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City of Santa - a <br />Clerk of the Cv-.,A <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amendments (if any) are no longer in effect.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 />-.-....-------------------------------- ------- ------- <br />COTC Office Use Only <br />?414 SLP -9 PH 4 -' <br />CITY € F SANTA ANA <br />CLERK OF COUNCIL <br />v�/ u <br />No. l"1" 0 ;p —00 j was completed on 3/ d final payment has been made. <br />(List all amendments. Use space below if needed.) �� J / <br />Department: f W/7— <br />� <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 08-23-10 <br />