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City of Santa Ana <br />I �4 <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM , ------------------- --- ----- ------------ ---- ---- --- ____.-.-.-.-.-._----.-.: <br />COTC Office Use Only <br />--------------------- --- ---_...--;. .--.-__.ri....-..., ......-......_ <br />11�15 <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF S A N T,I. <br />Ca`C�`t <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 George, Marie dba Little Steps Dance Studio, dba Act One Academy of Dance <br />No. N-2006-060 was completed on 6/30/10 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N86s6'9°l C�ti,'touslLg.S�zzioniF�ecl� <br />N-2006-060-02 <br />N-2006-060-03 <br />Department: PRCSA <br />Phone/Ext.: 5254 <br />Signature: <br />Date: <br />167 <br />Revised 08-23-10 <br />