reconvene regular meeting: 7:00 pm - Irvine Unified School District

EXHIBIT B
FORM REQUISITION FROM PROCEEDS ACCOUNT
To:
From:
U.S. Bank National Association, as Trustee
______________ District
Dated Date:
Re:
2010-11 South Coast Local Education Agencies Pooled Tax and Revenue Anticipation
Note Program (the “Program”)
Requisition No. ___
The undersigned, on behalf of the ___________ District, (the “District”), hereby
requests payment, from the Proceeds Subaccount of the District pursuant to the Program, the
amount of $__________ [by wire/check (circle one)] for purposes for which the District is
authorized to expend moneys. If the payment is by wire, please fill in the following information:
Name of Bank:
Wells Fargo Bank
ABA#:
Account No.:
For the Credit of:
Orange County Department of Education
The undersigned hereby certifies as follows:
1. The amount requisitioned hereby is for a purpose for which the District is
authorized to expend funds from the general fund of the District.
2. Other funds of the District are not readily available for expenditure for
such purposes.
Requisition.
3. The information contained herein is true and correct as of the date of this
4. The representations of the District set forth in [Section 10] of the
Resolution of the District, providing for the borrowing of funds for Fiscal Year 2010-11 and the
issuance and sale of a 2010-11 Tax and Revenue Anticipation Note therefor and authorizing
participation in the Program (the “Resolution”) are true and correct in all material respects as
though made on and as of this date except to the extent that such representations relate to an
earlier date.
OHS West:260889233.1 B-1
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