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City of Santa Ana <br /> Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <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 amendments (if any) are no longer in effect.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 (gl,P 034) j,1/ ca .1-1 .11,0� <br /> No. .C - was completed on e-°/ O !f 5 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: Cb i <br /> Phone/Ext.: t ,1 <br /> Signature: . <br /> Date: CPI I Z i,lLar V <br /> Revised 08-23-10 <br />