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r City of Santa Ana <br />Clerk of the Council COTC Office Use Only <br />L. ...- <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. CITY OF AttfT`', r H,, <br />CLERK <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 />No. JL{ 8( (dui was completed onand final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department:6�/ — �%✓✓rrii — <br />Phone/Ext.: <br />Signature: <br />Date: <br />Revised 10-31-12 <br />