Attachment "A"
American Bank and Trust Company
Four United Plaza
8555 United Plaza Boulevard, Suite 302
Baton Rouge, Louisiana 70809
Attention: J. Michael Brouillette
Vice President and Trust Officer
RE: Louisiana Public Facilities Authority Revenue Bonds (State of Louisiana Equipment Leasing Program) Series 1985
Gentlemen:
This is to advise you as Trustee for the above referenced issue of bonds that the equipment described in purchase/release order number, attached hereto, has been received and accepted by the applicable purchasing agency and approval is hereby given for payment of the purchase price of said equipment.
APPROVAL:
__________________________
Authorized State Representative Date
Also be advised that the using agency certifies the following applicable information:
The equipment is being insured under the state's self-insurance program, or if under commercial coverage a copy of the binder is attached.
The equipment shall be located in the parish of The serial number (if available) is No. ______________________________ The state's inventory control number (if applicable) assigned by the using agency is
Also attached are the title documents necessary to place legal title in the Louisiana Public Facilities Authority to the Item of Equipment which is to be purchased upon payment to the vendor of the purchase price thereof.
Agency Comments ______________ ________________
____________________________ __________________
ACCEPTANCE:
_________________________ _____
Authorized Using Agency Official Date
La. Admin. Code tit. 34, § I-5324