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MTC Claim Application-Docmeut A(b) <br /> Claim Summary <br /> FY 2014-15 Information from other documents(tabs)in the workbook will appear automatically on this form. <br /> Submittal Date:5/06/11 This form must be signed and dated Operator.City of Pleasanton <br /> OPERATING FUNDS REQUESTED _ <br /> TDA Fend Request <br /> Article Purpose PUC§ Amount Apportionment Area <br /> TDA 4.5 Community Transit 99275(a) $ 67,002 County of Alameda <br /> _ Total TDA Operating S 67,002 <br /> STA-Operating Fund Request- <br /> STA fund Purpose CCR§ Amount Apportionment Area <br /> � � I <br /> fl <br /> Total STA Operating S - <br /> Other Operating Funds Requested <br /> Feeder Bus Funds l S - <br /> AB 1107 Total S - <br /> -Regional Measure 2. S._. - <br /> - - _ - - - TOTAL OPERATING REQUEST S .67,002. <br /> CAPITAL FUNDS REQUESTED <br /> TDA Capital Fund Request <br /> __ _... __ Artide Purpose PUC§ Amount Apportionment Area <br /> Total TDA Capital S - <br /> STA Capital Fund Request <br /> STA fund .Purpose CCR§ Amount Apportionment Area <br /> Total STA Capital S - <br /> Other Capital Fonda Requested <br /> AB 1107 Total S - <br /> Feeder Bid Total S - <br /> - TOTAL CAPITAL REQUEST S - <br /> The dtavenamed i p0aaat hereby applies for ina0ocation ofTransportation Development Act(TDA),State Transit Assistance(STA),AB 1107 <br /> and Feeder Bus funds,as the case may be,in the amount(s)and for the purposes as specified above. Applicant aclmowledges that payment <br /> of funds allocated bj,MTC,is subject to such funds being on hand and available for distribution,and agrees to the provision that such funds be used <br /> strictly in accordance with statutory and regulator requirements,and the terms of the allocation instruction issued by MTC. <br /> Sign. _ Date <br /> Susan Andrade-Wax,Director of Community Services <br /> MTC Programming and Allocations Section February 2006 Page lot 1 <br />