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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />c�(1 <br />V/ <br />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amendments (if any) are no longer in effect.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 />Call 647 -6520 if you have any questions. <br />The agreement with South Coast Air Quality Management District <br />No. N- 2011 -063 was completed on 5/31/11 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: <br />Signature: <br />Date: 7/8/14 <br />Revised 0 8-2310 <br />