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<br />- <br /> <br />~ <br /> <br />Exhibit E <br />Amendment No.2 <br />Agreement No. C-6-0069 <br /> <br />EXHIBIT E - PAYMENT REQUEST <br /> <br />City <br />City Address <br />City, State ZIP <br /> <br />Date <br />City Project No. <br />Payment Request No. _ <br />Month of <br />City Project Manager: <br />aCTA Project Manager: <br /> <br />Orange County Transportation Authority <br />Development Department <br />600 South Main Street <br />Orange, CA 92863-1584 <br /> <br />Re: <br />Subject: <br /> <br />aCTA/Santa Ana Cooperative Agreement No C-6-0069 <br />Services for Bristol Street Widening Project <br /> <br />City of Santa Ana hereby requests payment in the amount of $ <br />to Article 8. PAYMENT of the subject Agreement. <br /> <br />pursuant <br /> <br />We hereby certify that the above payment request is true, complete, correct, and in <br />compliance with the subject agreement. <br /> <br />Sincerely, <br /> <br />Remit Payment To: <br /> <br />City of Santa Ana <br />Dept <br />Address <br /> <br />Name, Project Manager <br />City of Santa Ana <br />