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eve City of Santa A -a <br />Clerk of the Coui...il <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with <br />COTC Office Use Only <br />2QIq ALG 22 PM q- 03 <br />CITY OF SANTA ANA <br />CLERK OF COUNCIL <br />No. N-2015-095 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: P cicsirA <br />Phone/Ext.: 5p-S4. <br />Signature: o�al��_�C1Vat—j <br />Date: % kx.',p I L a <br />Revised 10-31-12 <br />