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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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />atty ff 6 Pt� s <br />No. N-2012-009 was completed on; 1 , l and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: P s <br />Phone/Ext.: <br />Signature: sa w o"CoRk.AiLo <br />Date: W1111,4 <br />Revised 08-23-10 <br />