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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amendments (if any) are no longer in effect.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 />The agreement with Drozd, Alicia <br />COTC Office Use Only <br />No. N-2005-088-01 was completed on 6/30/07 and final payment has been made. <br />kZ (List all amendments. Use space below if needed.) <br />Department: PRCSA <br />i�N'ZoDS-ObK'02 �t3-'O6S'Db <br />14-2-06 - M-03 Phone/Ext.: 5254 <br />N -ZOOS IS%- Ili <br />N -AV; Dt;b'l15 Signature: Wil% XCA <br />Date: 4/17/14 <br />Revised 08-23-10 <br />Ir <br />