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J <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amendments (if any) are no longer in effect.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 -1520 if you have any questions. <br />The agreement with <br />C 201 <br />COTC Office Use Only <br />n1 y1aS 1 3 K; 0 <br />.t <br />OF SA <br />CITY A NI_, <br />v <br />No. N -2013 -039 was completed on O, and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: F t-c <br />Phone /Ext.: 5�;L s <br />Signature: c Vosxlezklo <br />Date: 7 q%i <br />Revised 10 -31 -12 <br />