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,�L <br />4- <br />91 <br />City of Santa Ana <br />i 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amendments (if any) are no longer in effect.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 <br />COTC Office Use Only <br />2013AG 7 AM 9-17 <br />NTA ANA <br />'�15d / V- '�" f III Cott, No. l/Z <br />No. / was completed on i /1D and final payment has been made. <br />(List all amendments. /Use space below if needed.) <br />v ` It Ai Department: <br />1 Phone/Ext.: <br />002 <br />U f3 (IIro 30 (/2 Signature: <br />/ c / o <br />Date: <br />Revised 08-23-10 <br />