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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amendments (if any) are no longer in effect.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 />The agreement with k1C <br />No <br />c <br />A-2001, 05tE was completed on l�a✓j�I3 <br />all amendments. Use space below if needed.) <br />jL - 2b13- 63� <br />Revised 0-12-10 <br />Department: <br />COTC Office Use Only <br />CLERIK OF <br />and final payment has been made. <br />Phone/Ext.: x✓3I � <br />Signature: RW -01->P <br />IQ <br />Date: ✓ �$�(S <br />