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City of Santa Ana <br />Clerk of the Council <br />- AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />.................. --- ------.-.-.-.----- ...__-.--.....-.-.-.-.-..-.-.-.-.----- <br />FZ <br />' G• _rU <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amendments (if any) are no longer in effect.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 />Ufeen,, W)llim N°. AS906G[ L L4iv tfffccS <br />The agreement with LtL, 04�r4� 6-1c 1/U,/Ilvt? S oetaj" S <br />No. k '-W--45& was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: �ty f}tq <br />Phone/Ext.: <br />Signature:/ htfHj_j 2r S <br />Date: (�r�� <br />Revised 0412-10 <br />