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City of Santa Ana C- o20C~8 <br />r r` Clerk of the Council ~. <br />AGREEMENT TERMINATION FORM , <br />__ <br />OTC Office Use Only <br />Please complete this form when the attached agreement and all amendments (if any)~r~ ~ a¢~~, ~~ ~'~ <br />are no longer in effect. f ~; z~ ~~ <br />Cif, <br />Return form to the Clerk of the Council Office (M-30). r~! ~ <br />~' - - <br />The agreement with ,~~~ <br />°~ / <br />No. /~' o7©ph-o3~ was completed on /Z '" <br />(List all amendments. Use space below if needed.) r ~ r ~a~' and final payment has been made. <br />Z~~ Department: <br />.3 ~~ a~'r -Q~~i 6/30 la~oi <br />Phone/Ext.: ?j ~ <br />J <br />Signature: <br />Date: ~l~-3 ~~~ ~ <br />Revised 07-22-09 <br />