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<br />LOGIC Account Information Form <br /> <br />139. <br /> <br />Date: July 11, 2000 <br /> <br />Tax I.D.: 74-6002238 <br /> <br />Account: <br /> <br />Add <br />Change <br /> <br />xx <br />o <br /> <br />Government Entity: <br />Street Address: <br />Mailing Address: <br />Contact Person: <br />lOne: <br /> <br />PARTICIPANT INFORMATION <br />City of San Marcos <br />630 East Hopkins San Marcos, Texas Zip: 78666 <br />Same as above <br />Rodney Gonzales <br />(512) 393-8170 Fax: (512) 392-4612 <br /> <br />r nereby authorize SW Capital Corp., as Administrator of LOGIC, to directly deposit funds by means of wire <br />transfer to the financial institution and the account described herein. <br /> <br />Account Name: Ertterprise Fund <br />(e.g., General Fund, Debt Service Fund, etc.): <br /> <br />WIRING INSTRUCTION <br />Bank Name: Norwest Bank <br />Bank Address: 123N. Edward Gary <br />City: San Marcos, Texas Zip: 78666 <br />Bank Contact: John Ferguson <br />Phone: (512) 753-3224 Fax: (512) 396-7672 <br />Bank ABA Number: 111900659 (9 digits) <br />Account Number: 270-5010426 <br />Bank Account Name: Enterprise Fund <br /> <br />Correspondent Bank (if any) Name: <br />City: <br />Bank ABA Number: <br />Account Number: <br />Account Name <br /> <br />Contact: <br /> <br />( 9 digits ) <br /> <br />The information, certifications and authorizations set forth in this application form are true and correct and shall remain in full force and effect <br />until SW Capital Corp., or its successor, receives written notification of a change. Applicant hereby authorizes SW Capital Corp., as <br />Administrator of the Local Government Investment Cooperative to honor any deposit or withdrawal request believed to be authentic. <br /> <br />It is hereby certified that the Applicant has received a copy of the Information Statement relating to the Local Government Investment Cooperative <br />and has read, understands and agrees to be bound by the terms thereof and the documents described therein. <br /> <br />Larry D. Gilley <br />Authorized Name (please print) <br /> <br />b).'^- / "'/ AL~ <br />Authorized <!ignature <br /> <br />City Manager <br />Title <br /> <br />July 11, 2000 <br />Date <br /> <br />Do you want ACH avaHability? !&l Yes 0 No <br />If yes, please complete and sign the ACH Authorization on the reverse side. <br /> <br />LOGIC -- 1201 ELM STREET SUITE #3500 <br /> <br />DALLAS, TEXAS 75270 <br /> <br />1-800- TX-LOGlC <br /> <br />03/06/97 <br />