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• <br /> City of Santa /' ,a 5 <br /> kazo: Clerk of the Coul1cil <br /> " "` AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <br /> Please complete this form when the attached agreement and all 701 JUL _ t V. -- <br /> amendments (if any) are no longer in effect. <br /> Return form to the Clerk of the Council Office (M-30). l <br /> Call 647-6520 if you have any questions. <br /> The agreement with Boys and Gllrs Club of Santa Ana <br /> No. A-2001-197A ( 0 was completed on 6/30/03 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> '�— 200` '� `( GO CO Department: PRCSA <br /> 1t- 2D03 -228 (10 Phone/Ext.: 5254 <br /> ft- 200i-►91 (40 <br /> Signature: 2 ;`� � ��,\ �A/T <br /> Date: 7/8/14 <br /> Revised 08-23-10 <br />