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City of Santa Ana G ZoUs <br />Clerk of the Council ✓ <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <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amendments (if any) are no longer in effect.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 <br />No. N- 2001 -172 was completed on 6/30/02 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone /Ext.: <br />Signature: ;]�A {1 6 1U� <br />Date: 4117114 <br />Revised 0 8-2370 <br />