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City of Santa Ana <br />'r 1 Clerk of the Council <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with Republic Waste Services of Southern California, LLC <br />No. A-2021-241 was completed on 10/31/22 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Public Works Agency; CIP Engineering <br />Phone/Ext.: Mind L ; 714-647-5665 <br />Signature: /,GT <br />Date: 11/22/22 <br />Revised 08-23-10 <br />City of Santa Ana <br />-" 'rya Clerk of the Council < J <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. CoI'//�I <br />A"dPvIial? a <br />The agreement with Republic Waste Services of Southern California, LLC <br />COTC Office Use Only <br />CE THE COUNCIL <br />I31123PM3:59 <br />No. A-2021-241 was completed on 10/31 /22 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Public Works Agency; CIP Engineering <br />Phone/Ext.: Mindy Ly; 714-647-5665 <br />Signature: <br />Date: 11 <br />Revised 08-23-10 <br />