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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amendments (if any) are no longer in effect.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 -6520 if you have any questions. <br />The agreement with LAN f-0 r <br />G2Cf5 <br />COTC Office Use Only <br />n <br />015 , OU �la),i f; <br />CITY Or- SANT <br />C�. P' fi "k <br />No. - -2x i4- - ( -S was completed on 'J 3 r 11 Ir and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone /Ext.: <br />sb 3 <br />a <br />Signature: <br />Date: <br />7�rl�j <br />Revised 08 -23 -10 <br />