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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 anc all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. <br />The agreement with <br />COTC Office Use Only <br />AEG -7 AN g. 09 <br />0"NTA ANA <br />No. %j-,21)1, -23-7 was completed on 12AW/! and final payment hnas been made. <br />(List all amendments. Use space below if needed.) 9 -,2o// 21 1 <br />A-1011-2sl C30L) <br />►t 20t 2-f,b4 (3b) <br />A-2o12 IN ( 30 <br />X R-2p15-10(31) <br />Department: <br />Phone/Ext.:�� <br />Signature: <br />Date:�� <br />