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City of Santa Ana <br /> T <br /> e Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> i 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 amendments (if any) are no longer in effect.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 0 4 WM/1 COfl 'V1 <br /> l.J 1� <br /> No. ' -- - - ed on qi [" /( ` and final payment has been made. <br /> (List all amendments. Use space bkc0mp1et <br /> low if needed.) <br /> Department: 0V <br /> Phone/Ext.: X vI <br /> Signature: qS\ <br /> Date: t� ` b <br /> Revised 04-12-10 <br />