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City of Santa Ana <br /> tA7fr Clerk of the Council <br /> ... Al2EEMEt4T TERNAINAT1C)N 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 amendments (if any) are no longer in effect.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 /> • <br /> Return form to the Clerk of the Council Office (M-30). <br /> Call -2520 if you have any questions. • <br /> The agreement with lV - 0.0 . C.C.ASeefithe c: 'c?1s <br /> No. A)1)•••'` was completed on (al �and final payment has been made. <br /> (List II amendments. U e space below if needed.) <br /> CVA'iS <br /> Department: <br /> Phone/Ext.: liC4 ! <br /> Signature: <br /> Date: <br /> Revised 04-12-10 <br />