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City of Santa Ana C 20 <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amendments (if any) are no longer in effect.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 White, Mattie <br />Noa) N- 2002 -078 was completed on 6/30/03 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />(Z- 20po- lso Department: <br />d N, 2t)a1-13 I Phone /6d.: <br />Signature: 0- 1= aLla, U�w n <br />Date: 6/16/14 <br />Revised 08 -23 -10 <br />