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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 <br />COTC Office Use Only <br />.. .............. .............. . ........... ........ <br /><lfi ', °t r{1 �• 177 <br />l � <br />No. -�Q "was completed on � q and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />A� h -tool -19z (0 Core, Department: rQ <br />A 26tl$ 1 %3- 601 Phone /Ext.: <br />I A • d610 - ISS W-) <br />Signature: <br />Date: <br />Revised 04 -12 -10 <br />