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City of Santa Ana <br />E 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amendments (if any) are no longer in effect.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 �nl��' �� cal A%CQ,%OAR_ <br />No. was completed on ici. ) and final paymenYRas bed n made. <br />(List all amendments. Use space below if needed.) <br />o-Qi Department: / Vie,(,K? <br />Phone/Ext.: <br />Signatures �% ��RdVil ✓� <br />Date: <br />