GENERAL CAPITAL FUND

STATEMENT OF CAPITAL SURPLUS YEAR - 2011

Debit Credit

Balance January 1, 2011 80029-01 XXXXXXXXXX XX 160,098.95

Premium on Sale of Bonds XXXXXXXXXX XX

Funded Improvement Authorizations Canceled XXXXXXXXXX XX 300,000.00

Appropriated to Finance Improvement Authorizations 80029-02 XXXXXXXXXX XX

Appropriated to 2011 Budget Revenue 80029-03 100,000.00 XXXXXXXXXX XX

Balance December 31, 2011 80029-04 360,098.95 XXXXXXXXXX XX

460,098.95 460,098.95

BONDS ISSUED WITH A COVENANT OR COVENANTS

1. Amount of Serial Bonds Issued Under Provisions of Chapter 233, P.L. 1944, Chapter 268, P.L. 1944, Chapter 428, P.L. 1943 or Chapter 77, Article VI-A, P.L. 1945, with Covenant or Covenants; Outstanding December 31, 2011
2. Amount of Cash in Special Trust Fund as of December 31, 2011 (Note A) $_____
3. <div style="text-align: center;"><img src="imgs/img_in_image_box_24_18_85_358.jpg" alt="Image" width="56%" /></div>
3. Amount of Bonds Issued Under Item 1 Maturing in 2012 $___
4. Amount of Interest on Bonds with a Covenant - 2012 Requirement
5. $ ___
5. Total of 3 and 4 - Gross Appropriation
6. $ ___
6. Less Amount of Special Trust Fund to be Used $_____
7. <div style="text-align: center;"><img src="imgs/img_in_image_box_21_21_86_359.jpg" alt="Image" width="60%" /></div>
7. Net Appropriation Required

$ ___

NOTE A - This amount to be supported by confirmation from bank or banks

Footnote: Any formula other than the one shown above and required to be used by covenant or covenants is to be attached hereto Item 5 must be shown as an item of appropriation, short extended, with Item 6 shown directly following as a deduction and with the amount of Item 7 extended into the 2011 appropriation column.

Sheet 38