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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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />TY QE SANTA x N <br />CLERK 017 C01MICH <br />The agreement <br />with ` C CA FA <br />H <br />No. 'o26i1-1G6 was completed on 1&5 L17 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: M -A <br />aro <br />Phone/Ext.: 2745 or 2717 <br />Signature: <br />G Date: 0(a/0S/l7 <br />Revised 08-2310 <br />