Laserfiche WebLink
Form H-Rental (Application Form), Revised December 2020, Page 2 of 2 <br />The following official of the issuer is designated for contact by Minnesota Management and Budget: <br />NAME: PHONE NO: <br />TITLE: E-MAIL: ___________________________________________ <br />ISSUER: <br />ADDRESS: <br />CITY/STATE/ZIP: <br /> <br />THE UNDERSIGNED CERTIFY THE ACCURACY OF THE ABOVE INFORMATION SUBMITTED WITH THIS APPLICATION: <br /> Mayor or Chief Administrator of Local Issuer Date <br /> <br /> Attorney for Local Issuer or Bond Counsel Date Send one original copy to: Minnesota Management and Budget Attn: Debt Management Division 400 Centennial Building, 658 Cedar Street St. Paul, Minnesota 55155-1489 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />