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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />•'~ ~ ('~ <br />Cv"~ ~\~ <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all amendments (i <br />are no longer in effect. n,~- ~ ~ ~; ~-- ^; ~ ~.,~ ~ <br />C~~ <br />Return form to the Clerk of the Council Office (M-30). C -~ ~ " ` - "' L' ~ ~" <br />Call 647-2520 if you have any questions. <br />The agreement with ~ ~~'j('~ ~ ~ S-~L G! ~?a~'rmPi~'l._~/ ~ <~ n (~~S <br />No. /11 ~2LY~3 -~~ was completed on p and final payment has been made. <br />(List all amendments. Use space below if needed.) / <br />Department: ~tr~rrn~C( <br />Phone/Ext.: 5 ~/ ~ G <br />Signature: <br />Date: <br />Revised W-22-09 <br />