For Construction of State Highways         9.A.1                
(2). For Construction of Local Roads/Streets         9.A.2                
(3). For Construction of Toll Facilities         9.A.3                
(4). For Construction of  Mass Transit Facilities         9.A.4                
(5). Other (specify)          9.A.5                
(6). For Debt Service         9.A.6                
(a) For Bond Sale & Other Admin Costs         9.A.6.a                
(b) For Interest         9.A.6.b                
(c) For Redemption         9.A.6.c                
(d) Refunding Bonds or Notes         9.A.6.d                
(7). Total (1 through 6)         9.A.7                
B. Allotments For Other Purposes         9.B.                
(1). (specify)          9.B.1                
(2). (specify)          9.B.2                
(3). Total (1 + 2)         9.B.3                
C. Total Allotments (A + B)         9.C                
10. Amount Unallotted End of Year         10.                
Notes and Comments:
THIS INFORMATION FROM THE RECORDS OF
PREPARED BY

Optional Form FHWA-541 (12-2000) PREVIOUS EDITIONS OBSOLETE

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