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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 />The agreement with C�){ <br />No. _Col p -ZC12,.`��was completed on ( Q' o1 <br />(List all amendments. Use space below if needed.) <br />�' -f Aq 2-141-V;� (3a) <br />COTC Office Use Only <br />and final payment has been made. <br />D—Dartment: a op, ij�fi C3 �(k fl: l Y <br />ne/Ext.: 2 LOLALA <br />nature: <br />fe:`o <br />Revised 472-10 <br />