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HomeMy WebLinkAboutAssociates Commercial Corporation Augusta Richmond GA DOCUMENT NAME: f:\~'CX\~ c.an('(1e\c..t.D-l Cc:::r-~'\Ci:ttC:Y) DOCUMENT TYPE: ~X~ YEAR: C\'l BOX NUMBER: 0 C) FILE NUMBER: \~C)au NUMBER OF PAGES: \l .~ , ' . ASSOCIATES COMMERCIAL CORPORATION A SUBSIDIARY OF ASSOCIATES CORPORATION OF NORTH AMERICA February 13,1997 Ms, Lena J. Bonner Purchasing Agent Augusta-Richmond County 530 Greene Street Room 806 Municipal Bldg. Augusta, GA 30911-0000 Subject: Lease Purchase Agreement #24813 Dear Ms. Bonner: Enclosed please find a complete copy of the original documentation for your record. I would like to thank you for doing business with Associates Commercial Corporation. AI~you have any suggestions for improving our service, please let us know at 1-800-421-4779. Thank you again. Sincerely, n~~~~~ Documentation Specialist ~) Enclosures Executive Offices: 300 E, Carpenter Freeway, Irving, Texas 75062, 972,652,3313 Mailing Address: P,O. Box 650363, Dallas, Texas 75265-0363 VENDOR .: 03974 1J1ats ~tf( ~~ @JF ~JiIaJ"'-.. ~~ . ASSO.CIATES CO'1~ERCIAL CORJt ,f5ta~ 4 REMITTANCE STATEMENT 1/06/96 560 560 863 001 3~663.4~ .00 3,863.45 PAYABLE AT FIRST UNION BANK OF AUGUSTA AUGUSTA, GEORGIA Tj1)IJi @jI"(t? ~~ Ci)JF ~JCIf.lJ"". COMPTAOUER'S OFFICE AUGUSTA, GA. 64,115 611 156494 CHECK NUMBER DATE AMOUNT 156494 12/13/96 $3,,863.45 ..*.*3863 DOLLARS AND ~5 CEN~S PAY TO THE ORDER OF ASSOCIATES 300 E JOHN FREEWAY IRVING COMMERCIAL CORP CARPENTER THE CITY C~~~USTA ~~T TX 75062 III . 5 b I. q 1.111 I: 0 b . .0 b L 5 51: 2 0 5 5 ~ 0 . 0 ~ 8 ? b bill ~ EQUIPMENT LEASE-PURCHASE AGREEMENT Lessee: (Name and Address) Augusta-Richmond County 530 Greene Street Room 806 Municipal Bldg. Augusta, GA 30911-0000 Lessor agrees to lease to Lessee and Lessee agrees to lease from Lessor the Equipment described in any Schedule A now or hereafter attached hereto ("Equipmenr) in accordance with the following terms and conditions of this Equipment Lease-Purchase Agreement ("L.ease"), 1, TERM. This Lease will become effective upon the execution hereof by Lessor. The term of this Lease will commence on the date the Equipment is accepted pursuant to Section 3 hereunder and, unless earlier terminated as expressly provided for in this Lease, will continue until the expiration date (the "Expiration Date") set forth in Schedule A attached hereto (the "Lease Term"), 2. RENT. Lessee agrees to pay to Lessor or its assignee the Lease Payments, including the interest portion, equal to the amounts specified in Schedule A, The Lease Payments will be payable without notice or demand at the office of Lessor (or such other place as Lessor or its assignee may from time to time designate in writing), and will commence on the first Lease Payment Date as set forth in Schedule A and thereafter on the subsequent dates set forth in Schedule A. Any payments received later than ten (10) days from the due date will bear interest at the highest lawful rate from the due date, Except as specifically provided in Section 6 hereof, the obligation of Lessee to make the Lease Payments hereunder and perform all of its other obligations hereunder will be absolute and unconditional in all events and will not be subject to any setoff, defense, counterclaim, or recoupment fO( any reason whatsoever including, without limitation, any failure of the Equipment to be delivered 0( installed, any defects, malfunctions, breakdowns or infirmities in the Equipment or any accident, condemnation or unforeseen circumstances. Lessee reasonably believes that funds can be obtained sufficient to make all Lease Payments during the Lease Term and hereby covenants that it will do all things lawfully within its power to obtain, maintain and properly request and pursue funds from which the Lease Payments may be made, including making provisions for such payments to thB extent necessary in each budget submitted for the purpose of obtaining funding, using its bona fide best efforts to have such portion of the budget approved and exhausting all available administrative reviBWS and appeals in the event such portion of the budget is not approved, It is , 'Lessee's intent to make Lease Payments for the full Lease Term if funds are legally available therefor and in that regard Lessee represents that the use of the Equipment is essential to its proper, efficient and economic operation, Lessor and Lessee understand and intend that the obligation of Lessee to pay Lease Payments hereunder shall constitute a current expense of Lessee and shall not in any way be construed to be a debt of Lessee in contravention of any applicable constitutional or staMory limitation or requirement concerning the creation of indebtedness by Lessee, nor shall anything contained herein constitute a pledge of the general tax revenues, funds or monies of Lessee, 3, DELNERY AND ACCEPTANCE. Lessee, 0( if Lessee so requests, Lessor, will cause the Equipment to be delivered to Lessee at the location specified in Schedule A ("Equipment Location"), Lessee will pay all transportation and other costs, if any, incurred in connection with the delivery and installation of the Equipment Lessee will accept the Equipment as soon as it has been delivered and inspected. Lessee will evidence its acceptance of the Equipment by executing and delivering to Lessor a Delivery and Acceptance Certificate (in the form provided by Lessor) upon delivery of the Equipment 4. DISClAIMER OF WARRANTIES. Lessee acknowledges and agrees that the Equipment is of a size, design and capacity selected by Lessee, that Lessor is neither a manufacturer nor a vendor of such equipment, that LESSOR LEASES AND LESSEE TAKES 'THE EQUIPMENT AND EACH PART THEREOF "AS-IS" AND THAT LESSOR HAS NOT MADE, AND DOES NOT HEREBY MAKE, ANY 625689 Rev. 8-90 Lease No, 24813 Lessor: (Name and Address) Associates Commercial Corporation 300 E. John Carpenter Freeway Irving, TX 75062 REPRESENTATION, WARRANTY, OR COVENANT, EXPRESS OR IMPLIED, WITH RESPECT TO THE MERCHANTABILITY CONDITION, QUALITY, DURABILITY, DESIGN, OPERATION: FITNESS FOR USE, OR SUITABILITY OF THE EQUIPMENT IN ANY RESPECT WHATSOEVER OR IN CONNECTION WITH OR FOR THE PURPOSES AND USES OF LESSEE, OR AS TO THE ABSENCE OF LATENT OR OTHER DEFECTS, WHETHER OR NOT DISCOVERABLE, OR AS TO THE ABSENCE OF ANY INFRINGEMENT OF ANY PATENT, TRADEMARK OR COPYRIGHT. OR AS TO ANY OBLIGATION BASED ON STRICT LIABILITY IN TORT OR ANY OTHER REPRESENTATION, WARRANTY, OR COVENANT OF ANY KIND OR CHARACTER, EXPRESS OR IMPLIED, WITH RESPECT THERETO, IT BEING AGREED THAT ALL RISKS INCIDENT THERETO ARE TO BE BORNE BY LESSEE AND LESSOR SHALL NOT BE OBLIGATED OR LIABLE FOR ACTUAL INCIDENTAL, CONSEQUENTIAL, OR OTHER DAMAGES OF OR TO LESSEE OR ANY OTHER PERSON OR ENTITY ARISING OUT OF OR IN CONNECTION WITH THE USE OR PERFORMANCE OF THE EQUIPMENT AND THE MAINTENANCE THEREOF, Lessor hereby assigns to Lessee during the Lease Term, so long as no Event of Default has occurred hereunder and is continuing, all manufacturer'!; warranties, if any, expressed or implied with respect to the Equipment, and Lessor authorizes Lessee to obtain the customary services furnished in connection with such warranties at Lessee's expense, Lessee's sole remedy for the breach of any such manufacturer's warranty shall be against the manufacturer of the Equipment, and not against Lessor, Lessee expressly acknowledges that Lessor makes, and has made, no representations or warranties whatsoever as to the existence or the availability of such warranties of the manufacturer of the Equipment 5. RETURN OF EQUIPMENT, Unless Lessee shall have exercised its purchase option as provided in Section 20 hereof, upon the expiration of earlier termination of this Lease pursuant to the terms hereof, Lessee shall, at its sole expense but at Lessor's option, return the Equipment to Lessor to any location in the continental United States designated by Lessor, 6, NON-APPROPRIATION OF FUNDS; NON-SUBSTITU- TION. Notwithstanding anything contained in this Lease to the contrary, in the event no funds 0( insufficient funds are appropriated and budgeted or are otherwise unavailable by any means whatsoever in any fiscal period for Lease Payments due under this Lease, Lessee will immediately notify Lessor or its assignee in writing of such occurrence and this. Lease shall terminate on the last day of the fiscal period for which appropriations have been received or made without penalty or expense to Lessee, except as to (i) the portions of Lease Payments herein agreed upon for which funds shall have been appropriated and budgeted 0( are otherwise available and (ii) Lessee's other obligations and liabilities under this Lease relating to, or accruing or arising prior to, such termination, In the event of such termination, Lessee agrees to peaceably surrender possession of the Equipment to Lessor or its assignee on the date of such termination in the manner set forth in Section 5 hereof and Lessor will have all legal and equitable rights and remedies to take possession of the Equipment. Notwithstanding the foregoing, Lessee agrees (i) that it will not cancel this Lease and this Lease shall not terminate under the provisions of this Section if any funds are appropriated to it, or by it, for the acquisition, retention or operation of the Equipment or other equipment or services performing functions similar to the functions of the Equipment for the fiscal period in which such termination would have otherwise occurred or for the next succeeding fiscal period, and (ii) that it will not during the Lease Term give priority in the application of funds to any other functionally similar equipment or to services performing functions similar to the functions of the Equipment This section will not be construed so as to permit Lessee to terminate this LE-ase in or,der to purchase, lease, rent or otherwise acquire the use of any other equipmer.'~ or services performi functions similar to the functions of th<;, Equipm.ilnt. " terminates pursuant to this Section, Lessee a r g the fisca period immediately following in which such termination occurs it will ase, lease, rent or otherwise acquire the use of 7, REPRESENTATIONS, COVENANTS AND WARRANTIES, Lessee represents, covenants and warrants as of the date hereof and at all times during the Lease Term that (i) Lessee is a state or a fully constiMed political subdivision thereof, or its obligations hereunder constiMe obligations issued on behalf of a state or a political subdivision thereof, such that any interest derived under this Lease will qualify forexemption from Federal income taxes under section 103 of the Internal Revenue Code of 1986, as amended (the "Code"), and that it will do or cause to be done all things necessary to preserve and keep in full force and effect (a) its existence and (b) this Lease; (ii) the execution, delivery and performance by the Lessee of this Lease a~d all documents executed in connection herewith, including, without limitation, Schedule A hereto and the Delivery and Acceptance Certificate referred to in Section 3 hereof (the Lease together with all such documents shall be collectively referred to herein as the "Lease Documents") have been duly authorized by all necessary action on the part of the Lessee; (iii) the Lease Documents each constiMe a legal, valid and binding obligation of the Lessee enforceable in accordance with their respective terms; (iv) no additional governmental orders, permissions, consents, approvals or authorizations are required to be obtained and no registrations or declarations are required to be filed in connection with the execution and delivery of the Lease Documents; (v) Lessee has sufficient appropriations or other funds available to pay all Lease Payments and other amounts due hereunder for the current fiscal period; (vi) the use of the Equipment by the Lessee is essential to and will be limited to the performance by Lessee of one or more governmental functions of Lessee consistent with the permissible scope of Lessee's authority; (vii) no portion of the Equipment will be used directly or indirectly in any trade or business carried on by any person other than Lessee; and (viii) no portion of the Equipment will be used by an organization described in section 501 (c) (3) of the Code and (ix) this Lease does not constiMe an arbitrage obligation within the meaning of section 148 of the Code and is not federally guaranteed within the meaning of section 149(b) of the Code, Lessee shall deliver to Lessor an opinion of Lessee's counsel in form and substance as set forth herein or as otherwise acceptable to Lessor, In the event that a question arises as to Lessee's qualification as a political subdivision, Lessee agrees to execute a power of attorney authorizing Lessor to make application to the Internal Revenue Service for a letter ruling with respect to the issue, 8, TITLE TO EQUIPMENT, Upon acceptance of the Equipment by Lessee hereunder, title to the Equipment will vest in Lessee subject to Lessor's rights under this Lease; provided, however, that (i) in the event of termination of this Lease pursuant to Section 6 hereof, (ii) upon the occurrence of an Event of Default hereunder, and as long as such Event of Default is continuing, or (iii) in the event that the purchase option has not been exercised prior to the Expiration Date, title will immediately vest in Lessor or its assignee without any action by Lessee and Lessee shall immediately surrender possession of the Equipment to Lessor or its assignee in the manner set forth in Section 5 hereof, 9, USE; REPAIRS, Lessee will use the Equipment in a careful manner for the use contemplated by the manufacturer of the Equipment Lessee shall comply with all laws, ordinances, insurance policies and regulations relating to the possession, use, operation or maintenance of the Equipment Lessee, at its expense, will keep the Equipment in good working order and repair and furnish all parts, mechanisms and devices required therefor. 10, ALTERATIONS, Lessee will not make any alterations, additions or improvements to the Equipment without Lessor's prior written consent unless such alterations, additions or improvements may be readily removed without damage to the Equipment 11, LOCATION; INSPEcTION, 'rre ~quiPment wi not be removed from or, if the Equipment consi!its of rolling stock, its permanent base will not be changed from the Equipment Location without Lessor's prior written consent which will not be unreasonably withheld, Lessor will be entitled to enter upon the Equipment Location or elsewhere during reasonable business hours to inspect the Equipment or obseNe its use and operation, 12, LIENS AND TAXES, Lessee shall keep the Equipment free and clear of all levies, liens and encumbrances except those created under this Lease, Lessee shall pay, when due, all charges and taxes (local. state and federal) which may now or hereafter be imposed upon the ownership, leasing, rental, sale, purchase, possession or use of the Equipment, excluding however, all taxes on or measured by Lessor's income, If Lessee fails to pay said charges, or taxes when due, Lessor may, but need not, pay said charges or taxes and, in such event, Lessee shall reimburse Lessor therefor on demand, with interest at the maximum rate permitted by law from the date of such payment by Lessor to the date of reimbursement by Lessee, 13, RISK OF LOSS; DAMAGE; DESTRUCTION, Lessee assumes all risk of loss of or damage to the Equipment from any cause whatsoever, and no such loss of or damage to the Equipment nor defect therein nor unfitness or obsolescence thereof shall relieve Lessee of the obiigation to make Lease Payments or to perform any other obligation under this Lease, In the event of damage to any item of Equipment, Lessee will immediately place the same in good repair with the proceeds of any insurance recovery applied to the cost of such repair. If Lessor determines that any item of Equipment is lost, stolen, destroyed or damaged beyond repair, Lessee, at the option of Lessor. 'Hill either (a) replace the same with like equipment in good repair, or (b) on the next Lease Payment Date, pay Lessor: (i) all amounts then owed by Lessee to Lessor under this Lease, including the Lease Payment due on such date, and (ii) an amount equal to the applicable Concluding Payment set forth in Schedule A opposite such Lease Payment Date, In the event that Lessee is obligated to make such payment pursuant to subparagraph (b) above with respect to less than all of the Equipment, Lessor will provide Lessee with the pro rata amount of the Lease Payment and the Concluding Payment to be made by Lessee with respect to the Equipment which as suffered the event of loss. 14, PERSONAL PROPERTY, The Equiprnent is and 'Hill remain personal property and will not be deemed to be affixed or attached to real estate or any building thereon, If requested by Lessor, Lessee 'Hill, at Lesser' expense, furnish a waiver of any interest in the Equipment from an):y having an interest in any such real estate or building, 15, INSuRANCE, during the Lease Term, fire and extended coverage, public liabil' nd, property damage insurance with respect to the Equipment' such {, amounts, covering such risks, and with such insurers shall be,t satisfactory to Lessor, or, with Lessor's prior written t. may selft insure against any or all such risks, In no event will Insurance limits be less than the amount of the then applicable C ding Payment with respect to such Equipment Each insurance 'y will name Lessee as an insured and Lessor or its assigns as an editional insured, and will contain a clause requiring the insurer to !Ve Lessor or its assigns at least thirty (30) days prior written noti of any alteration in the terms of such policy or the cancellation eof. The proceeds of any such policies will be payable to L and Lessor or its assigns as their interests may appear, Upq acceptance of the Equipment and upon each insurance renewal e, Lessee will deliver to Lessor a certificate evidencing such ins nee, In the event that Lessee has been permitted to self-' ure, Lessee will furnish Lessor with a fetter or certificate to s effect In the event of any loss, damage, injury or accident inv 'ng the Equipment, Lessee will promptly provide Lessor with notice thereof and make available to Lessor all information and d umentation relating thereto and shall permit Lessor to participate an perate with Lessee in making any claim for insurance in respect Augusta-Richmond County is self-insure r. hold 'LeSsor han:nbss fr~~ any iind all claims, actions ings, expenses, damages 'br liabilitil.ls, including attome' ees and court costs, arising in connection with the E' nt, including, but not limited to, its selection, purchase, d' , installation, possession, use, operation, rejection, or re and the recovery of claims under insurance policies th The indemnification provided under this Section shall nue in full force and effect notwithstanding the full paym all obligations under this Lease or the termination of the 17, ASSIGNMENT. Without Lessor's prior written consent, Lessee will not either (i) assign, transfer, pledge, hypothecate, grant any security interest in or otherwise dispose of this Lease or the Equipment or any interest in this Lease or the Equipment or (ii) sublet or lend the Equipment or permit it to be used by anyone other than Lessee or Lessee's employees, Lessor may assign its rights, title and interest in and to the Lease Documents, the Equipment anellor grant or assign a security interest in this Lease and the Equipment, in whole or in part, and Lessee's rights will be subordinated thereto,. Any such assignees shall have all of the rights of Lessor under this Lease, Subject to the foregoing, this Lease inures to the benefit of and is binding upon the successors and assigns of the parties hereto. Lessee covenants and agrees not to assert against the assignee any claims or defenses by way of abatement setoff, counterclaim, recoupment or the like which Lessee may have against Lessor, Upon assignment of Lessor's interests herein, Lessor will cause written notice of such assignment to be sent to Lessee which will be sufficient if it discloses the name of the assignee and address to which further payments hereunder should be made, No further action will be required by Lessor or by Lessee to evidence the assignment, but Lessee will acknowledga such assignments in writing if so requested. Lessee shall retain all notices of assignment and maintain a book-entry record (as referred to in Section 21) which identifies each owner of Lessor's interest in the Lease. Upon Lessee's receipt of written notice of Lessor's assignment of all or any part of its interest in the Lease, Lessee agrees to attom to and recognize any such assignee as the owner of Lessor's interest in this Lease, and Lessee shall thereafter make such payments, including without limitation such Lease Payments, as are indicated in the notice of assignment, to such assignee, 18, EVENT OF DEFAULT. The term "Event of Default," as used herein, means the occurrence of anyone or more of the following events: (i) Lessee fails to make any Lease Payment (or any other payment) as it becomes due in accordance with the terms of this Lease, and any such failure continues for ten (10) days after the due date thereof; (ii) Lessee fails to perform or observe any other covenant, condition, or agreement to be performed or observed by it hereunder and such failure is not cured within twenty (20) days after written notice thereof by Lessor; (iii) the discovery by Lessor that any statement, representation, or warranty made by Lessee in this Lease or in any writing ever delivered by Lessee pursuant hereto or in connection herewith was false, misleading, or erroneous in any material respect; (iv) Lessee becomes insolvent, or is unable to pay its debts as they become due, or makes an assignment for the benefit of creditors, applies or consents to the appointment of a receiver, trustee, conservator or liquidator of Lessee or of any of its assets, or a petition for relief is filed by Lessee under any bankruptcy, insolvency, reorganization or similar laws, or a petition in, or a proceeding under, any bankruptcy, insolvency, reorganization or similar laws is filed or instiMed against Lessee and is not dismissed or fully stayed within twenty (20) days after the filing or institution thereof; , fails to perform or observe any covenant, ", greement to be ~ performed by it under an t or obligation with Lessor or an affilia and any applicable grace period or notice with . , or (vi) an attachment, levy or execution is threatened or levied upon or against the Equipment 19, REMEDIES, Upon the occurrence of any Event of Default, and as long as such Event of Default is continuing, Lessor may, at its option, exercise anyone or more of the following remedies: (i) by written notice to Lessee, declare an amount equal to all amounts then due under the Lease, and all remaining LeaSE! Payments due during the fiscal year of Lessee in which the default occurs to b8 immediately due and payable, whereupon the same shall become immediately due and payable; (ii) by written notice to Lessee, request Lessee to (and Lessee agrees that it will), at Lesse'e's expeme, promptly retum the Equipment to Lessor in the manner set forth in Section 5 hereof, or Lessor, at its option, may enter upon the premises where the Equipment is located and take immediate possession of and remove the same, (iii) sell or lease the Equipment or sublease it for the account of Lessee, holding Lessee liable for all Lease Payments and other payments due to the effective date of such selling, leasing or subleasing and for the difference between the purchase price, rental and other amounts paid by the purchaser, lessee or sublessee pursuant to such sale, lease or sublease and the amounts otherwise payable by Lessee hereunder; and (iv) exercise any other right, remedy or privilege which may be available to it under applicable laws of the state where the Equipment is then located or any other applicable law or proceed by appropriate court action to enforce the terms of this Lease or to recover damages for the breach of this Lease or to rescind this Lease as to any or all of the Equipment. In addition, Lessee will remain liable for all covenants and indemnities under this Lease and for all legal fees and other costs and expenses, including court costs, incurred by Lessor with respect to the enforcement of any of the remedies listed above or any other remedy available to Lessor. 20, PURCHASE OPTION, Upon thirty (30) days prior written notice from Lessee, and provided that there is no Event of Default, or an event which with notice or lapse of time, or both, could become an Event of Default, then existing, Lessee will have the right to purchase the Equipment on any Lease Payment date set forth in Schedule A hereto by paying to Lessor, on such date, the Lease Payment then due together with the Concluding Payment amount set forth in Schedule A opposite such date. Upon satisfaction by Lessee of such purchase conditions, Lessor will transfer any and all of its right, title and interest in the Equipment to Lessee AS IS, WITHOUT WARRANTY, EXPRESS OR IMPLIED, except Lessor will warrant that the Equipment is free and clear of any liens created by Lessor. 21. TAX ASSUMPTION; COVENANTS, The parties assume that Lessor can exclude from Federal gross income the interest portion of each Lease Payment set forth in Schedule A under the column captioned "Interest Portion." Lessee covenants that it will (i) register this Lease and transfers thereof in accordance with section 149(a) of the Code and the regulations thereunder, (ii) timely file a statement with respect to this Lease in the required form in accordance with section 149( e) of the Code, (iii) not permit the property financed by this Lease to be directly or indirectly used for a private business use within the meaning of section 141 of the Code, (iv) not take any action which results, directly or indirectly, in the interest portion of any Lease Payment not being excludable from Federal gross income pursuant to section 103 of the Code and will take any reasonable action necessary to prevent such result, and (v) not take any action which results in this Lease becoming, and will take any reasonable action to prevent this Lease from becoming (a) an arbitrage obligation within the meaning of section 148 of the Code or (b) federally guaranteed within the meaning of section 149 of the Code, Notwithstanding the earlier termination or expiration of this Lease, the obligations provided for in this Section 21 shall survive such earlier termination or expiration. 22. NOTICES. All notices to be given under this Lease shall be made in writing and mailed by certified mail, retum receipt requested, to the other party at its address set forth herein or at such address as the party may provide in writing from time to time, Any such notice shall be deemed to have been received five days subsequent to mailing, 23. SECTION HEADINGS. All section headings contained herein are for the convenience of reference only and are not intended to define or limit the scope of any provision of this Lease, 24, GOVERNING LA.W, T-his Lease shall be construed in accordance with, and governed by, t 1e laws of the state of the Equipment Location, l 25. DELIVERY OF RELA.TED DOCUMENTS, Lessee will execute or provide, as requested by Lessor, such other documents and information as are reasonably necessary with respect to the transaction contemplated by this Lease, 26, ENTIRE AGREEMENT; WAIVER, The Lease Documents '. ' . constitute the entire agreement ~,the ~<3rties with respect to the lease of the Equipment, and this Lease shall not be modified, amended, altered, or changed except with the written consent of Lessee and Lessor, Any provision of this Lease found to be prohibited by law shall be ineffective to the extent of such prohibition without invalidating the remainder of this Lease. The waiver by Lessor of any breach by Lessee of any term, covenant or condition hereof shall not operate as a waiver of any subsequent breach thereof, IN WITNESS WHEREOF, the parties have executed this Agreement as of the)O fi day of November 19 C1~ LESSEE: By: LESSOR: Associates Commercial Corporation ~d~th By: Trtle: Sr. Vice President OPINION OF COUNSEL With respect to that certain ~~uipment Lease-Purchase Agreement ("Lease") dated '( Ai 0 lJ-U'l1. '.MA. tJ, I ,'1 C, /P by and between Lessor and Lessee, I am of the opinion that (i) Lessee is a tax exempt entity under Section 103 of the Internal Revenue Code of 1986, as amended; (ii) the execution, delivery and performance by Lessee of the Lease have been duly authorized by all necessary action on the part of Lessee; (iii) the Lease constitutes a legal, valid and binding obligation of Lessee enforceable in accordance with its terms and all statements contained in the Lease and all related instruments are true; (iv) there are no suits, proceedings or investigations pending or, to my knowledge, threatened against or affecting Lessee, at law or in equity, or before or by any governmental or administrative agency or instrumentality Counsel for Lessee: By: . WALL COUNTY ATTORNEY Trtle: '{ which, if adversely determined, would have a material adverse effect on the transaction contemplated in the Lease or the ability of Lessee to perform its obligations under the Lease and Lessee is not in default under any material obligation for the payment of borrowed money, for the deferred purchase price of property or for the payment of any rent under any lease agreement which either individually or in the aggregate would have the same such effect; and (v) all required public bidding procedures regarding the award of the Lease have been followed by Lessee and no governmental orders, permissions, consents, approvals or authorizations are required to be obtained and no registrations or declarations are required to be filed in connection with the execution and delivery of the Lease. Date: '{ NOVEMBER 6, 1996 625689 Rll'i,8-90 !-',l::l..5/I::l<J SCHEDULE A EQUIPMENT DESCRIPTIO~i Leese No. 2411' ~ Th;s Schedule A Is executed by AssocIates Commercia' Corporatlon ("lessor") and Augut;m- RJchnmnd County, GA ("Lessee"), as 8 supplement to, and is hereby attached to end made I Pl!~ of thet cartel" Equipment Lease-Purchase Agreement' d.ted liS' of ~t).JP-&,\ M\ lD, 1Q'1.\p (hL.li1811!"), botween Lessor and L.e"ee. , Lessor hereby leases to Lessee undf!!r nnd plJrsuant to the Leas;. end Lessee hereby laBses from Lessor under 8nd pUr!lUBnt tcthe Lease the followIng Item, of Equipment: . . - . -. - QUANTITY DiScAFP'iIOH "I'o'1ANUIIACTURiA. Malia "ND 6R1At. No.1 . IUPP\.If" . 2 N.w 1 9!n' ClL.I~ ellr C.rryllI '" . CII.lD Car. I"e. 41n WlChln;ton RoBel IS New 1197 V.rlolotl DSC! ca" ear, Auft,l1t3, c:iA aosn.Qoao !QUIf'MENT lOCATION: The Auguc12 Alct"nClmt Count, GDIf Ce\naI A1.I4\m8. SA . . 1 I Inithal T .rm: 37 Month. CornmenC9mlilnt Date: Oecember 31, , 996 Expiration Dlte: December 31, 1999 PsrlC'Jdic Aent:.3!l Consecutive Montnry Payments of 83,583.45. e8ch lIncluding Interest), followea by one final payment of $ 57. 7 5Q..Q~ plus any end all other payments due under this Len! . DliIted: F"eb~~ il, I!f'? LESSEE: Augusta-Richmond County, LESSOR: AJllociates Commercial CDrpar8tlo~ BY: ~~ id J. Smith TITle: Senior Vice President '-v Page 1 of 2 214 :='41 b4'r=> J. '::t'=' (. ""J. -GO J.J.'~-'" "~........... . ."....~ .....- FF:~..Jt'l i-l ,,:'0-: r1UN 1 C 1 P~L F 1 N~NCE , , ASSQCIA TES- COMMERCIAL CORPORATION, MUNICIPAL FINANCING SCHEDULE A Lessee: AUGUSTA-RICIHMOND COUNTY, GEORGIA lease Number: 24813 Amount Funded: $165,730.96 Interest rate: 6.08% lease lease Payment Payment Lease Interest Principal Concluding Number Date Payment Portion Portion Payment 1 31 - Dee-1996 $3,563.45 $0.00 $3,563.45 $162,167.51 2 31 - Jan-1997 $3,563,45 $821.65 $2,741.80 ' $159,425.71 3 31 - Feb-1997 $3,563.45 $807.76 $2,755.69 $156,670.02 4 31 - Mar-1997 $3,563.45 $793.79 $2,769.66 $153,900.36 5 31 - Apr-1997 $3,563.45 $779.76 $2,783.69 $151.116.67 6 31 - May-1997 $3,563.45 $765.66 $2,797.79 $148,318.88 7 31 - Jun-1997 $3,563.45 $751.48 $2,811.97 $145,506.91 8 31 - Jul-1997 $3,563.45 $737.24 $2,826.21 $142,680.70 9 31 - Aug-1997 $3.563.45 $722.92 $2,840.53 $139,840.17 10 31 - Sep-1997 $3,563.45 $708.52 $2,854.93 $136,985.24 11 31 - Oet-1997 $3,563.45 $694.06 $2,869.39 $134,115.85 12 31 - Nov-1997 $3,563.45 $679,52 $2,883.93 $131,231.92 13 31 - Dec-1997 $3,563.45 $664.91 $2,898.54 $128,333.38 14 31 - Jan-1998 $3,563.45 $650.22 $2,913.23 $125,420.15 15 31 - Feb-1998 $3,563.45 $635.46 $2,927.99 $122,492.16 16 31 - Mar-1998 $3,563.45 $620.63 $2,942.82 $119,549.34 17 31 - Apr-1998 $3,563.45 $605.72 $2,957.73 $116,591.61 18 31 - May-1998 $3,563.45 $590.73 $2,972.72 $113,618.89 19 31 - Jun-1998 $3.563.45 $575.67 $2,987.78 $110,631.11 20 31 - Jul-1998 $3,563.45 $560.53 $3,002.92 $107,628.19 21 31 - Aug-1998 $3,563.45 $545.32 $3.018.13 $104,610.06 22 31 - Sep-1998 $3,563.45 $530.02 $3,033.43 $101,576.63 23 31 - Oct-1998 $3,563.45 $514.65 $3,048.80 $98,527.83 24 31 - Nov-1998 $3,563.45 $499.21 $3,064.24 $95,463.59 25 31 - Dee-1998 $3,563.45 $483.68 $3,079.77 $92,383.82 26 31 - Jan-1999 $3.563.45 $468.08 $3,095.37 $89,288.45 27 31 - Feb-1999 $3,563.45 $452.39 $3,111,06 $86,177.39 28 31 - Mar-1999 $3,563.45 $436.63 $3,126.82 $83,050.57 29 31 - Apr-1999 $3,563.45 $420.79 $3.142.66 $79,907.91 30 31 - May-1999 $3,563.45 $404.87 $3,158.58 $76,749.33 31 31 - Jun-1999 $3,563.45 $388.86 $3,174.59 $73,574.74 32 31 - Jul-1999 $3,563.45 $372.78 $3,190.67 $70,384.07 33 31 - Aug-1999 $3,563.45 $356.61 $3,206.84 $67,177.23 34 31 - Sep-1999 $3,563.45 $340.36 $3,223.09 $63,954.14 35 31 - Oct-1999 $3,563.45 $324,03 $3,239.42 $60,714.72 36 31 - Nov-1999 $3,563.45 $307,62 $3,255.83 $57,458.89 37 31 - Dec-1999 $57,750.02 $291.13 $57,458.89 $1.00 T ata Is $186,034.22 $20,303.26 $165,730.96 1/28/9710:57 AM Page 1 of 1 SCHEDULE A EQUIPMENT DESCRIPTiON . Lease No, 24813 This Schedule A is executed by Associates Commercial Corporation ("Lessor") and Augusta- Richmond County. GA ("Lessee"), as a supplement to, and is hereby attached to and made a part of that certain Equipment Lease-Purchase Agreement dated as of ("Lease"), between Lessor and Lessee. Lessor hereby leases to Lessee under and pursuant to the Lease and Lessee hereby leases from Lessor under and pursuant to the Lease the following items of Equipment: QUANTITY DESCRIPTION (MANUFACTURER, MODEL AND SERIAL NO.) SUPPLIER 2 New 1997 Club Car Carryalill Club Car, Inc. 4152 Washington Road 55 New 1997 Various DSG Gas Cars Augusta, GA 30907-0000 EQUIPMENT LOCATION: The Augusta Richmond County Golf Course Augusta, GA Initial Term: 37 Months Commencement Date: December 31, 1 996 Expiration Date: December 31, 1999 ,'eriodic Rent:.3..6 Consecutive Monthly, Payments of $3.563.45 each (including interest), followed by one final payment of $ 57. 75..Q...Q2 plus any and all other payments due under this Lease. Dated: LESSEE: Augusta-Richmond County, GA LESSOR: Associates Commercial Corporation BY: BY: TITLE: David J. Smith TITLE: Senior Vice President Page 1 of 2 INCUMBENCY CERTIFICATE " I do hereby certify that I am the duly elected or appointed and acting Secretary/Clerk A K' Augusta-Richmond Co. ("Lessee"), a body corporate and politic duly organized and existing under the laws of the State of?C Georgia that I have custody of the records of Lessee, and that, as of the date hereof, the individuals named below are the duly elected or appointed officers of Lessee holding the offices set forth opposite their respective names. I further certify that (i) the signatures set forth opposite their respective names and titles are their true and authentic signatures, and (ii) such officers have the authority on behalf of Lessee to enter into that certain Equipment Lease-Purchase Agreement dated or to be dated'('November 6, ... I q q..!t.-, between Lessee and Associates Commercial Corporation, NAME TITLE ~ Larry E. Sconyers y: Mayor ~Charles T. Dillard (C Operations Administrator IN WITNESS WHEREOF, I have duly executed this Certificate and affixed the seal of o-essee hereto this 'f)L day of November , 19---2.Q. SEAL ~:~S;;;;4il=' GA TITLE: Secretarv/Clerk (Per.on who h.. the authority and knowledge that the perlon above i. authorized to lig" the document., to_ _ , _ .,J .,j .1-\, L. .......io ~_...,j iI.....~L~" UNIFORM Co.MMERCIAL CODE - FINANCING STATEMENT - FORM UCC-1 (Aevis~u 1/1/"; 995) Form must be typed, Read Instruct/ons on back before filling out form, ..,. ".:..-iLlt !t1...~51' 11'0 BQJl: 11' --..- "'~01.1113 THIS ANANCING STATEMENT IS.1'RES,9ITED TO A AUNG OFACER FOR AUNG PURSUANT TO THE UNIFORM COMMERCIAL CODE, STUE OF GEORGIA. 1 A, Debtor Name and Mailing Addreu: 0 Individual (Lalt. First. Middle Name) AUGUSTA-RICHMOND COUNTY ~Bullne.. (Legal Business Name) ROOM 806 MUNICIIPAL BUILDING AUGUSTA GA 30911 1 B. Enter Social Securhy /Tax 10 , 58- 2 204 274 1 c, [J Check If exempt under Item 6 2A. Debtor Name and Mailing Addresl: 0 Individual (Last, First, Middle Name) o BUllne.. (Legal Buslne.. Name) . ; I . . . ~.~I::f...l~h . ~11,,"Ut.h'.. 2B, Enler Social Security !Tax 10 , 3A, Deblor Name and Mailing Addresl: 2C, 0 Check h exempl under Item 6 o Individual (Lalt, First, Middle Name) o BUllne.. (Legal Business Name) 5, Assignee Name and Mailing Address o Individual (Lalt, Flrsl, Middle Name) o Buslne.. (Legal Buslne.. Name) 3B, Enter Social Security /Tax 10 , 4, Secured Pany Name and Mailing Address: 3C, 0 Check h exempt under Item 6 6, Exceptions for Social Security/Tax 10' - O,C,G,A, 11,g.402(9): Financing Statement IIled 10 perfect a security inlerest In collateral already subject to a security interest In another jurisdictior. when it Is brought Into this state or when the debto(s location is changed 10 Ihis Slate, or the debto, IS nol requited to have such a number, 7, 0 Check Only II BOTH: (il Collateral is consumer goods as de lined in O,C,G,A, 11,g.109 anc (II) the secured obligation II originally $5,000 or lesl, and give maturity date (MONTl-VDAY, YEAR) or It ate 'None' ASSOCIATES COMMERCIAL CORP. 300 E CARPENTER FREEWAY IRIVNG TX 75062 o Individual (Last, First. Middle Name) o Business (Legal Business Name) 8, Check ONLY II 8llpllcable, A, 0 Collateral on Consignment, B,O Collateral on Lease, 9A. This IInancing statemenl covers Ihe following types or hems of collaleral: 9C, Enter collateral code(s) from back 01 form thai best describes collatera covered by thil IIl1ng: (SEE ATTACHED EQUIPMENT DESCRIPTION) 9B, 0 Products of collateral are also covered, 90, Number of additional sheels prasented: 10, Check" 8llpllcable and Include reasonable description of lhe real 81late In Item 9A: A,O Crops growing or to be grown, B,O Mlnerall or the like (Including 011 and gas) or accountl subject to O,C,G,A. 11,g. I 03(5), C,[J Fixture filing pursuant to O,C,G,A, 11,g.313, 1 t, Name of the Record Owner(s) or Record Leaaee(s) (II debtor doe. nO! have an .nterell 01 record In the real estate): 12, County or Countlee In which the affected real eslale Is located (Musl be Identified If filing covers crops, mineral or fixtures): 13, ThlllIatemenlIs filed wifhout tho dllbto(. signature to p9lfect a security Interest In collateral (check only If applicable): A, 0 already subject to a security Intereslln anOlhor Jurisdiction when h was broughllnto this state or deblo(1 location changed 10 Ihls state; B, 0 which Is proceeds of tho original collateral described above In which a security Intoresl was perfected; C, 0 as to which the IIIlng has lapsed; 0,0 acquired after a change ot debtor'l name, Identify or corporale structure; or E. Odll6crleed IR a s9G~rify agreemenl' reale&18te rnong8ge attached hereto In accordance wilh O.C.G.A, 11'9-402(1). 14, Slgnature(s) of Dobtor(s) 15, Slgnature(s) of Secured Party(ias) fj;E{;l:ERcm CORPORATION 16, Return Copy To: 'ASSOCIATES COMMERCIAL CORPORATION ~ruNICIPAL FINANCE - 8 PLAZA 300 E CARPENTER FREEWAY t TDTVMr.. TY 7'=inr-.? --, STATE OF GEORGIA - FINANCING STATEMENT UCC-1 (REVISED 1/1/1995) FORM MUST BE TYPED, READ INSTRUCTIONS ON BACK I . DELIVERY AND ACCEPTANCE CERTIFICATE, , ., '. ,'he undersigned Lessee hereby acknowledges receipt of the Equipment described below ("Equipment") as fully installed and in good working condition and Lessee hereby accepts the Equipment after full inspection thereof as satisfactory for all purposes under the Equipment Lease-Purchase Agreement ("Lease") executed by Lessee and Associates Commercial Corporation ("Lessor") as of the Lease Date set forth below: LEASE LEASE SCHEDULE A DELIVERY PURCHASE PURCHASE DATE NUMBER DATE NUMBER DATE ORDER NO. 24813 11/6/96 EQUIPMENT INFORMATION QUANTITY DESCRIPTION (MANUFACTURER, MODEL AND SERIAL NO.) SUPPLIER 2 New 1997 Club Car Carryall II Club Car, Inc. 4152 Washington Road 55 New 1997 Various DSG Gas Cars Augusta, GA 30907,0000 LESSEE: GA BY: DATE ACCEPTED: '( November 6, 1996 Fonn 8'038~G Information Return for Tax-Exempt Governmental Obligations > Under Internal Revenue Code sectIon 149(e) ) See separate InstructIons. (Note: Use Form 8038-GC if the issue price is under $100,000,) OMS No, 1545-0720 , .. 6 Date of issue If Amended Return, check here> 0 2 Issuer's employer identification number 58-2204274 4 Report number G19 Reportin Issuer's name Augusta-Richmond County 3 Number and street (or P ,0, box if mail is not delivered to street address) 530 Greene Street, Room 806 Municipal Bldg. 5 City, town, or post OffICe, state, and ZIP code Augusta, GA 30911-0000 7 Name of Issue 8 CUSIP Number 9 10 11 12 13 14 15 16 17 18 Iicable box es and enter the issue o Education (attach schedule-see instructions) , ' , o Health and hospital (attach schedule-see instructions) o Transportation. , , , , , , , ' ~ Public safety , , , , . , , , , o Environment (including sewage bonds) o Housing. , , , , , , , , o Utilities , , , , , , , ' , , o Other, Describe (see instructions) ) If obligations are tax or other revenue anticipation bonds, check box) 0 If obligations are in the form of a lease or installment sale, check box) 18I Descri tion of Obli ations (a) (b) Maturity date Interest rate rice $ 9 10 11 12 13 14 15 16 $165730,96 19 20 (d) Stated redemption price at maturity Final maturity. N/A N/A % NJA N/A Entire issue , $165 730,96 N/A 3 years Uses of Proceeds of Bond Issue. inr.ludin underwriters' discount Proceeds used for accrued interest, , . , , , , ' , , , , , Issue price of entire issue (enter amount from line 20, column (c)) , , , Proceeds used for bond issuance costs (including undelWl"iters' discount) , Proceeds used for credit enhancement , , , , , , , , , , Proceeds allocated to reasonably required reserve or replacement fund , Proceeds used to currently refund prior issues Proceeds used to advance refund prior issues , , , , , , , , Total (add lines 23 through 27) , , . , , , , , , , , , , Nonrefunding proceeds of the Issue (subtract line 28 from line 22 and enter amount here) 29 Descri tion of Refunded Bonds complete this part only for refunding bonds) Enter the remaining weighted average maturity of the bonds to be currently refunded ' ) Enter the remaining weighted average maturity of the bonds to be advance refunded ' ) Enter the last date on which the refunded bonds will be called , , , , , ' ) Enter the date(s) the refunded bonds were issued) Miscellaneous Enter the amount of the state volume cap allocated to the issue under section 141 (b )(5) , , , , , Enter the amount of the bonds designated by the issuer under section 265(b)(3)(B)(i)(III) (small issuer exception) Enter the amount 01 groa proceeds Invested or to be invested In a guaranteed investment contract (see instructions) years years (c) Issue price 21 22 23 24 25 26 27 28 29 23 24 25 26 27 34 35 36a b 37 b 34 35 36a 38 39 Enter the final maturity date of the guaranteed Investment contract, ) Pooled f1nancings: a Proceeds of this issue that are to be used to make loans to other governmental units If this issue is a loan made from the proceeds of another tax-exempt issue, check box ) 0 and enter the name of the issuer ) and the date of the issue ) If the issuer has elected to pay a penalty In lieu of arbitrage rebate, check box . , , , ,) 0 If the issuer has identified a hedge, check box , , . , , , , . . . , , , , ,) 0 Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge a f, they are true, correct, and complete. Please Sign Here Date > ~rry E. Seonye rs" Type or print name ,and title MaYl Form 8038-G (Rev, 5-95) A\lll~~~...:EnccIlllmIMJ>ml<dl <C<tJ>\lll1Ili1ty C<tJ>rnmmrllit~~n<mml"'<C<ID\lllmlccnn . t, FlOOM 801 'ClTY.couNTY MUNICIPAl BLOG, (11) AUGUSTA, GEORG1A 30911 Bus. (706) 821,2488 Fax No, (706) 722-59&4 LEE BEARD ULMER BRIDGES JERRY BRIGHAM HENRY H. BRIGHAM 'MLLIAM B, KUHLKE, JR, 'NM, "'MLLlE" H. MAYS, III J,B. PO'M3..L MOSES TODD ROBERTZETTERBERG LINDA W. BEAZLEY Administrator, Administration LARRY E, SCONYERS Mayor FREDDIE L. HANDY Mayor Pro Tam November 7, 1996 VIA FEDERAL EXPRESS CHARLES DILLARD Administrator, Operations JAMES B. WALL Attorney Associates Commercial Corporation ATTN: NANCY Municipal Finance Department - 16-PL 300 E. John Carpenter Freeway Irving, Texas 75062 Reply to: . P.O. BOX 2125 Augusta, GA 30903 RE: Equipment Lease/Purchase Agreement #24813 Dear Nancy: This certifies that Augusta-Richmond County is self- insured for general Liability and is self-insured for property insurance coverage with self-retention limits of $50,000.00. Augusta-Richmond County has a fund balance available for its risks in excess of $1,000,000.00. Augusta-Richmond County is responsible for insuring the items under the terms of the above referenced agreement, and agrees to pay all claims or judgments for which it may be legally obligated under the terms of this agreement. Respectfully submitted, , ~~~.D~ LORI S. D'ALESSIO LSD:hbs .-c-----!I'-- I; ~ .. '> " ... 'r... "':) ':: ~ . '" '. n. "~l ~... .. '----, . @ Post Office Box 204658 Augusta, Georgia 30917-4658 Telephone 706-863-3000 FAX 706-869-1666 ~. .. . INVOICE NO. . 8292 INVOICE DATE -' 05-Feb-97 P.O.# Order # Shipped Via Salesman # Terms Weight Ship Date 10602 LANIER ~ r-;HE AUGUST A RICHMOND COUNTY '1 L GOLF COURSE o 2023 HIGHLAND AVE. ~ I_AUGUSTA, GA 30904 -~ S H I P I~E AUGUSTA RICHMOND COUNTY I GOLF COURSE 2023 HIGHLAND AVE. AUGUSTA. GA 30904 L' ~ T o Item # PRO-FORMA INVOICE . Back Description Shipped Ordered Unit Price Amount 1997 DS - Electric Club Car Golf Car WI Power Rib Tires, Number Decals, Sand Bucket Kit, Sweater Baskets, Scuffguards, Canopy Tops, Tinted Windshields Serial Numbers: AG9715-567933 thru AG9715-567987 1997 Club Car Carryall II - Gasoline - U WI Tilt Bed, Light Package Serial Numbers: EG9715-568039 and EG9715-568040 Sales Tax Exem t 55 3,013,29 165,730,95 2 0,00 0,00 $165,730,95 · ALL FUNDS TO BE REMITTED AS STATED IN U,S, FUNDS, IMPORTANT PLEASE REMIT TO; p. 0, BOX 75659 CHARLOTTE, NC 28275-5659 Miller #23313,J,' Rev 9/96 SUB-TOTAL OTHER CHARGES FREIGHT SALES TAX TOTAL INVOICE $165,730,95 ) . ., L.,: ESSENTIAL USE LETTER (Sample) , ~ (Please complete on your l&tterheJdl Associates Commercial Corporation 300 East Carpenter Freeway Irving, Texas 75062-2726 Gentlemen: Re: Equipment Lease-Purchase Proposal Number. ;<~cf/3 I am furnishing the following information to facilitate the credit review process for the proposed Equipment Lease-Purchase transaction. A detailed explanation of the use and application of the equipment is as follows: '% iu lI.Ju ~ ..;. /If{P1l {.t?'/ GfJ 1-1- rev/../"";< , (' qrl . rt/) ~ Is The equipment is essential to the organization for the following reasons~ n ~.J t:V~ ~~""l!'--v,L.....,/ ,.t"..-u "'" v~ 0-1 < f v '..1' eo. r ^ ~, ,4--~., --r c.wl, ~r~ v/l /~",,/,,611 ,- This equipment replaces previous equipment: No If yes, the previous equipment was originally purchased in 19 v Yes Other equipment being used for the same purpose consists of. The useful life of th~ equipment in the operation of the department is' The future plans for the equipment are. The program/department ,has been in operation for years, The source of funds for the payments due under the Eguipment Lease-Purchase Agreement for the current fiscal year is the /J1t//1C ,,,,... I Golf CcJVr~und(sl. The fund(s) generates its revenue from' r~ Ivuh-r ..fo. ft../ 6r~/I h~.f , uti' f k,y , Sincerely, Lessee' By. Title' Date' !S~ TJllJIRM .. 1 . - 'y . . FACT SHEET Pl:EASE RETURN THIS SHEET WITH THE FINANCIAL STATEMENTS .. ~ PROPOSAL NUMBER: ;;. Lj .r /3 LEGAL NAME OF ENTlTYJ,VJ -h, ,e, (J,/)'<Il^,j {tJ./" Iy DEPARTMENT USING EQUIPMENT' JflV'lIC ;tJrJ C;~ /..f' (rJI/fl ~ FEDERAL 10 NUMBER: Sf,. ;2..). 0 J.f 2 7 'I NAME OF COUNTY. Ii /chmulI J (01//\ f 'I STREET ADDRESS: Please give complete physical street address. 00 not give addre~ with P.O. Box as expre~ delivery will not deliver to it. .-2.30 6r/l/) , -.f ,-I." C o v'" Iv jJl/f~J~, GA S..f. f' .(C. -f fJv,ld,'^-~_ 3()'j1/ BIWNG AODRESS: Please indicate any special billing instructions that are required to avoid late payments and subsequent late charges. ~3o ~al/") t _C,-I'1 COV"l ~ /Iv'} vJ~ c;4 .f Ir./~ I /J/d5 ,1~7f)V l2c1u"",- #/05. ACCOUNT PAY ABLE: CONTACT L,-s", S ),.tr',-rrJA. TEl.EPHONE ,.5)1-,) 31V SIGNATURES: Please print or type names exactly as the person will be signing the document. Signatures are not required here. AUTHORIZED OFF1CIAL: Name: Title: ATTORNEY SIGNING OPINION OF COUNSEL: Nan.: TEl..fPHONE ,. MAJOR REVENUE SOURCE. Ad /fa/orfN< -r.. t.J BANK REFERENCE' fJ//iuJ tu",.':- ~/~ ~'l ('~.J I , hu 1-'&'/r.<4 CONTACT NAME: t~d/"" J.)~I\./"" TELEPHONE ,. (7o~) i2/- 3? 01) , IlAc:T.SH-"'M