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ORANGE COUNTY MENTAL HEALTH ASSOCIATES 1
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ORANGE COUNTY MENTAL HEALTH ASSOCIATES 1
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Last modified
8/23/2021 2:48:44 PM
Creation date
11/24/2004 2:10:17 PM
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Template:
Contracts
Company Name
Mental Health Association
Contract #
A-2004-043
Agency
Community Development
Council Approval Date
3/15/2004
Expiration Date
6/30/2005
Insurance Exp Date
7/12/2006
Destruction Year
2010
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L <br />l <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any <br />questions. <br />----------------------------------------------------------------- <br />The agreement with (gam fit.% tQ Gtt�`F G } L { DiJ No <br />was completed on ( nj O C7S and final payment has been made. <br />Revised 8-7-03 <br />Department <br />Signature: <br />Date: <br />City of Santa Ana <br />Clerk of the Council <br />
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