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City of Santa Ana <br />Clerk of the Council <br />- AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />M23 M 9- 16 <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. C Id � ANA <br />L <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -2520 if you have any questions. <br />The agreement with <br />No. @N-2001-111 <br />(List all amendments. <br />N-Mg- ISS <br />,� - zooz-o7b <br />Revised 0412 -10 <br />Alvarado, Alfredo ,✓� <br />was completed on 6/30/02 " and final payment has been made. <br />Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: <br />5254 <br />Signature: <br />� � �iJ l . X V0,x ) <br />Date: 9/22/10 <br />