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MTC Claim Application - Document A(a) <br />Claimant Information <br />FY 2007-OS <br />Submittal Date: 5/1/2007 <br />Claimant Information <br />I Claimant Name <br />2 Street Address <br />3 City <br />4 7,IP Code <br />5 County <br />Claimant Personnel Information <br />6 Authorised Signature Name <br />7 Authorized Signature Title <br />8 CFO Name <br />9 CFO "Citle <br />10 Contact Person Name <br />11 Contact Person "fide <br />12 Contact Person's Telephone <br />13 Contact Person's FAX <br />l4 Contact F-Mail Address <br />Application Submittal Date <br />15 Fiscal Year <br />16 Claim Submittal Date <br />Public Transportation Modes Operated <br />17 <br />18 <br />19 <br />20 <br />2l <br />22 <br />23 <br />24 <br />25 <br />26 <br />Enter requested information in yellow cells <br />Enter requested information using dropdown menu <br />Information appears automatically in cells highlighter <br />City of Pleasanton <br />5353 Sunol Blvd. <br />Pleasanton <br />94566 <br />Alameda <br />James W. Wolfe <br />Director of Parks & Community Services <br />David P. Culver <br />Finance Director <br />Pam Deaton <br />Recreation Su ervisor <br />(925)931-5367 <br />(925)485-3685 <br />pdeaton c~ci.pleasanton.ca.us <br />2007-08 <br />5/ I /2007 <br />ivioae type JCfVICG i~amc <br />Demand Response Pleasanton Paratransit Service <br />MTC Programming and Allocations Section February 2005 Page 5of 84 <br />