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CASH DELIVERY FORM (CDF) <br />(Please type) <br />Organization <br />City of Santa Ana <br />Date: <br />August 22,2024 <br />Name: <br />Contact Name: <br />John Valadez <br />Sub -recipient <br />SAN <br />Code: <br />Email: <br />jvaladez@santa-ana.org <br />Phone Number: <br />714-647-5436 <br />Mailing <br />20 Civic Center Plaza, MAT Santa Ana CA 92701 <br />Address: <br />CASH DELIVERY INSTRUCTIONS <br />Complete this section of the form to indicate no banking changes or to provide new or updated cash <br />delivery instructions for EDD. <br />Use an X in the box to the left to indicate your choice: <br />x <br />No banking changes from the previously submitted Cash Delivery Form <br />Please mail checks to the address provided above. (U.S. Mail Delivery) <br />Please transfer cash directly to our bank account, using the information provided below. <br />Inter -branch & Wire Transfers <br />Bank Name: <br />Bank Account Name: <br />Bank Phone Number: <br />Account Number: <br />ABA Routing Number: <br />SIGNATURE: <br />The person signing below must be designated to represent the organization and has <br />authority to make changes to the Sub -grantee information provided in this form. The <br />signature authorizes the Employment Development Department to make changes to its <br />records as described above. <br />Name: Deborah Sanch _ Date: August 22, 2024 <br />dsanchez@santa- <br />Signature: ad z .- Email: ana.org <br />Employment Development Department (EDD) Page 2 of 2 <br />