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City of Santa Ana <br />~ -~~-=-'d. Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />00 0 7 <br />COTC Office Use Only <br />t_' <br />Please complete this form when the attached agreement and all amendments (if any) <br />are no longer in effect. ~ _ <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-2520 if you have any questions. <br />The agreement with ~ iL~,l ,` ' ~ ~I (~~%Y1Y~f' f I ~ ~ (~ G <br />~o, ~-~~- ~ 2~ was completed on ~~ ~~ and final Nayment has been made <br />(List all amendments. Use space below if needed.) <br />Department: ~~ <br />PhonelExt.: X ~~~ <br />Signature: ~.,~ _ <br />Date: ~ ~1 <br />Revised 07-22-09 <br />