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City of Santa Ana <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 <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 amendments (if any) are no longer in effect.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 /> t)vzwyJJ)czA CAId ,s ()1U1-0(-CLAWA' <br /> No. P �!N`b-. 1Oa Lai-v( 1 <br /> was completed on CI and final payment has been made. <br /> (List all amendments. Use space below if needed.) ii,c)/1 <br /> I <br /> `V— Z'3. -D Department: C 'I s JL <br /> � l <br /> Phone/Ext.: X 2.10 9-I <br /> Signature: <br /> Date: 'a\ \� <br /> v <br /> Revised 08-23-10 <br />