• Fitch downgrades Doctors Community Health System, Md., to BBB- from BBB

• S&P lifts King County Rural Library District, Wash., to AA

• Fitch assigns F1+ to Massachusetts G.O. revenue anticipation notes

• Fitch rates Utah G.O. bonds AAA

• Fitch gives A+ to Dasny consolidated service contract refunding bonds

• Moody's assigns A3 to Pend Oreille County PUD No. 1, Wash., revenue bonds

• S&P rates DuPage County School District No. 16, Ill., AA-

• Fitch gives Jacksonville, Fla., special revenue bonds AA-

• S&P gives BBB- to Ethel Walker School, Conn., series B refunding revenue bonds

• Fitch rates Wisconsin transportation revenue bonds AA

• S&P gives BBB- to Puerto Rico public improvement refunding bonds

• S&P assigns AA- to Fayetteville Public Works Commission, N.C., series 2009 revenue bonds

• Moody's rates Willis Knighton Medical Center, La., auction-rate bonds A3

• S&P gives AA- to University of Alabama revenue bonds

• S&P rates Fayetteville Public Works Commission, N.C., revenue bonds AA-

• Fitch assigns A to Greater Orlando Aviation, Fla., special facility revenue bonds

• S&P rates Salt River Project Agricultural Improvement and Power, Ariz., revenue bonds AA

• S&P revises outlook on Dauphin County, Pa., to negative

• S&P places Kentucky Rural Water Finance on CreditWatch negative

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