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40 City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />C_OTC Office Use Only <br />.-.---._ I ......... ....... <br />Please complete this form when the attached agreement and all amendments (if <br />are no longer in effect. ? OF SANTA ANA <br />K <br />Return form to the Clerk of the Council Office (M-30). E. of C-OUNCiL <br />Call 647-2520 if you have any questions. <br />The agreement with -64=' Pp&!onmD„nfe tfCCQ,«oAC,j) <br />No. N -2D1C7 "09+ was completed on feF2'-f/loand final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N - OJE> \o - O3?}-o0I <br />Department: CAFE' <br />Phone/Ext.: xS38`? <br />Signature: Q?? ?L. `PIQ?? <br />Date: (?? ?-(O <br />Revised 07-22-09