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0 1 C, <br />Maim Transmittal and CheckRequest <br />Claimant: Pacheco & Pacheco Insurance Services, Inc. Agency: City of Santa Ana <br />Address: 828 N. Bristol, #201, Santa Ana, CA Project: Bristol Street Widening Project <br />Case ID: STA-037-00828.201 Consultant: Brenda Loera <br />Date: 05117/11 - THE ATTACHED DOCUMENTS MAY CONTAIN CONFIDENTIAL INFORMATION <br />To: From: <br />Ms. Souri Amirani Michele Folk <br />Deputy City Engineer Overland, Pacific & Cutler, Inc. <br />City of Santa Ana 20 Fairbanks, Suite 178 <br />20 Civic Center Plaza, M-21 Irvine, CA 92618-1971 <br />Santa Ana, CA 92702 Phone: (949) 951-5263 <br />(714) 647-5013 Fax: (949) 951-6651 <br />Atta ched documents support the following payment request(s): <br />Residential Moving Expenses Business Moving Expense. <br /> Rental Assistance Business Reestablishment <br /> Downpayment Assistance <br />Periodic LRH Payment Business Site Searching <br />Business In-Lieu <br /> Purchase Price Differential Fixtures and Equipment <br /> Mortgage Interest Differential X All-inclusive Settlement <br /> Purchase Incidental Expenses Security Deposit Return <br /> Other Payment: <br />Benefit check s) are requested to be prepared as follows: <br />Chk Payable #o `Tin the amount: Cheek disposition <br />1. Pacheco & Pacheco insurance Services Inc. <br />$19,875,00 Hold for pickup by OPC staff <br />2, Pacheco & Pacheco Insurance Services, Inc. $19,875.00 Hold for pick-up by OPC staff <br />3, <br />Payment Advance/Final status: Notes: <br />Advance Payment Please process the following claim as indicated <br /> <br />Interim Payment above. <br />X Final Payment <br />©1980-2008 Overland, Pacific & Cutler, Inc. <br />(OPC:08/08) <br />25G-54