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City of Santa AnaG 20 <br />- ----------------- <br />Clerk of the Council COTC Office Use Only <br />...- - - - <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY C <br />E <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 <br />No. N- - 1509 Qj O— O I Or- as completed on , 113%� and final payment has been made. <br />(Lest all amendments. Use space below N needed.) <br />A VKe& NO2- TV 10 205-9'®i C Department: <br />-Orle- <br />VLD+ 4 Zq aboo. 00 <br />A-iD0$-algCt)[oTe,; # 1,4-206-010(l8) <br />�F R-zoos-zi8 of olR) A - ;Mo4 -19g CIO <br />Revised 10-31-12 A - UO R - 199 '61 b Fi) <br />Phone/Ext <br />IM <br />Exp- 5050 <br />Signature: <br />Date: <br />