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' OREGON DEPARTMENT OF TRANSPORTATION <br />' IN COOPERATION WITH THE LEAGUE OF OREGON CITIES <br />' AND ASSOCIATION OF OREGON COUNTIES <br />LOCAL ROAD AND STREET QUESTIONNAIRE <br />FOR FISCAL YEAR ENDING JUNE 30, 1996 <br />I. RECEIPTS FOR ROAD AND STREET PURPOSES <br />ITEM AMOUNT <br />A. RECEIPTS FROM LOCAL SOURCES <br />1. Property Tax and Special Assessments <br />a. Levies within the 6% limitation .............................................................. - 0 - <br />b. Serial levies ........................................................................................... - 0 - <br />c. One year special levies .......................................................................... - 0 - <br />d. Local or other special benefit area assessments ................................... 1, 17 0 , 7 21 <br />(LID, EID, other area specific) <br />2. General Fund and Other Non-ftoad Fund Transfer <br />.... 812 , 575 <br />h. Franchise fees ........................................................................................ <br />i. Other ...................................................................................................... <br />3. Local Road User Taxes <br />a. Fuel taxes (indicate rate ) ....................................... <br />b. Registration fees .................................................................... <br />4. Other Local Receipts <br />a. Interest income ...................................................................... <br />b. Traffic fines ............................................................................ <br />c. Parking meters and fines ...................................................... <br />d. Land sales and rentals .......................................................... <br />e. Traffic impact fees or system development charges ........... <br />f. Permits ................................................................................... <br />g. Hotel/Motel taxes .................................................................. <br />5. Receipts from Other Local Governments <br />a. From Cities ............................................................................................. <br />b. From Co~fnties ........................................................................................ <br />c. Other ...................................................................................................... <br />6. Proceeds from Sale of Bonds and Notes <br />a. Bonds (Must equal item III, B.1) ...................................................... <br />b. Notes (Must equal item III, B.2) ....................................................... <br />B. PRIVATE CONTRIBUTIONS ...................................................................... <br />C. <br />4. Special County rogram ................................................................................ <br />5. Fund Exchange Program ................................................................................. <br />RECEIPTS FROM STATE GOVERNMENT <br />1. State Highway Fund Apportionment ............... <br />2. State General Fund ........................................... <br />3. Other State Funds (Please Specify) <br />P <br />D. RECEIPTS FROM FEDERAL GOVERNMENT <br />1. Traffic Grants ................................................................................................ <br />2. Housing and Urban Development .................................................................. <br />3. Economic Development Administration ........................................................ <br />4. National Forest Reserve Revenue ................................................................. <br />5. Oregon-California Land Grant Revenue ........................................................ <br />6. 5% Distribution of BLM Land Sales .............................................................. <br />7. Mineral Leases .............................................................................................. <br />8. U.S. Taylor Grazing Apportionment .............................................................. <br />9. Federal Flood Control .................................................................................. <br />10. Federal Highway Administration Enhancement Projects ................................ <br />11. All other Federal Fund Receipts (Please Specify) •••• <br />12. Federal Receipts for Federally Declared Emergency Events -FY1996 ........... <br />TOTAL RECEIPTS ..................................................................................... <br />BEGINNING BALANCE(S) ......................................................................... <br />TOTAL FUNDS AVAILABLE ...................................................................... <br />Prepared by Valerie Dixon <br />(Name) <br />541-687-5277 <br />(Telephone) <br />RETURN TO: <br />Verne Deplois <br />ODOT, Financial Services <br />-0- <br />-0- <br />574,779 <br />-0- <br />-0- <br />-0- <br />1,060,399 <br />700 <br />-0- <br />-0- <br />-0- <br />2,913,934 <br />-0- <br />600,000 <br />-0- <br />5,557,646 <br />-0- <br />1,128,201 <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />-0- <br />167,638 <br />-0- <br />13,748 <br />14,023,571 <br />13,641,385 <br />27,664.956. <br />For __ City of Euaene <br />(City or County) <br />Receipts w/o Debt Issue <br />Receipts 13,423,571 <br />Beg. Balance 13,641,385 <br />2710641956 <br />TELEPHONE: (503) 986-3913 <br />Transportation Bldg. ,Room 434 Salem , OR 97310 <br />