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City of Santa Ana C 2 012. <br />Clerk of the Council f <br />AGREEMENT TERMINATION FORM --------------------- ___..--- .....- <br />COTC Office Use Only <br />Qf AUG -7 AN -- <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. Cii # n':- . <a <br />!A A it <br />co <br />Return form to the Clerk of the Council Office (M -30). Wk <br />Call 647 -6520 if you have any questions. <br />The agreement with <br />N -2011 -052 f <br />No. was completed on _ <br />(List all amendments. Use space below if needed.) <br />Revised 08-28-7 <br />2— and final payment has been made. <br />Department: / <br />Phone /Ext.: 770 <br />Signature: <br />Date: /f <br />