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City of Santr-Ana <br />Clerk of the C�,-jncil <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with <br />C2pIS <br />COTC Office Use Only <br />CITY F E <br />0, CDleid'V 6l� <br />No. N-2015-065 was completed on ! ,( and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: 1 "J2—A <br />Phone/Ext.: fz - <br />Signature:`��l\�w <br />Date: C(' QD 1 <br />Revised 08-23-10 <br />