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City of Santa Ana <br />Clerk of the Council <br />,r. <br />AGREEMENT TERMINATION FORM <br />GOT Qfiice Use Only <br />Please complete this form when the attached agreement and allR d <br />amendments (if any) are no longer in effect <br />MER" <br />, <br />F <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />t <br />The agreement with Community Veterinary Hospital <br />No. A-2001-228 was completed on 08/01/2015 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Police Department <br />Phone/Ext.: (714) 245-8004 <br />Signature: <br />Date: 08/78/2015 <br />Revised M23-10 <br />