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City of Santa Ar, <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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with Orange County Children's Therapeutic Arts Center <br />COTC Office Use Only <br />_ <br />12 P+.+ <br />No. IW -2008-073 was completed on 6/30/10 and final payment has been made. <br />(list all amendments. Use space below if needed.) <br />(t(2008-073-01 Department: PRCSA <br />Phone/Ext.: 5254 <br />Signature: Sk o o} on C , Vck n <br />Date: 8/12/15 <br />Revised 1631-12 <br />