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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amendments (if any) are no longer in effect.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 ffice (M -30). <br />Call 647 -1520 if you have any questions. <br />The agreement with <br />COTC <br />C 20( <br />Only <br />705 JAM 14 P11 4: 05 <br />CITY `# 017 SAN Uk AHI'i <br />CLERK nr f t a�; E: p <br />No. N-9014-069 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: C link- <br />Phone /Ext.: )( Z (-o 2- ) <br />Signature: Sc- rV -CS`°1 <br />Date: t / I 1 I <br />Revised 10.31 -12 <br />