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• <br /> STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION <br /> PROGRAM SUPPLEMENT AND CERTIFICATION FORM <br /> PSCF (REV. 01/2010) <br /> Page lot 1 <br /> TO: STATE CONTROLLER'S OFFICE DATE PREPARED: PROJECT NUMBER: <br /> Claims Audits 10/12/2011 0400020983 <br /> 3301 "C" Street, Rm 404 REQUISITION NUMBER / CONTRACT NUMBER: <br /> Sacramento, CA 95816 RQS 2660 041200000285 <br /> FROM: <br /> DEPARTMENT OF TRANSPORTATION <br /> SUBJECT: <br /> ENCUMBRANCE DOCUMENTS <br /> VENDOR/ CONTRACTOR: <br /> City of San Leandro <br /> CONTRACT AMOUNT: <br /> $44,265.00 <br /> PROCUREMENT TYPE: <br /> LOCAL ASSISTANCE <br /> I HEREBY CERTIFY UPON MY OWN PERSONAL KNOWLEDGE THAT BUDGETED FUNDS ARE AVAILABLE FOR THIS <br /> ENCUMBRANCE AND PURPOSE OF THE EXPENDITURE STATED ABOVE. <br /> CHAPTER STATUTES ITEM YEAR PEC /PECT TASK /SUBTASK AMOUNT <br /> 712 2010 2660 -102 -890 2010 -2011 2030010/300 2240/0600 $44,265.00 <br /> • <br /> ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information, call (915) 854.8410 of TDD (918) -3880 or write <br /> Records and Forms Management, 1120 N. Street. MS-89, Sacramento, CA 95814. <br />