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Claim Transmittal and Check Request <br />Claimant: Santos Flowers #2 Agency: City of Santa Ana <br />Address: 1221 E. First Street #H Santa Ana, CA 92701 Project: Grand Avenue Widening Project <br />Case ID: STA-044-01221-008 Consultant: Brenda Loera <br />Date: 06/11/12 THE ATTACHED DOCUMENTS MAY CONTAIN CONFIDENTIAL INFORMATION <br />To: From: <br />Souri Amirani Brenda Loera <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 92618-1673 <br />Santa Ana, CA 92702 Phone: (949) 268-5702 <br />Phone: (714) 647-5640 Fax: (949) 951-6651 <br />Attached documents support the following payment request(s): <br />Residential Moving Expenses <br />Business Moving Expense <br />Rental Assistance <br />Business Reestablishment <br />Downpayment Assistance <br />'Business Site Searching <br />Periodic LRH Payment <br />!Business In -Lieu <br />Purchase Price Differential <br />X 'Fixtures and Equipment <br />Mortgage Interest Differential <br />All -Inclusive Settlement <br />Purchase Incidental Expenses <br />jSecurity Deposit Return <br />Other Payment: <br />Benefit check(s) are requested to be prepared as follows: <br />— -- ---- ----- <br />Chk Payable to:In the amount: Check disposition: <br />-- - <br />1. Gualterio Santos dba Santos Flowers #2 $25,038.00 Hold for pick-up by OPC staff <br />2. — <br />3. <br />Payment Advance/Final status: Notes: <br />Advance Payment This is a final acquistion settlement for the <br />- - - <br />Interim Payment business owner. <br />X Final Payment <br />© 1980-2011 Overland, Pacific & Cutler, Inc. (OPC:05/11) <br />