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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amendments (if any) are no longer in effect.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 />G 2�1 f <br />COTC Offic <br />---- Us_ . e Only........ ..... <br />e <br />SHO 271 AM 6- 2 <br />SAS <br />;r I_, <br />No. N-2014-038 was completed on (pfi r and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Signature: s 0 ai�xx A)pAtcvo <br />Date: 0I--Ik IILP <br />Revised 10.31-12 <br />