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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amendments (if any) are no longer in effect.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 / ! c r SJ U/"Ll/0 3`' <br />No. � 0 - �(o �t was completed on % 0 <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Fxt.: <br />Signature: <br />Date: <br />COTC Office Use Only <br />ALIT An p: 17 <br />RK OF COUNCIL <br />and final payment has been made. <br />VAO <br />.;2- -7Z) <br />0 <br />Revised 08-23-10 <br />