Please complete and sign this report and enter
a telephone number that can be called if
CLEAR FIELDS
PRINT FORM
40-133
(Rev.3-13/7)
additional information is necessary.
b.
Texas County Lateral Road and Bridge Expenditures Yearly Report
38260
a. T Code
c. County identification number
County name and mailing address
d.
If any information preprinted on
this form is incorrect, cross out
the incorrect information and
write in the correct information.
e. Period
f. PM
Due date of report
Report period
FISCAL YEAR ENDING_________________,
(Enter month and day)
The law requires this report to be filed by the County Auditor or, if the county does not have a County Auditor, the officials with the
duties of the County Auditor. The distribution of money from the County and Road District Highway Fund of the County Road and
Bridge Act may not be made to the county unless the most recent report has been filed.
1. County Roads:
1a. New Construction (Please provide a complete listing of names and locations on additional sheets.)
1a.
1b. Maintenance
1b.
1c. Rehabilitation
1c.
2. County Bridges:
2a. New Construction (Please provide a complete listing of names and locations on additional sheets.)
2a.
2b. Maintenance
2b.
2c. Rehabilitation
2c.
3. Right of Way Acquisition
3.
4. Utility Construction
4.
5. Other Road Expenditures
5.
6. Total Amount of Expenditures
6.
(Total of Items 1a through 5)
County name
For assistance, call 1-800-531-5441, ext. 5-0966,
I, (type or print name) ________________________________________________________ certify
or 512-475-0966.
that the information above is true as shown in the records of the county named.
Authorized agent
Mail to: Comptroller of Public Accounts
P.O. Box 149361
Title
Date
Austin, TX 78714-9361
Phone number (Area code and number)
true