Art3_VVTA_FY21_Transit_Apple Valley Turn Out_SignedClaim San Banardino Associated Govaaments
Claim Form
Article 3 Grant Program
Project Name: Apple Valley Bus Turn Out Grant Allocation No: L22-0702-0751-01 Claimant:Victor valley Transit Authority
Address: 17150 Smoke Tree Street
Hesperia,CA 92345
Attention: Marie Downing
Phone No: (760)995-3575
E-mail Address: mdowning@vvta.org
Award Amount 75,DOO.00
Purpose: Please check one purpose.
❑ Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
97 Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specifled in Authorizing Resolution)
Date: rJ2J ZIt.
O'Signature
Kevin Kane,Executive Director/CEO
Type Name&Title
Condition of Approval:
Approval of this claim and payment by the County Auditor to this claimant are subject to monies being available and
to the provision that such monies will be used only in accordance with the approved allocation instruction.
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Art3_1NrA_Ml TransiLAVbusTumOuLCiaim
Claim Form Page 1
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