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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 <br />O ZO12 <br />J <br />COTC Office Use Only . <br />:': <br />mac. x <br />No. I\j — ©, � — I q � was completed on s 2 I Z and final payment has been made. <br />(List all amendments. Use space Below if needed.) <br />Department: <br />Phone/Ext.: b <br />Signature:cec�c.�n 1 <br />Date: <br />Revised 08-23-10 <br />