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STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION <br />PROGRAM SUPPLMENT AND CERTIFICATION FORM <br />PSCF (REV. 01/2010) <br />TO: <br />Pege _t_ of _t_ <br />Claims Audits 412212015 1215000068 <br />3301 "C" Street, Rm 404 REQUISITION NUMBER / CONTRACT NUMBER: <br />Sacramento, CA 95816 RQS # 121500000317 <br />FROM: <br />Department of Transportation <br />SUBJECT: <br />Encumbrance Document <br />VENDOR/LOCALAGENCY <br />City of Santa Ana <br />CONTRACTAMOUNT: -- <br />$300,000.00 <br />PROCUREMENT TYPE: <br />Local Assistance <br />ADA NOtII For individuals with sensory disabilities, this document is available in alternate formals. 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 />