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SIMON, LAURA 3 - 2013
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SIMON, LAURA 3 - 2013
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Last modified
5/26/2017 9:47:34 AM
Creation date
8/5/2013 10:01:34 AM
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Contracts
Company Name
SIMON, LAURA
Contract #
N-2013-104
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2015
Insurance Exp Date
3/24/2014
Destruction Year
2020
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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amendments (if any) are no longer in effect.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 />Call 647-1520 if you have any questions. <br />The agreement with <br />c-LOls <br />- .._ ... ..................... <br />COTC Office Use Only <br />Am 2 k= y <br />�A k Irl. <br />ri <br />No. N-2013-104 was completed on (PIMI and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />-? %A4 <br />Phone/Ext.: <br />Signature: <br />Date: <br />q I;Vi 1 <br />Revised 10-31-12 <br />
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