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City of Santa Ana <br />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amendments (if any) are no longer in effect.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 />The agreement with 0.L. L. K--eclviani ctrl, <br />COTC Office Use Only <br />CITY OF SA mA !-,,,NA <br />No. X --,00(0 - 050 _v l was completed on ((7 (310 (o and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: UDA <br />Phone/Ext.: x53} <br />Signature: <br />Date: <br />P.eAsed 0412-10 <br />