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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 a,') TV OF �JL <br />amendments (if any) are no longer in effect. eq M G;- <br />01 <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 />COTC Office Use Only <br />,1. IS, <br />No. N-2014-015 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: �) V-�S�A <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 10.31-12 <br />