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City of Santa Ana <br /> Clerk of the Council <br /> eySi <br /> AGREEMENT TERMINATION FORM D <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 amendments (if any) are no longer in effect.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 ( 1Otfle OL/tr1 i 401m1 %o <br /> /cxt1I\ <br /> No. ,-1,OI D-,2- D9 was completed on 9/ 7)O I ( and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> l� <br /> Department: <br /> Phone/Ext.: <br /> Signature: <br /> Date: <br /> Revised 08-23-10 <br />