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Document farmingtonnm_gov_doc_005d0629d1

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Transportation Improvement Program (TIP) Template This template will improve project detail accuracy and communication between the Farmington MPO and lead agency project managers when requesting amendments or modification to the TIP. Upon completion of this form, it should be re-confirmed as accurate by the D-5 Liaison or the STIP coordinator. Project Name: Project Termini Project Descriptions: Begin MP End MP TIP Amendment Control Number Fiscal Year Fiscal Year Fiscal Year 1 2 3 Funding Source Funding Source Funding Source $ Match Type Match Type Match Type $ $ $ $ $ Match Other Match Other Match Other $ $ $ Select Year Select Year Select Year ---PAGE BREAK--- Federal Source * Funding Category A * Funding Category B * Federal Transit Local * Other * State * State SP Prog. Federal Source * Funding Category A * Funding Category B * Federal Transit Local * Other * State * State SP Prog. Federal Source * Funding Category A * Funding Category B * Federal Transit Local * Other * State * State SP Prog. TIP Modification Existing TIP Details 1 TIP Detail Changes 1 Fiscal Year Fiscal Year Funding Source Funding Source Match Type Match Type Federal Source Federal Source Funding Category Funding Category Source Amount Source Amount Match Amount Match Amount Existing TIP Details 2 TIP Detail Changes 2 Fiscal Year Fiscal Year Funding Source Funding Source Match Type Match Type Federal Source Federal Source Funding Category Funding Category Source Amount Source Amount Match Amount Match Amount 1 2 3 Select Source Select Category Select Category Select Category Select Category Select Category Select Category Select Category Select Source Select Category Select Category Select Category Select Category Select Category Select Category Select Category Select Source Select Category Select Category Select Category Select Category Select Category Select Category Select Category