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23 <br />ARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION OMS NO. 40•RO184 <br />SECTION C — EXCLUSIONS <br />F <br />Classification Ineligible for Eaclvd.cd from <br />Participation Contingency Provision <br />1 ? <br />b y <br />1„ <br />g' Totals g <br />SECTION D — PROPOSED METHOD OF FINANCING NON- FEDERAL SHARE <br />27. Grantee Share Cash in Bank <br />S 54,000 <br />a. Securities <br />I <br />b. Mortgages } <br />C. Appropriations (By Applicant) <br />d. Bonds <br />e. Tax Levies <br />f. Non Cash <br />g. Other (Explain) <br />h.. TOTAL — Grantee share <br />29. Other Shares <br />a. State TAC <br />50,000 <br />b. Other <br />C_ Total Other Shares <br />29. TOTAL <br />S 104,000 <br />SECTION E — REMARKS <br />Attachments: <br />Title VI Civil Rights Assurances <br />Exhibit "A" <br />PART IV PROGRAM NARRATIVE Attach — See Instructions <br />FAA Form 5loo.10Q i6 -73i SUPERSEDES FAA FORA( 5100 -10 PAGES I THRU 7 <br />Page 5 <br />