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City Of Santa Ana <br />- <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />2m9 AUG 2 i 'c8 <br />Please complete this form when the attached agreement t9l'YIIQF SAN <br />amendments (if any) are no longer in effect. CLERK OF C' <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 />No. N-2016-018 was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: 'F R G (3A <br />Phone/Ext.: q m <br />Signature:p/��z <br />Date: Shqhoke <br />Revised 10-31-12 <br />