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City of Santa Ana C 2p 15 <br /> a- Clerk of the Council t/ <br /> AGREEMENT TERMINATION FORM <br /> COTC Office UseOrgy <br /> Pi �. <br /> r'trP " Pll,4 ,r.ul� <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. IC17Y OF `'atia;)i'•. , <br /> CLCD;( ,i, <br /> Return form to the Clerk of the Council Office (M-30). <br /> Call 647-6520 if you have any questions. <br /> The agreement with dd L- kt icr J <br /> No. 47� 7 7 --/ � f was completed on 03/ZO(/S . <br /> (List all amendments. Use space below if needed.) and final payment has been made. <br /> Department: Police Department <br /> Phone/Ext.: 714 245-:eD4 <br /> Signature: ' <br /> Date: Ce J <br /> Revised 08-23-10 <br />