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City of Santa Ana <br /> {. �,� • <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 <br /> amendments (if any) are no longer in effect. <br /> Return form to the Clerk of the Council Office (M-30). <br /> The agreement with cw, c <br /> No. \ - ,),411I - was completed on 1--f' I3() f 1 a.. and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: CO la <br /> Phone/Ext.: a�1( <br /> Signature: <br /> at._ <br /> Date: 6 '( 6 - 0 <br /> Revised 04-12-10 <br />