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MTC Claim Application - Document A(a) <br />Claimant Information <br />FY 2005-06 <br />Submittal Date: 4/21/2005 Enter requested information in yellow cells <br /> Enter requested information using dropdown menu <br /> Information appears automatically in cells highlighte( <br />Claimant Information <br /> 1 Claimant Name City of Pleasanton <br /> 2 Street Address 5353 SunolBlvd. <br /> 3 City Pleasanton <br /> 4 ZIP Code 94566 <br /> 5 County Alameda <br /> <br /> Claimant Personnel Information <br /> 6 Authorized Signature Name James W. Wolfe <br /> 7 Authorized Signature Title Director of Parks & Communit7 Services <br /> 8 CFO Name Susan Rossi <br /> 9 CFO Title Finance Director <br /> 10 Contact Person Name Pam Deaton <br /> 11 Contact Person Title Recreation Supervisor <br /> 12 Contact Person's Telephone (925)931-5367 <br /> 13 Contact Person's FAX (925)485-3685 <br /> 14 Contact E-Mail Address odeaton(~ci.oleasanton.ca.us <br /> <br /> Application Submittal Date <br /> 15 Fiscal Year 2005-06 <br /> 16 Claim Submittal Date I 4/21/2005 <br /> <br /> Public Transportation Modes Operated <br /> Mode T~ype Service Name <br /> 17 Demand Response !Pleasanton Paratransit Services <br /> 18 <br /> 19 <br /> 20 <br /> 21 <br /> 22 <br /> 23 <br /> 24 <br /> 25 <br /> 26 <br /> <br />MTC Programming and Allocations Section February 2005 Page 1of 1 <br /> <br /> <br />