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City of Santa Ana <br /> M~:1 Clerk of the Council <br /> r' rr„o�r <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only • <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 amendments (if any) are no longer in effect.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 2520 if you have any questions. <br /> The agreement with e to Q, lJ u-1.- CF DIET <br /> No. A vZC7la. - lL° <br /> was completed on ce I3o l )t4 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> • <br /> Department: C 4 te_._ <br /> Phone/Ext.: `L Lo,Z <br /> Signature: <br /> Date: CQ ( (5 ( J7( <br /> Revised 04-12-10 <br />