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Exhibit D <br /> REIMBURSEMENT CLAIM <br /> San Mateo County Measure A Funds <br /> SMCTA Project ID: 0080417-10005 <br /> SMCTA Project Allocation: $976,780 <br /> Claim Date: <br /> Claim Number: <br /> Claim Period: <br /> Claim Amount: $0.00 <br /> Funding Source Measure A <br /> ConsultanUContractor/ Invoice Fund %of Fund %of %of Prior Total Life to Date Budget <br /> Vendor Invoice# Total Source 1 Ttl Source 2 Ttl Measure A Tti Measure A$ Measure A$ Balance <br /> #�### � ##t� <br /> � #�# � <br /> #�1t #tl�# #�## <br /> � ##�# ##p## <br /> Total - - � - #�mt - �#a# $ - - 976,780.00 � <br /> Quarterly Progress Report included? Y/N � <br /> Please issue check payable to: Agency <br /> Contact person <br /> Address <br /> I <br /> ; <br /> � <br /> i <br /> � <br /> , ; <br /> REV:09-04-14 VR 38 <br /> ATTY/AGR/2014.160/SAN MATEO COUNTY TRANSPORTATION AUTHORITY <br />