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City of Santa Ana <br />Clerk of the Council f <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />r;r <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CIT $ <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 Community Veterinary Hospital <br />No. N-2009-057 was completed on 7-1-2014 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N-2009-057-00$ <br />N-2009-057-003 <br />N-2009-057-004 <br />Revised 08-23-70 <br />Department: Police Department <br />Phone/Ext.: 714 245-8004 <br />Signature: <br />Date: <br />I —! L(—( <br />