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(a) <br />City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <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 Los Angeles County <br />No. N- 2005 -081 was completed on 7117105 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /6d.: <br />Signature: ioxy yiAjcl <br />Date: 7/8114 <br />Revised 0 8-23 -10 <br />G 2009 <br />......................................... <br />. -.. <br />........... .. .. ... ............. <br />COTC Office Use Only <br />... ............. . ............ . . . . . . . . . . <br />I rY <br />No. N- 2005 -081 was completed on 7117105 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /6d.: <br />Signature: ioxy yiAjcl <br />Date: 7/8114 <br />Revised 0 8-23 -10 <br />