Mileage FTA Federal State Grant # Date Date in Eligible Item Description Funding VIN or Serial # Make/Model Mileage Use (CAP-XX-XXX-XXX) Year (must be SERV Replcm’t Program* current) Date *INDICATE SECTION 5307, 5309, 5310, OR 5311, CMAO OR STP. IF NO FEDERAL OR STATE FUNDS WERE USED TO PURCHASE THE VEHICLE, INSERT "100% LOCAL."
Item Description State Grant # (CAP-XX-XXX-XXX) Federal Funding Program* VIN or Serial # Year Make/Model Mileage Mileage Date (must be current) Date in SERV FTA Eligible Replcm’t Date Use *INDICATE SECTION 5307, 5309, 5310, OR 5311, CMAO OR STP. IF NO FEDERAL OR STATE FUNDS WERE USED TO PURCHASE THE VEHICLE, INSERT "100% LOCAL."
DPIT%20TR160.docx