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�. City of Santa Ana <br /> '::::::),r t Clerk of the Council <br /> AGREEMENT TERMINATION FORM ____ 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 amendments (if any) are no longer in effect.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 C31.J 'k, ,;,�( 11P tt .1� c,ti -f_x_\ <br /> c..L ;v <br /> No. )\ _.t.:1 C+-- I y was completed on 143 C I 1 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: C Q IA <br /> Phone/Ext.: (..L, '. i <br /> Signature: AO: /-Z---,...1-6--- <br /> Date: (9 � ( G -l <br /> Revised 04-12-10 <br />