HomeMy WebLinkAboutCertificate of Delivery of Ballot - Community Facilities District no 2019-1 San Luis RanchCERTIFICATE OF DELIVERY OF BALLOT FOR THE
SPECIAL MAILED -BALLOT ELECTION TO BE HELD IN
CITY OF SAN LUIS OBISPO COMMUNITY FACILITIES DISTRICT NO. 2019-1
(SAN LUIS RANCH)
The undersigned hereby certifies that, on behalf of the City Clerk of the City of San Luis
Obispo, the undersigned complied with the requirements for delivering the ballot for the special
mailed -ballot election to be held on April 2, 2019, in the City of Folsom Community Facilities
District No. 2019-1 (San Luis Ranch), by delivering on March 8, 2019, via prepaid overnight mail,
to each landowner qualified to vote at said special mailed -ballot election a ballot, and that attached
hereto, marked Exhibit A and incorporated herein and made a part hereof, is a true and correct
copy of such ballot in the form delivered.
Dated March 11, 2019
ORRICK, HERRINGTON & SUTCLIFFE LLP
By: _ ki
Besorah Won, Esq.
4150-4220-8282.1
EXHIBIT A
OFFICIAL BALLOT
CITY OF SAN LUIS OBISPO
April 2, 2019
SPECIAL ELECTION
This ballot is for a special, landowner election. The number of votes to be voted pursuant
to this ballot is U. The landowner is [ 1.The landowner certifications for this ballot
are attached in the following pages hereto and made a part hereof.
INSTRUCTIONS TO VOTERS:
To vote on the measure, mark a cross (+) in the voting square after the word "YES" or after the word "NO".
All distinguishing marks or erasures are forbidden and make the ballot void. If you wrongly mark, tear, or deface this
ballot, return it to the City Clerk of the City of San Luis Obispo and obtain another.
CITY OF SAN LUIS OBISPO
COMMUNITY FACILITIES DISTRICT NO. 2019-1
(SAN LUIS RANCH)
MEASURE SUBMITTED TO VOTE OF VOTERS: Shall the
City of San Luis Obispo Community Facilities District No. 2019-1 (San
Luis Ranch) (the "Community Facilities District") be authorized to incur
bonded indebtedness in a maximum amount of not to exceed $25,000,000
and levy a special tax in order to finance certain facilities and shall the
annual appropriations limit of the Community Facilities District be
established.in the amount of $2,500,000, all as specified in the Resolution
entitled "A Resolution of the City Council of the City of San Luis Obispo,
California of Formation of the City of San Luis Obispo
Community Facilities District No. 2019-1 (San Luis Ranch), Authorizing
the Levy of a Special Tax within the Community Facilities District and
Establishing an Appropriations Limit for the Community Facilities
District" and the Resolution entitled "A Resolution of the City Council of
the City of San Luis Obispo, California Deeming it Necessary to Incur
Bonded Indebtedness within City of San Luis Obispo Community
Facilities District No. 2019-1 (San Luis Ranch)," each adopted by the
City Council of the City of San Luis Obispo on April 2, 2019?
4150-4220-8282.1
Yes: ❑
Wmalus
Certification for Special Election Ballot
I declare under penalty of perjury that I am the owner of record or the authorized
representative of the landowner entitled to vote this ballot and that I am the person whose
name appears below.
Executed on 20, at
City of
Name:
Address:
Signature:
4150-4220-8282.1
California.
Certification for Special Election Ballot
I declare under penalty of perjury that I am the owner of record or the authorized
representative of the landowner entitled to vote this ballot and that I am the person whose
name appears below.
Executed on 20_, at
City of
Name:
Address:
Signature:
41504220-8282.1
California.