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C ,~ CC~,fi D~/' <br />City of Santa Ana <br />-~ - ~~; Clerk of the Council <br />.~ <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all amendments (if~anY1~~P ~ ~ ~,fi~ ~~ ~3 <br />are no longer in effect. <br />1~'`~ <br />Return form to the Clerk of the Council Office (M-30). ~~f ~ ~ ?~` ±` <br />Call 647-2520 if you have any questions. `~` <br />The agreement with ~rA~ ~I-~ <br />pp <br />No. ~ s aQ~~~ ~,~ ~ ~ %j was completed on P ~jlJ 9 Ij ~ and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />~/ Department: V~~" <br />~; ~ <br />Signature: -i ~ i~A~-~ `.Q~_ i,~ ~~ l~ ~,i ~, <br />Date: ~-~ ~ ~ ~~ <br />Revised 07-22-09 <br />