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City, of Santa Ana, 2JDf <br />Clerk of the Goerfca! <br />AGREEMENT TERMINATION_ FORM <br />COTC Office Use Only <br />2,11 JAN? 26 PH 3: 52 <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. tT ' '' f='-% A1'4A <br />Return form to the Clerk of the Council Office (M -30). <br />Calf 647 -6520 it you have any questions. <br />The agreement with <br />No. ! I%'✓ was completed on <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone /Ext.: <br />Signature: <br />Date: <br />Revised W2370 <br />and final payment has been made. <br />