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APPLICATION <br />PUBLIC SCHOOL BUILDING CAPITAL FUND <br />NORTH CAROLINA EDUCATION LOTTERY <br />Approved: ___________________ <br />Date: ___________________ <br />Form Date: July 01, 2011 <br />County: <br />LEA: <br />Address: <br />Contact Person: <br />Title: <br />Phone: <br />Project Title: <br />Location: <br />Type of Facility: <br />North Carolina General Statutes, Chapter 18C, provides that a portion of the proceeds of the North <br />Carolina State Lottery Fund be transferred to the Public School Building Capital Fund in accordance <br />with G.S. 115C-546.2. Further, G.S. 115C-546.2 (d) has been amended to include the following: <br /> (3) No county shall have to provide matching funds… <br /> (4) A county may use monies in this Fund to pay for school construction projects in local school <br />administrative units and to retire indebtedness incurred for school construction projects. <br /> (5) A county may not use monies in this Fund to pay for school technology needs. <br />As used in this section, “Public School Buildings” shall include only facilities for individual schools that <br />are used for instructional and related purposes, and does not include central administration, <br />maintenance, or other facilities. Applications must be submitted within one year following the <br />date of final payment to the Contractor or Vendor. <br />Short description of Construction Project: <br />Estimated Costs: <br />Planning and Design Services <br />Purchase of Land <br />New Construction <br />Additions / Renovations <br />Repair <br />Debt Payment / Bond Payment <br />TOTAL <br />Estimated Project Beginning Date:Est. Project Completion Date: <br />We, the undersigned, agree to submit a statement of state monies expended for this project within 60 <br />days following completion of the project. <br />The County Commissioners and the Board of Education do hereby jointly request approval of the above <br />project, and request release of $_________________________________ from the Public School <br />Building Capital Fund (Lottery Distribution). We certify that the project herein described is within the <br />parameters of G.S. 115C-546. <br />(Signature — Chair, County Commissioners)(Date) <br /> (Signature — Chair, Board of Education)(Date) <br />$ <br />$ <br />Attachment 1 <br />Orange County <br />Chapel Hill-Carrboro City Schools <br />P.O. Box 8181 Hillsborough, NC <br />Gary Donaldson <br />Chief Financial Officer <br />(919) 245-2453 <br />FY 2018-19 Debt Service (Limited Obligation Bonds - Series 2011) <br />Debt Service associated with the Limited Obligation Bonds - <br />Series 2011 (Morris Grove Elementary) <br />220,000.00 <br />220,000.00 <br />7/1/2018 6/30/2019 <br />220,000.00 <br />4