MEARS LEASE PURCHASE SCHEDULE 09-BLj A T 1 J .
T1
April 27, 2009
TO: Mears Motor Leasing
3905 El Key Road
Orlando, FL 32808
407-298-2982
ATTN: Joanne Corneir
FROM: City of Clearwater
RE: Lease Purchase Draw Request
1. Request No.: 09-B
2. Please Pay: $575,21226 dollars (see lease ten-r1 schedules)
We hereby request this disbursement fi•orn the line of credit under the Master Lease
Agreement and, in connection therewith, certify and agree as follows:
A. The undersigned has not previously drawn down any amount of the line of credit
for the current expenditures;
B. The items covered by this request have been or are being purchased in accordance
with the terms of the Master Lease Agreement.
PAYMENT INSTRUCTIONS
Banking Information
Bank Name Bank of America
Bank ABA Number 026009593
Account Number 001260030758
Account Name City of Clearwater Consolidated Cash
Dated: ? ,/0
Signed by:
Margaret kmmons, Finance Director
AL
DISBURSEMENT DETAILS
5-Fear Lease Term
Invoice No. Vendor
66SX05256321 Ring Power Corp
INV8018544 Communication Int'I Inc
INV8018040 Communication Int'I Inc
INV9003019 Communication Int'I Inc
40275201 WescoTurf
40275200 WescoTurf
F97874745 Alan Jay Automotive
9KB48007 Duval Ford
40279824 WescoTurf
40279823 WescoTurf
F98777242 Alan Jay Automotive
10355 Don Reid Ford
57869 Cindy Chevrolet
14638 Hydra-Stop
3-gear Lease Term
Invoice No. Vendor
4021342 Fisher Scientific
7746752 Fisher Scientific
1478530 Fisher Scientific
2128199 Fisher Scientific
Description Amount
Multi Terrain Loader 57,187.88
ProVoice Radios 42,300.00
ProVoice Radios 68,357.25
ProVoice Radios 11,668.75
Groundmaster 4000-D Mower 49,517.84
Groundmaster 4000-D Mower 49,517.84
2008 Toyota Prius 22,216.00
2009 Ford F150 Pick Up Truck 20,659.00
Toro Workman Utility Vehicle 16,119.85
Toro Workman Utility Vehicle 16,119.85
2009 Toyota Prius 23,945.00
2009 Ford Escape XLS 17,153.00
2009 Chevrolet Malibu Hybrid 23,274.00
Insta-Valve Insertion Equipment 32,176.00
Total 5-Year Term 450,212.26
Form
(Rev. November 2000)
Department of the Treasury
Internal Revenue service
information Return for Tax-Exempt Governmental Obligations
® Under Internal Revenue Code section 149(e)
? see separate Instructions.
Caution: If the issue price is under $100,000, use Form 8038-GC.
OMB No. 1545-0720
Reporting Authority If Amended Return, check here ?
1 Issuer's name 2 Issuer's employer identification number
City of Clearwater 59 : 6000289
3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number
PO Box 4748 3
5 City, town, or post office, state, and ZIP code 6 Date of issue
Clearwater, FL 33758-4748 April 28, 2009
7 Name of issue 8 CUSIP number
Master Lease Agreement No. 09-B N/A
9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representative
Clement Vericker, Debt Specialized Accounting Manager ( 727 ) 562-4520
F Type of Issue (check applicable box(es) and enter the issue price) See instructions and attach schedule
11 ? Education . . . . . . . . . . . . . . . . . 11
12 ? Health and hospital
. . . . . . .
. . . . 12
13 . . . .
.
? Transportation
. . . . . . . . . . . . . . .
. . 13
14 . .
. . .
? Public safety
. 14
15 . . . . . . .
.
? Environment (including sewage bonds) 15
16 . . . . . . . . . . . .
? Housing
. 16
17 . . . . . . . . .
. . . . . . .
? Utilities
. . . . . . . 17
18 .
® Other. Describe Various Equipment for City Use 18 450,212
19
20 If obligations are TANS or RANs, check box Ill ? If obligations are BANS, check box ? ?
If obligations are in the form of a lease or installment sale, check box ? ?
Description of Obligations. Complete for the entire issue for which this form is bein filed.
(a) Final maturity date (b) Issue price (c) Stated redemption
price at maturity (d) Weighted
average maturity (e) Yield
21 04101/201 $ 450,212 $ 450,212 5 ears 2.80 %
Uses of Proceeds of Bond Issue (including underwriters' discount
22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . . . 22
23 . .
.
Issue price of entire issue (enter amount from line 21
column (b)) . . . 23 450'212
24 ,
Proceeds used for bond issuance costs (including underwriters' discount) 24 .
.
25 Proceeds used for credit enhancement . . . . . . . . . 25
26 Proceeds allocated to reasonably required reserve or replacement fund 26
27 Proceeds used to currently refund prior issues . . . . 27
28 .
Proceeds used to advance refund prior issues
. 28
29 . . . . . .
Total (add lines 24 through 28) . . . . . . . . . 29
30 Nonrefundin proceeds of the issue (subtract line 29 from line 23 and enter amount here) . 30
Description of Refunded Bonds (Complete this part only for refunding bonds.)
31 Enter the remaining weighted average maturity of the bonds to be currently refunded . , . 1? N/A years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . Ill N/A years
33 Enter the last date on which the refunded bonds will be called . . . . . . . .
34 Enter the date(s) the refunded bonds were issued ?
miscellaneous
35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) 35
36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) 36a
b Enter the final maturity date of the guaranteed investment contract ?
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box ? ? and enter the na me of the
issuer ? and the date of the issue ?
38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(Ill) (small issuer exception), check box ?
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box ?
40 If the issuer has identified a hedge, check box ?
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete.
Sign
Here Margaret L. Simmons, Finance Direc
Signature of i uer's authorized representative ate Type or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 637735 Form 8038-G (Rev. 11-2000)
Form
(Rev. November 2000)
Department of the Treasury
Internal Pevnnue Service
Information Return for Tax-Exempt Governmental Obligations
? Under Internal Revenue Code section 149(e)
? See separate Instructions.
Caution: If the issue price is under $100,000, use Form 8038-GC.
OMB No. 1545-0720
Reporting Authority If Amended Return, check here 110LJ
1 Issuer's name 2 Issuer's employer identification number
City of Clearwater 59 ; 6000289
3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number
PO Box 4748 3
5 City, town, or post office, state, and ZIP code 6 Date of issue
Clearwater, FL 33758.4748 April 28, 2009
7 Name of issue 8 CUSIP number
Master Lease Agreement No. 09-B N/A
9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representative
Clement Vericker, Debt Specialized Accounting Manager ( 727 ) 562-4520
Type of Issue (check applicable box(es) and enter the issue price) See instructions and attach schedule
11 ? Education
. . . . . . . . . . . . 11
12 .
? Health and hospital . . . . . . . . . . . . 12
13 ? Transportation . . . . . . . . 13
14 ? Public safety.
. . . . . . . . . . . 14
15 . . .
? Environment (including sewage bonds) 15
16 ? Housing . . . 16
17 ? Utilities 17
18 ® Other. Describe ? Various Equipment for City Use 18 125,000
19
20 If obligations are TANS or FANS, check box ? ? If obligations are BANS, check box lli? ?
If obligations are in the form of a lease or installment sale, check box ? ?
Description of Obligations. Complete for the entire issue for which this form is bein filed.
(a) Final maturity date (b) Issue price (c) Stated redemption
price at maturity (d) Weighted
average maturity (e) Yield
21 04/0112012 $ 125,000 $ 125,000 3 ears 3.02 %
Uses of Proceeds of Bond Issue (including underwriters' discount
22 Proceeds used for accrued interest . . . . . . . . 22
23 Issue price of entire issue (enter amount from line 21, column (b)) 23 125'000
24 Proceeds used for bond issuance costs (including underwriters' discount) 24
25 Proceeds used for credit enhancement . . . . .
. 25
26 . .
Proceeds allocated to reasonably required reserve or replacement fund 26
27 Proceeds used to currently refund prior issues . . . . . . . . 27
28 Proceeds used to advance refund prior issues . 28
29 . . . . . . .
Total (add lines 24 through 28) . . . . . 29 _
30 Nonrefundin proceeds of the issue (subtract line 29 from line 23 and enter amount here) , 30
Description of Refunded Bonds (Complete this part only for refunding bonds.)
31 Enter the remaining weighted average maturity of the bonds to be currently refunded ? N/A years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded ? N/A years
33 Enter the last date on which the refunded bonds will be called . . . .
34 Enter the date(s) the refunded bonds were issued ?
Miscellaneous
35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) 35
36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) 36a
b Enter the final maturity date of the guaranteed investment contract ?
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box ? ? and enter the name of the
issuer and the date of the issue
No-
38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box . . . ?
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box ?
40 If the issuer has identified a hedge, check box ?
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete.
Sign
Oro ?...-, L3/ Margaret L. Simmons, Finance Direc
Signature of i er's authorized representative Dale Type or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 637735 Form 8038-G (Rev. 11-2000)
Citv of Clearwater
Residual Value
Yearly Interest Rate
Number of Years
Payment Terms
Payment Type
Compound Type
First Payment
3.02%
3
Arrears
Equal Payment
7/ 1 /2009
I Payment Date Payment Interest Principal Reduction Principal
bcneduie
1 7/1/2009 $ 10,934.91 $ 943.75 $ 9,991.16 $ 115,008.84
2 10/1/2009 $ 10,934.91 $ 868.32 $ 10,066.60 $ 104,942.24
3 1/1/2010 $ 10,934.91 $ 792.31 $ 10,142.60 $ 94, 799.64
4 4/1/2010 $ 10,934.91 $ 715.74 $ 10,219.18 $ 84,580.47
5 7/1/2010 $ 10,934.91 $ 638.58 $ 10,296.33 $ 74,284.14
6 10/1/2010 $ 10,934.91 $ 560.85 $ 10,374.07 $ 63,910.07
7 1/1/2011 $ 10,934.91 $ 482.52 $ 10,452.39 $ 53,457.68
8 4/1 /2011 $ 10,934.91 $ 403.61 $ 10,531.31 $ 42,926.37
9 7/1/2011 $ 10,934.91 $ 324.09 $ 10,610.82 $ 32,315.55
10 10/1/2011 $ 10,934.91 $ 243.98 $ 10,690.93 $ 21,624.62
11 1/1/201 $ 10,934.91 $ 163.27 $ 10,771.65 $ 10.852.97
12 1
4/1/201 $ 10,934.91 $ 81.94 $ 10,852.97 $ (0.00)
$ - $ - $ - $
Residual Value $ -
Yearly Interest Rate 2.80%
Number of Years 5
Payment Terms Quarterly
Payment Type Arrears
Compound Type Equal Pa went
First Payment 7/1/2009
Payment # Date Payment Interest Principal Reduction Principal I
20 $ 484,034 $ 33,821 $ 450,212
Schedule
1 7/1/2009 $ 24,201.68 $ 3,151.49 $ 21,050.19 $ 429,162.07
2 10/1/2009 $ 24,201.68 $ 3,004.13 $ 21,197.54 $ 407,964.52
3 1/1/2010 $ 24,201.68 $ 2,855.75 $ 21,345.93 $ 386,618.60
4 4/1/2010 $ 24, 201.68 $ 2,706.33 $ 21,495.35 $ 365,123.25
5 7/1/2010 $ 24,201.68 $ 2,555.86 $ 21,645.82 $ 343,477.43
6 10/1/2010 $ 24,201.68 $ 2,404.34 $ 21,797.34 $ 321,680.09
7 11112011 $ 24,201.68 $ 2,251.76 $ 21,949.92 $ 299,730.18
8 4/1/2011 $ 24,201.68 $ 2,098.11 $ 22,103.57 $ 277,626.61
9 7/1/2011 $ 24,201.68 $ 1,943.39 $ 22,258.29 $ 255,36832
10 10/1/2011 $ 24,201.68 $ 1,787.58 $ 22,414.10 $ 232,954.21
11 1/1/2012 $ 24,201.68 $ 1,630.68 $ 22,571.00 $ 210,383.22
12 4/1/2012 $ 24,201.68 $ 1,472.68 $ 22,729.00 $ 187,654.22
13 7/1/2012 $ 24,201.68 $ 1,313.58 $ 22,888.10 $ 164,766.12
14 10/1/2012 $ 24,201-68 $ 1,153.36 $ 23, 048.32 $ 141, 717.80
15 1/1/2013 $ 24,201.68 $ 992.02 $ 23,209.65 $ 118,508.15
16 4/1/2013 $ 24,201.68 $ 829.56 $ 23,372.12 $ 95,136.03
17 7/1/2013 $ 24,201.68 $ 665.95 $ 23,535.73 $ 71,600.30
18 10/1/2013 $ 24,201.68 $ 501.20 $ 23,700.48 $ 47,899.82
19 1/1/2014 $ 24,201.68 $ 335.30 $ 23,866.38 $ 24,03144
20 4/1/2014 $ 24,201.68 $ 168.23 $ 24,033.44 $ (0.00)