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7G) City of Santa Ana C241[3 <br />Clerk of the Council I '/ <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 />-77,77-172 <br />The agreement with I <br />No. N-2011 -079 (,� tiC was completed on <br />(List all amendments. Use space below if needed.) <br />N-21ll-olq-ool (ffr) <br />Revised 08 -23 -10 <br />Band final payment has been made. <br />Department: V <br />Phone /Ext.: :5a-�:Li' <br />Signature: G <br />Date:���(y�C�s <br />