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® ✓ <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />r <br />The agreement with <br />COTC Office Use Only <br />19 Pit :41 31 <br />OF SA TA ANA <br />O t t+r,+i <br />Cot a:,, _ <br />COM <br />No. ! C `i 1 t () was completed on 69 lL and final payment has been made. <br />(List all amendments. Use space below if needed.) V <br />4 N -2.O13 "obi -bk (10 Department: <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 08-23-10 <br />