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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amendments (if any) are no longer in effect.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 />CMI <br />COTC Office Use Only <br />MA x <br />ITS <br />A <br />n �{{ 4, A-2-6 //-oaf-03 <br />No. f 1 _2�(�—©cCq was completed on 1444,5730 and final payment has been made. <br />(List all amendments. Use space below if needed.) U <br />+ R-2.011-VL�-01 Department: <br />+ A -Loll '0L4 -02 <br />Revised 10-31-12 <br />Phone/Ext.: EXE 15-0 (3 <br />Signature: <br />Date: <br />