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�2 <br />s <br />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amendments (if any) are no longer in effect.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 Civic Collections, Inc. <br />0,2013 <br />f <br />COTC Office Use Only <br />7 <br />f <br />ITf °r'c't. <br />CL <br />E1 <br />No. A- 2012 -173 (IF) was completed on 6 -29 -2013 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N- 2009 - Iti UN cov> <br />A-200q -bb 3(40) <br />tA P 2- 0to -11-1 (4c) <br />* R- 2-011 - 153-01 (4i;) <br />Revised 08 -23 -10 <br />Department: Police Department <br />Phone /Ext.: (714) 245 -8004 <br />Signature: <br />Date: <br />I— rLI —!6 <br />