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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amendments (if any) are no longer in effect.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 />C2o <br />COTC Office Use Only <br />LU _t <br />CITY OF 'ANJA 'A TN A <br />CLERK 'M <br />No N-2013-145 was completed on Qlat i l � and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: S <br />Phone/Ext.:Z{ �t <br />Signature: , (� a i 9 Ll Uckeo <br />Date: t bAIttp <br />Revised 10-31-12 <br />