PUBLIC ENTITY (GRANTEE) By: Its: Date:______________________________ By: Its: Date: _____________________________ DEPARTMENT OF TRANSPORTATION By: Its: Date: EXHIBIT A SOURCES AND USES OF FUNDS SCHEDULE (Complete a different schedule for each project. For the first project label it A-1; for the second project label it A-2; etc.) SOURCES OF FUNDS USES OF FUNDS Entity Supplying Funds Amount Expenses Amount State Funds: Items Paid for with LRIP LRIP Grant $___________ Grant Funds: ________________ $___________ Other: ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________
PUBLIC ENTITY (GRANTEE) By: Its: Date:______________________________ By: Its: Date: _____________________________ DEPARTMENT OF TRANSPORTATION By: Its: Date: EXHIBIT A SOURCES AND USES OF FUNDS SCHEDULE (Complete a different schedule for each project. For the first project label it A-1; for the second project label it A-2; etc.) SOURCES OF FUNDS USES OF FUNDS Entity Supplying Funds Amount Expenses Amount State Funds: Items Paid for with LRIP LRIP Grant $___________ Grant Funds: ________________ $___________ Other: ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________ ________________ $___________