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oazy <br />City of Santa ` j <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all City of Santa Ana <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M-30). <br />.Uk 02 2r23 <br />Call 647-6520 if you have any questions. <br />nn ( , Clerk of the Council <br />cal <br />The agreement with 1 "! t c,i Ga-,tdx", S x �G <br />No. A -dol3 — f U-. was completed on G/60/201f-1 and final payment has been made. <br />(List all amendments. <br />Revised 08-23-10 <br />Use space below if needed.) <br />Department: PRC(SA <br />Phone/Ext.: <br />Signature: 9" <br />Date: 1 <br />