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City of Santa Ana <br /> Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <br /> 7.7..-Mr;....29......._. ........ ...... . ..............................._._ _..... <br /> Please complete this form when the attached agreement and all CITY OF SANTA ANA <br /> amendments (if any) are no longer in effect. CLERK OF COUNCIL <br /> Return form to the Clerk of the Council Office (M-30). I l <br /> Call 647-6520 if you have any questions. <br /> The agreement with [//� • e(n 14S <br /> No. N (do j (0 was completed on ))/I ( and final payment has been made. <br /> (List all amendments. Use space below if needed.) Department: 60 A- <br /> _ <br /> Phone/Ext.: 01rp4 <br /> Signature: <br /> Date: 0 4( <br /> Revised 08-23-10 <br />