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City of Santa Ana C 4200 ~ <br />~ Clerk of the Council <br />.~ <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />,,, <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amendments (if any) are no longer in effect.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 647-2520 if you have any questions. <br />The agreement with Sue McCuliou h <br />No. N-2008-103-01 was completed on 06/30/09 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Community Development Agency <br />Phone/Ext.: 5376 <br />Signature: ~~'~'`~~'" <br />Date: 04/26/10 <br />Revised 04-12-10 <br />