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City of Santa Ana G 2� f <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />............... ............. ........... .........., <br />N V 7 FM ' #• jam' <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amendments (if any) are no longer in effect.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 Vi, Duong <br />No. N -2002 -130 was completed on 6/30/03 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: 5254 <br />Signature: x L LC,,-Z (1/-) <br />Date: <br />Revised 0 8-2 3 70 <br />