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P. _^ect Funding Status Form
Agency: PORTTOVVNSEND no Project Number: P-W451(PO5)'1
pnojon Nome Sheridan Street
1OthQttoSR20
Verify the information below and revise ifnecessary.
Return to: Clint Ritter
Transportation Improvement Board
PO Box 40901
Olympia,VYA985O4'O9Q1
PROJECT SCHEDULE
Construction Approval Date Jul 2011
Contract Bid Award Jul 2011
Contract Completion Nov 2011
PROJECT FUNDING PARTNERS
List additional fundino r)artnprs and amount.
PORT TOWNSEND 227,461
Federal Funds 0
Jefferson Healthcare 10,000
Walkable and Livable Communitie-s
alilute 7,500
TOTAL LOCAL FUNDS 244,961
Both agency officials must sign the form before returning it to the T|B office.
Sign0ature Dat4
Printed or Typed Name
Title
�manoia|m�n�Typ
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Title
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rzo Funding status Report