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[NAME OF POLITICAL SUBDIVISION SERVED <br />BY VOLUNTEER FIRE DEPARTMENT] <br />Chief Elected Executive Officer's Approval <br />Pursuant to Section 147 (f) of the <br />Internal Revenue Code of 1986, as amended <br />TO WHOM IT MAY CONCERN: <br />43 <br />I, , [Title of Chief Elected Official] of [Name of Political Subdivision], pursuant to Section 147 (f) of the <br />Internal Revenue Code of 1986, as amended (the "Code "), hereby approve the entering into by the [Name of Volunteer Fire <br />Department] (the "Company") of a lease /purchase agreement with [Lessor] in an aggregate principal amount not to exceed <br />Dollars ($ ) for the purpose of financing the equipment consisting of [Type of Equipment] to be <br />located at the Company's Fire Station at <br />This approval is given following a public hearing held on at _m. at the Company's Fire Station at <br />, and is solely for the purposes of satisfying the requirements of Section 147 (f) of the <br />Code <br />I hereby certify that the Company provides fire protection services in and for the jurisdiction of <br />including particularly the area of <br />pursuant to a written agreement with <br />It is understood that this letter does not constitute any financial involvement or obligation of [Name of Political Subdivision] in the <br />loan transaction. <br />In Witness Whereof, I hereunto set my hand, this day of <br />[Name] <br />[Title] <br />[Governing Body of Political Subdivision] <br />42 <br />5/16/ 2013: BQ- ESCfamtem.D0C /rev.01 /04.st1 <br />