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City of Santa Ana <br />1 --' Clerk of the Council <br />AGREEMENT TERMINATION FORM ,----- .-.__-_-.-._-..-.-.-.-.-._-....-.-.-.-.------- ---- --_-.-.---.-.-- <br />COTC Office Use .Only <br />?" <br />-- <br />'At1 22 ..-1...4...... 05.. <br />Please complete this form when the attached agreement and all CITY Q $6nPiiA gjiq <br />amendments (if any) are no longer in effect. CLERK S NTACOUAN <br />CIL <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-6520 if you have any questions. n — <br />The agreement with l �J,(u/1/PjJT 0,02 Q� C m,QmWLy <br />Na N-2015-085 was completed on l nl and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: RZF--,A <br />Phone/Ext.: 5a <br />Signature: G—�, Q,(`,Ift-Q k1VCV) <br />Date: F5(w�tg <br />Revised 08-23-10 <br />