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(a) <br />City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all amendm nts fan pal <br />are no longer in effect. a <br />1 tom➢ <br />Return form to the Clerk of the Council Office (M -30). <br />The agreement with <br />C2p1 <br />No. N- 2010 -023 Co1'C was completed on <br />AZ, (List all amendments. Use space below if needed.) <br /># K- 2.010- 023-0e1 <br />* 01-20t0 `62.3-002 <br />Revised 07 -22 -09 <br />a G ^ I and final �payment has been made. <br />Department: if i q�sj lr <br />Phone /Ext.:� "C <br />Signature: <br />Date: L <br />