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STATE OF CALIFORNIA, DEPARTMENT OF TRANSPORTATION <br />PROGRAM SUPPLMENT AND CERTIFICATION FORM <br />PSCF (REV. 01/2010). <br />Page 1of 1 <br />Claims Audits 11/9/2017 1218000024 <br />3301 "C" Street, Rim 404 REQUISITION NUMBER / CONTRACT NUMBER'. <br />Sacramento, CA 95816 RQS-2660-121800000109-1 <br />FROM: <br />Department of Transportation <br />SUBJECT'. <br />Encumbrance Document <br />VENDOR/ LOCAL AGENCY', <br />CITY OF SANTA ANA <br />$73,000.00 <br />PROCUREMENT TYPE', <br />Local Assistance <br />ADA Notice 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 />