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City of Santa Ana G 20H <br />Clerk of the Council ✓ <br />AGREEMENT TERMINATION FORM <br />- - -- -- - ----------------- -- - - -_- ,._...... <br />COTC Office Use Only <br />L% ...._f..* ...................... <br />Please complete this form when the attached agreement and all SANTA ANA <br />amendments (if any) are no longer in effect. c i <br />Return form to the Clerk of the Council Office (M -30). <br />The agreement with colv <br />No. N_2010 -099 was completed on l "� /1! and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: f 61- <br />Phone /Ext.: 2 -7L 7 <br />Signature: <br />Date: �1® <br />Revised 0412 -10 <br />