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City of Santa Ana <br />Clerk of the Council f \ 1J <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all amendments (if any) <br />are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />The agreement with <br />COTC Office Use Only <br />City of Santa Ana <br />AUS 02 2021 <br />Clerk of the Council <br />No. N-2009-147 was com feted on �1� payment P 6 �, a01� and final a ment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Mc -SA <br />Phone/Ext.: LG\0 <br />/) ULVIO D . _/ ` Signature: <br />Q�1 �l 91�a1�o�ct <br />Date: <br />Revised 07-22-09 <br />