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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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />r�u i' uFliiid�-t ;.,, a !\ <br />if r r i,h n� 3.,,.!I^.r� <br />� ti i iv, 1� ._� i t. i s. <br />The agreement with <br />No. Vr 0-00 (0" C' 4� was completed on cat pia <br />(List all amendments. Use space below if needed.) <br />va, 0 Q— C) <br />Department: <br />0-- L-00(k—C1� 4-0 <br />YN- aLoou—C}Phone/Ext.: <br />vk ---DL 00 ice- 0a4-01Y <br />and final payment has been made. <br />t <br />Signature: <br />Date: <br />Revised 0412-10 <br />