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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION. FORM <br />--------------------------------- <br />COTC Office Use Only <br />n- -- s ------------------------- <br />Please complete this form when the attached agreement <br />and all <br />amendments (if any) are no longer in effect. <br />k;, <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 />C.0r fY, o ce- <br />No. ZO l l – b was completed on <br />j 2=1J <br />and final payment <br />has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />fir Cef- � <br />Phone /Ext.: , <br />& <br />Signature: <br />Lam <br />Date: <br />ZG i <br />Revised 0 &23 -10 <br />