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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amendments (if any) are no longer in effect.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 />Call 647 -6520 if you have any questions. <br />COTC Office Use Only <br />2M9, JUL 53, <br />art � <br />The agreement with Lorrie Bolderick, DMV dba Quillie Acres Veterinary Clinnic <br />No. A- 2005 -264 Ca) ctm was completed on 3/31/07 and final payment has been made. <br />(list all amendments. Use space below if needed.) <br />*A -2006 -079 ( &Q) Department: PRCSA <br />+A- 2005- 264 -02 cu) <br />Phone /Ext.: 5254 <br />Signature: -,k) t0 �', C I.Q VCK) 0 <br />Date: 7/8/14 <br />Revised 08 -23 -10 <br />• <br />