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City of Santa Ana 02.09 <br />-- �, Clerk of the Council <br />AGREEMENT TERMINATION FORM —,. -- .-.......-.........- ........ ............................ - -. <br />COTC Office Use Only <br />,01i t.FR 16 <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY 0 SA0I f A <br />Return form to the Clerk of the Council Office (M- 30).L �). r <br />Call 647 -6520 if you have any questions. <br />The agreement with (E,141 <br />�q C5) G3w <br />No. // � 6 6 36 was completed on (. ? ., and final payment has been made. <br />(List all amendry ents. Uses ace below if needed.) ` <br />Department: 4W ±- <br />- <br />r <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 08 -2 3-10 <br />