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r City of Santa Ana <br /> .s.": Clerk of the Council <br /> "t <br /> , "" - AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. <br /> Return form to the Clerk of the Council Office (M-30). <br /> Call 647-2520 if you have any questions. <br /> The agreement with yd CI % - NI41 e1'6,71-- <br /> No. i- (2M_ ±/(i,, was completed on G .5434 ( and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: 610 <br /> Phone/Ext.: 2.4 21 <br /> Signature: L ,4ii , G 7,) <br /> Date: 0 v <br /> Revised 04-12-10 <br />