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STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION <br />PROGRAM SUPPLEMENT AND CERTIFICATION FORM <br />PSCF (REV, 01/2010) <br />Claims Audits <br />3301 "C" Street, Rm 404 <br />Sacramento, CA 95816 <br />FROM: <br />Department of Transportation <br />SUBJECT: <br />Encumbrance Document <br />VENDOR/ LOCAL AGENCY: <br />CITY OF SANTA ANA <br />$20,000.00 <br />PROCUREMENT TYPE: <br />Local Assistance <br />1/10/2019 <br />SITION NUMBER / CONTRACT NUMBER: <br />- 2660 -121900000192 - 1 <br />Page Iof_1_ <br />1219000021 <br />ADA Notice For Individuals with sensory disabilities, this document is available in alternate formats. For information, call (915) 654-6410 of TDD (916) -3880 or write <br />Records and Forms Management, 1120 N, Street, MS -89, Sacramento, CA 95814. <br />