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Exhibit C <br />REIMBURSEMENT CLAIM <br />San Mateo County Measure A Funds <br />SMCTA Project to: <br />SMCTA Project Allocation: <br />Claim Date: <br />Claim Number: <br />Claim Period: <br />Claim Amount: $0.00 <br />Funding Source Measure A <br />Consultant/Contractor/ %of %of %of Prior Total Life to Date Budget <br />Vendor Invoice # Invoice Total Fund Sourcel Ttl Fund Source2 Ttl Measure A Ttl Measure A $ Measure A $ Balance <br /># �#f#tl! �ftttH#t <br />r r r <br />r1HlXlt # � <br />Total ###b #tNt# tgtxu $ <br />Quarterly Progress Report included? YIN <br />Please issue check payable to: Agency <br />Contact person <br />Address <br />REV 08-31-18 PR <br />San Mateo County Transportation Authority/City of Redwood City <br />Redwood City Ferry Project <br />Page 18 of 18 14740234.2 <br />