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City of Santa Ana <br /> - • <br /> ,`-a: Clerk Of the`Cauncil <br /> <.``� AGREEMENT TERMINATION FORM• <br /> '! (: ` <br /> WY COTC Office Use Only <br /> rls <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. <br /> • <br /> I 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 r act/ or ( mvi ro n y u <br /> No. ft`2°O -030 ras completed on V30/5 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> irt aco 7— /2 2 (0 <br /> C,I (1a) Department: �1�4f`//Qe SicyL <br /> fl'02o t-27 a, WO Phone/Ext.: jb/ <br /> 11-26/a-. / 3 7 (lb) <br /> Signature: <br /> Oi (VA <br /> A '2O12_- ( 22.—01 Date: ?� �� <br />