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Rry <br />City of Santa Ana <br />x< Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and qJl -- <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amendments (if any) are no longer in effect.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 />C2017- <br />COTC Office Use Only <br />No. N- 2012 -062 t.o was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N- 7-012 -tC® Cta) <br />Revised 08 -2310 <br />Department: eg ,� A <br />Phone /Ext.: <br />Signature: <br />Date: <br />