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City of Santa AnaV/ <br />-------------------------------------------- ------- - - - - - - - 11 ---- ----- <br />Clerk of the Council <br />COTC Office Use Only <br />------- - - --------------------- --- --------- - ------------- --------- ----- <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all ClCITYw <br />- f Z� <br />in� <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amendments (if any) are no longer in effect.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 />No. N-2013-085 was completed on O[zoup and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: � C., <br />Date: CI k;) -L 11 LP <br />Revised 10-31-12 <br />