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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />j.....--- ...----- ........-------------- .._....,......-....._.... <br />15 JUL. _ f FM 3 t', i <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. IDWY 0 ! i' 4 l,, <br />CLLR O <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 Communications Support Group, Inc. <br />30 <br />No. A-2004-068 was completed on 10j �3S and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone/Ext.: 5254 <br />Signature: <br />r � <br />Date: 5/21/15 <br />Revised 0&2310 <br />