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City of Santa Ana C. ~ ~/ <br />.= Clerk of the Council <br />,,. AGREEMENT TERMINATION FORM <br />__ _..... <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all amendments (if any ~ ~ ~" ~~~ ~' ~~ <br />are no longer in effect. <br />fti ' - <br />[ ~ ~ . , <br />Return form to the Clerk of the Council Office (M-30). ~~ <br />The agreement with y//I/Gfn!'rd ~ i c IL ll,luv~a~~.~~~.~ 1.i~,I~.n <br />No. ~~?~~ "Q~b was completed on b D9 and final payment has been made. <br />(List II amendments. Use space below if needed.) <br />Department: ~ L <br />Phone/Ext.: ~~ ~6 <br />.. <br />Signature: <br />Date: ~ // ~~10 <br />Revised 07-22-09 <br />