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�y <br />l <br />C'rty`of Santa Ana <br />Clerk of the CouncH <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amendments (if any) are no longer in effect.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 />Call 647 -6520 if you have any questions. <br />COTC Office Use Only <br />Z"iP JAM 26 KI 3 52 <br />r� `,i <br />'' <br />.F .2 a�l.YicT.0 <br />02DID <br />The agreement with —Fi <br />x} aoC(, -a;� 5 Cq) Lore, • f <br />No. �}oCo- �%�� -Ci Cswas completed on / " �r and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />* N - 2og q- Zi?( (S®) Department: <br />Revised 90r-23 -1 0 <br />Phone /Ext.: <br />Signature: <br />Date: <br />