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City of Santa A I <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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />JUL 19 P4 3: !^ 7 <br />1TY OF SANTA ANA <br />;LERM OF COUNCIL <br />No. N-2014-028 was completed on )) and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />—•• me - rMIRMWe►3i L : 1i <br />Phone/Ext.: L7 <br />Signature: LT"'IM-0 <br />Date: <br />Revised 10-31-12 <br />