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� . <br /> � <br /> DOWNSTATE <br /> � STATE OF ILLINOIS ' <br /> _ DEPARTMENT OF TR.ANSPORTATION ' <br /> APPLICATION FORM np 1 <br /> COVE_R_ T,FTTFR <br /> **************************#*********************************************** <br /> FOR IDOT OFFICE USE ONLY <br /> Grant Applic. Number Expenses <br /> Date Received Revenues <br /> Appropriation � Deficit <br /> 53% of Expenses � <br /> *******************************#*******�******************#**#************ <br /> Application for operating assistance grants under Article II of the Downstate Public <br /> Transportation Act(30 ILCS 740/1-1 g�,�gc�.) for costs incurred during the period <br /> July l, 1999 through June 30, 2000. <br /> APPLICANT'S NAME: <br /> STREET ADDRESS: <br /> CITY STATE ZIP CODE TELEPHONE NUMBER <br /> The applicant hereby applies to the State of Illinois through the Division of Public <br /> Transportation for grants under Article II of the Downstate Public Transportation Act <br /> (30ILCS 740/1-1 et�.). <br /> I hereby certify that I have reviewed this Application including all attached exhibits and <br /> information, and have found it to be true and correct. <br /> Signature (same as #1 on Form OP-2) <br /> Title (same as #1 on Form OP-2) <br /> Date � <br /> ? <br />