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City of Santa Ana <br />1 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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with <br />COTC Office Use Only <br />AUG 22 I"I 4: ny <br />CITY OF SANTA ANA <br />CLERK OF COUNCIL <br />2 -01S-002 <br />No. Nwas completed on 01`i190,�Cq and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />PR <br />C S <br />Phone/Ext.: <br />L{qLtq <br />Signature: V i A�nGlu�/NG��— <br />v <br />Date: z Lao bon. <br />. <br />Revised 10-31-12 <br />