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City of Santa Ana G201S <br />Clerk of the Council ✓ <br />AGREEMENTTERMINATION FORM - - -------- .. ............ .. ........... ..................... I-- ......... .... .. .. <br />COTC Office Use Only <br />- ---- -- - -------- ------ <br />Please complete this form when the attached agreement and all <br />0 F S H TA A P <br />amendments (if any) are no longer in effect. 01 T Y A N A <br />C L E R K it ti <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 />No. Al-2-013-030 was completed on 12-131113 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: X <br />Signature:: <br />Date: 7 L3 (/I <br />Revised 0 &2370 <br />