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• • ,.,.8038-G Information Return for Tax -Exempt Governmental Obligations (Rev. Y 1995) P. under internal Revenue Cade section 149(e) 0Me No 1545-0720 see separate Instructions.. =': ':0, 1s ^11- (Note: Use Form a039 -GC it the csue price is under 5100.0001 Pdlt`(r' Reporting Authority If Amended Return, check Here ► 1 Issuers name 2 Issuers employer identification number Indian River County Board of County Commissioners 59-6000674 3 Number and street (o(P.Q. box d mai! a net delivrred to &Veil address) Ro©nvsuAe 14 Report number 5 City, town, or post office, state, and Zip code Named issue 6 Date of issue 8 CU21P number "`.'�.i. Type of Issue (check applicable box(es) and enter the Issue pricey 9 (] Education (atfachSchedule-sco instructions) ................... . . ........ . ............. 9 S 10 0 Health and hospital (attach scheduWsee instructions) .... . . .. . .. . ......... . . . . . .......... ' 10 11 Transporiation ........ ...., -1 —1 12 [ Public safety .. . ......... . .................... . ....... 12 _ 444,450.00 13 © E=nvironment (including sewage bonds) ... , ..... , .......... . ... . ...... 13 14 Housing ................. ........ ,,................................. 14 15 [] Utilities................................................................ 15 16 O Other. Describe {see insfn,ctions) F 1s t7 If obfgations are tax or other revenue anticipation bonds, check box 16 If oblioations are in the form of a lease or inslalmenl sale, check box ► IRI 34 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . - .. ..:- (a) (bl fc) (d) tel mmunrydale Interest rate Is sue Once stared redempben vregnted prwe at matunry Ammoe mal.my Ib 191 Yield Nei rmeresl cast 19 rinat maturity N A N A % N. A. N. A. 362 20 Entire issue r, <, v 444 450.00 N . A. 5 years 4 • 89 % N - A • % PartIV.1 Uses of Proceeds of Bond Issue (including underwriters discount) and enter the name of the 21 Proceeds used for amved 'interest .............................. ..... 21 311 if the issuer has elected io pay a penatty of lieu of arWrage rebate, check box .. , .. _ .... r 22 22 Issue price of entire issue (enter amount from line 20, column (c)) ............ .... _ . ,-.• .' •'• 23 Proceeds used for bond issuance costs (including underwriters discaunl). 23 ry Please 24 Proceeds used for credit entrancement .............................. 24 25 Proceeds allocated to reasonably required reserve or replacement fund .. 25 26 Proceeds used to currently refund prior issues .... . ................. 26 ' 27 Proceeds used 1d advance refund pear issues • ........... . 27 28 26 Total (add fines 23 through 27) ..... .... . ...F-------- . .. ......... .. 29 29 Nonrefunding proceeds of the issue (subtract line 26 from line 22 and enter amount here) PAFV - Description of Refunded Bonds (Complete this part only for refunding bonds.) 30 Enter the remaining weighted average maturity of the bonds to be currently refunded 0- years 31 Enter the remaining weighted average maturity of the bonds to be advance refunded years 32 Enler Iha fast dale on which the refunded bonds will be called .. . ............... . 33 Enter the dale(s) the refunded bonds were issued i• PartVI I Miscellaneous 34 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . - .. ..:- .. 35 Enter the amount of the bonds designated by Ifle issuer under seclwn 255(b](3)(ttJ(i)(Ilq (small issuer exuvtionl . 35 35 4 4,450.00 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investmenl cxnlraCt (see instructions) 362 h Enter the fugal maturity dale of the guaranteed investment contract .. ► — 37 Pooled iinandrigs: a Proceeds of this issue that are to be used to make loans to other gummmental ands 37a b If this issue is a ban made from the proceeds or another tax-exempt issue, check box ► ® and enter the name of the issuer Jt. and the date of the issue .. ► 311 if the issuer has elected io pay a penatty of lieu of arWrage rebate, check box .. , .. _ .... r 39 if the issuer has idenlifred a hedge, check box ........ . ............... ............ 10. L1 UrAw piwtzrbes el , 1 declare that I haus examined tiers return arnl accompanyvky schedufes and sla leu. and In Ire best or my knowledge a14 ry Please btlrel- Viey e , rxxrec� and cdmplele Boar CoinV s Sign Here Kenneth R. Macht mluro vl isS s andxxired afesenuhwE k Type IX pnni name and bee For Panery f2ntiurti7r 1,ci Noli1w 5Rr• n,1 + ! 1 lr th^, fnstrsi'^nr