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REV: 05-05-23 JB <br />SMCTA Project ID: <br />SMCTA Project Allocation: <br />Cla im Date: <br />Cla im Number: <br />Cla im Period: <br />Claim Amount: <br />Me asure A/W <br />Consultant/Contractor/% of % of % of Prior Total Life to Date Budget <br />Vendor Invoice #Invoice Total Fund Source1 Ttl Fund Source 2 Ttl Me asure A/W Ttl Measure A/W $Measure A/W $Bala nce <br />############ <br />############ <br />############ <br />############ <br />Tota l --####-####-####-$ -- <br />Quarterly Progre ss Report include d?Y/N <br />Ple a se issue che ck pa yable to: Agency <br />Contact person <br />Address <br />Exhibit D <br />$0.00 <br />Funding Source <br />REIMBURSEMENT CLAI M <br />San Mateo County Measure W Funds <br />ATTY/AGR.2023.105/San Mateo County Transportation Authority (Redwood Ave Ped Improvements) (Page 19 of 25)