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,. City of Santa Ana <br /> -tig-t �: 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 amendments (if any) are no longer in effect.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 /> IIIIW <br /> The agreement with ,4-e.. 6 C 14 - E. OD <br /> No. A+ -oltA l5 " was completed on (.9(30((CO _ and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: iC()A (wo CA.l <br /> Phone/Ext.: x 2C.12 i( <br /> Signature: /0-" A_S <br /> Date: & ( t r ((g-' <br /> Revised 08-23-10 <br />