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City of Santa Ana e AS <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM - - -- - - -- - -- - <br />COTC Office Use Only <br />j. ............................... _..................... _............................. _.............. <br />41 <br />, - €IN 16. - ' 9 <br />Please complete this form when the attached agreement and all 9f; <br />amendments (if any) are no longer in effect. _- <br />-._,. MM- <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 Nunez, Hortencia <br />No. N- 2000 -079 was completed on 12/31/00 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N- 2001 -106, N- 2002 -071 Department: PRCSA <br />Phone /Ext.: 5254 <br />Signature: 46"& k)-\ m�� <br />Date: 6/12/14 <br />Revised 08 -23 -10 <br />