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STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION <br />PROGRAM SUPPLMENT AND CERTIFICATION FORM <br />PSCF (REV, 01/2010) <br />Page _i_ of _i_ <br />Claims Audits 11/14/2017 <br />3301 "C" Street, Rm 404 REQUISITION NUMBER/ CONTRA( <br />Sacramento, CA 95816 IROS -2660-121800000116-1 <br />FROM: <br />Department of Transportation <br />SUBJECT, <br />Encumbrance Document <br />VENDOR/ LOCAL AGENCY <br />CITY OF SANTA ANA <br />$129,800.00 <br />PROCUREMENT TYPE: <br />Local Assistance <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 />