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Pc(I Counts <br />- 4-hoir count (2 hours ain & 2 hours pm) tit ono location <br />* Orle person counting <br />* 5 separately requested counts per year <br />LEGAL NAME <br />BUSINESS ADD <br />NY <br />PRINTED NAME OF <br />AUTHOR <br />0 |ZED/\QENT <br />CABLE) <br />PHONE AND FAX NUMBERS <br />TITLE <br />|LADDRESS <br />ACTOR LICENSE N <br />0 <br />(IF APPLICABLE) <br />THIS FORM MUST BE COMPLE.TED AND INCLUDED WITH THE FEE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESIPONSIVE <br />City of Santa An@ RFP 15-090 <br />Page 25 <br />