Laserfiche WebLink
FY99 PUBLIC TRANSPORTATION .S'TA TE AID APPLICATION <br /> <br /> [ FORM III. l: GENERAL INFORMATION [ <br /> <br />Include only one copy.of this form with your agency's combined grant application submission. <br /> <br />1. Date February 23 19 9? <br /> <br />2. Legal Name of Applicant Organization City of Martinsville City Council <br /> <br />Employer Identification Number <br /> <br />XX o XXXXXXXXXXX <br /> <br />4. Mailing Address <br /> <br />Martinsville City Manaqer <br /> <br />P.O. Box 1112 <br /> <br />Martinsville, VA <br /> <br />5. Contact Person Earl <br /> <br />6. Title of Contact Person <br /> <br />7. Contact Person's Phone Number (540 <br /> <br />8. FAX Number ( ~an ) 6~6 - .~9~0 <br /> <br />9. F,-MailAddress(ifavaHable) <br /> <br />B. Reynolds,Jr <br /> <br /> Martinsville City Manaqer <br /> <br /> ) 656.- 5180 <br /> <br />Zip Code <br /> <br />I0. Xtate .4id Grant Program Applications attached (Check all that apply) <br /> <br />Formula <br /> <br />Intern Program <br /> <br />Capital <br /> <br />XX Technical Assistance <br /> <br />TDM/Rideshare <br /> <br />Demonstration/Experimental <br /> <br />Transportation Efficiency Improvement Fund (TElls) <br /> <br />FY99 ~ta~eAM Funds Page 26 Grant Application Paekage <br /> <br /> <br />