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City of Santa Ana C 20(S <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM -- <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF "A10 ` I', <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 I'L 11 z ( <br />,Q <br />No. / ( -,2c>/3- /G 8 was completed on ?j - Zf I and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: y G(/ . AL 2 <br />Phone /Ext.t <br />Signature: - <br />Date: <br />Revised 08 -2&10 <br />