General Directions for FHWA 536 Data Collection Form

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1 General Directions for FHWA 536 Data Collection Form ALL AMOUNTS SHOULD BE FOR FISCAL YEAR SHADED AREAS DO NOT NEED TO BE COMPLETED AND SOME CELLS ARE PROTECTED SO NO DATA NEEDS TO BE ENTERED. Page 1 Section I Disposition of Highway User Revenues Available for Local Government Expenditures I, C, 1 List HURF distributions received I, D, 1 List FHWA distributions received I, C, 3,4 List any HURF amounts used for specified purposes I, D, 4 List any FHWA amounts used for specified purposes I, C, 5 Compute net I, D, 5 Compute net Section II Receipts for Road and Street Purposes II, A, 2 List general funds dedicated / appropriated for street and road purposes II, A, 3 List other imposts (from page 2) II, A, 4 Miscellaneous local receipts (from page 2) II, A, 5 List any receipts from toll facilities II, A, 6 List proceeds of street and road bonds and notes II, B List any private contributions received for street and road purposes II, C Receipts from State Government (from page 2) II, D Receipts from Federal Government (from page 2) * Note: If specific dollar amounts are not available please estimate approximate dollar amounts of total expenditures.

2 Page 1 (Continued) Section III Disbursements for Road and Street Purposes III, A List total expenditures for street and road purposes III, A, 2 List expenditures for maintenance of streets and roads * III, A, 3 List expenditures, by purpose, for street and road operations * III, A, 4 List expenditures for general administration of street and roads * III, A, 5 List expenditures for law enforcement and road safety * III, B, 1 & 2 List interest and redemption amounts for street and road bonds and notes III, C List any payments to the State for highway purposes III, D List any payments to toll facilities * Note: If specific dollar amounts are not available please estimate approximate dollar amounts of total expenditures. Section IV Local Highway Debt Status IV, A List the amounts specified for all bonds, at par IV, A, 1 List the amounts specified for all refunding bonds, at par IV, B List the amounts specified for all notes, at par * Note: If specific dollar amounts are not available please estimate approximate dollar amounts of total expenditures.

3 Page 2 Section II Receipts for Road and Street Purposes - Detail Form Instructions Section II, A, 3 List any local tax/fee collections, by type, for street and road purposes II, A, 4 List any investment income or other miscellaneous receipts, by type, for street and road purposes II, C, 1,2,3 List any state tax/fee collections, by type, for street and road purposes II, D, 1,2 List any federal monies received, except from FHWA, by source, for street and road purposes * Totals for this section are carried forward to page one. Section III Disbursements for Road and Street Purposes - Detail If separate funds are itemized, please use one sheet per fund. Form Section III, A, 1 Instructions List total capital outlay by type for streets and roads *, specifying the portion for projects ON NATIONAL HIGHWAY SYSTEM (a) and the portion OFF NATIONAL HIGHWAY SYSTEM (b) ** * Note: If specific dollar amounts are not available for capital outlay expenditures, please estimate approximate dollar amounts of total expenditures. ** Note: If specific dollar amounts are not available for expenditures, On and Off the National Highway System, please estimate approximate dollar amounts of total capital outlay expenditures.

4 TRANSPORTATION REVENUES CITIES, TOWNS AND COUNTIES FY 2011 VLT JURISDICTION HURF COUNTIES /1 TOTAL APACHE $6,323, $2,136, $8,459, EAGAR $831, $831, SPRINGERVILLE $381, $381, ST JOHNS $710, $710, COCHISE $7,536, $1,761, $9,297, BENSON $340, $340, BISBEE $462, $462, DOUGLAS $1,227, $1,227, HUACHUCA CITY $131, $131, SIERRA VISTA $3,120, $3,120, TOMBSTONE $113, $113, WILLCOX $276, $276, COCONINO $8,691, $1,849, $10,540, FLAGSTAFF $6,300, $6,300, FREDONIA $115, $115, PAGE $728, $728, WILLIAMS $321, $321, SEDONA $315, $315, TUSAYAN $71, $71, GILA $3,561, $952, $4,513, GLOBE $694, $694, HAYDEN $80, $80, MIAMI $179, $179, PAYSON $1,428, $1,428, WINKELMAN $39, $39, STAR VALLEY $188, $188, GRAHAM $2,270, $655, $2,925, PIMA $165, $165, SAFFORD $734, $734, THATCHER $359, $359, GREENLEE $788, $173, $962, CLIFTON $226, $226, DUNCAN $69, $69, LA PAZ $3,567, $482, $4,049, PARKER $1,045, $1,045, QUARTZSITE $1,156, $1,156, MARICOPA $86,709, $7,984, $94,693, AVONDALE $4,020, $4,020, BUCKEYE $1,588, $1,588, CAREFREE $210, $210, CAVE CREEK $274, $274, CHANDLER $13,287, $13,287, EL MIRAGE $1,840, $1,840, GILA BEND $114, $114, GILBERT $10,356, $10,356, GLENDALE $13,843, $13,843, GOODYEAR $2,752, $2,752, GUADALUPE $318, $318, MESA $31,852, $31,852, PARADISE VALLEY $791, $791, PEORIA $8,015, $8,015, PHOENIX $104,908, $104,908, SCOTTSDALE $13,395, $13,395, SURPRISE $5,219, $5,219, TEMPE $9,503, $9,503, TOLLESON $373, $373, WICKENBURG $350, $350, YOUNGTOWN $354, $354, LITCHFIELD PARK $265, $265, QUEEN CREEK $965, $965, FOUNTAIN HILLS $1,396, $1,396, APACHE JUNCTION $16, $16,435.12

5 VLT JURISDICTION HURF COUNTIES /1 TOTAL MOHAVE $10,548, $2,238, $12,787, BULLHEAD CITY $3,163, $3,163, COLORADO CITY $342, $342, KINGMAN $2,151, $2,151, LAKE HAVASU CITY $4,403, $4,403, NAVAJO $7,619, $2,413, $10,033, PINETOP/LAKESIDE $513, $513, HOLBROOK $663, $663, SHOW LOW $1,223, $1,223, SNOWFLAKE $613, $613, TAYLOR $503, $503, WINSLOW $1,206, $1,206, PIMA $38,973, $11,526, $50,500, MARANA $1,869, $1,869, ORO VALLEY $2,693, $2,693, SOUTH TUCSON $384, $384, TUCSON $43,300, $43,300, SAHUARITA $1,021, $1,021, PINAL $14,402, $4,149, $18,552, APACHE JUNCTION $2,731, $2,731, CASA GRANDE $2,708, $2,708, COOLIDGE $679, $679, ELOY $928, $928, FLORENCE $1,682, $1,682, KEARNY $179, $179, MAMMOTH $139, $139, SUPERIOR $259, $259, QUEEN CREEK $39, $39, WINKELMAN $ $ MARICOPA $1,446, $1,446, SANTA CRUZ $2,700, $717, $3,418, NOGALES $1,852, $1,852, PATAGONIA $78, $78, YAVAPAI $10,290, $2,727, $13,018, CAMP VERDE $796, $796, CHINO VALLEY $902, $902, CLARKDALE $275, $275, COTTONWOOD $806, $806, JEROME $25, $25, PRESCOTT $3,012, $3,012, PRESCOTT VALLEY $2,521, $2,521, SEDONA $575, $575, PEORIA $2, $2, DEWEY-HUMBOLDT $297, $297, YUMA $9,621, $2,225, $11,847, SOMERTON $733, $733, SAN LUIS $1,678, $1,678, WELLTON $147, $147, YUMA $6,503, $6,503, CITIES $342,892, $0.00 $342,892, COUNTIES $213,605, $41,995, $255,600, TOTAL $556,497, $41,995, $598,492, Note: 1. County VLT distributions can be used for transportation purposes so only report the County VLT that was expended for highway/street purposes. Please do not report transit funding.

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