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C, 2-01G' <br />City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM 2'015{ 'LTA �• <br />COTC Office Use Only <br />L{t •` d S P�fS 3 its} <br />Please complete this form when the attached agreement and all CLQVKt OF <br />i <br />amendments (if any) are no longer in effect. <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 (j r GL l G_ t <br />No. j 0&./ -0 was completed on 00160s and final payment has been made. <br />(List all amencirriefits. Use pace below if needed.) <br />Department: jeSt $ w <br />b a Phone/Ext.:J�6/ <br />03 Signature: <br />Date: %%3��1� <br />