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City of Santc Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />IPL12 10R <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amendments (if any) are no longer in effect.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 />Call 647-6520 if you have any questions. <br />The agreement with <br />COTC Office Use Only <br />N �ti �001/J 0CC was completed on ��� !1� and final payment has been made. <br />(List all amendments. Use space below if needed.) '', <br />Department: (ZA <br />Phone/Ext.: <br />Signature: �� �✓,�f <br />Date: <br />Revised 0&23-10 <br />