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r:ify of San i a <br />'- Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all CITY Or SANTA ANA <br />amendments (if any) are no longer in effect. CLERK Or COUNCIL <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 Ad5M <br />No. P,-aC�t4—\O(p was completed on '?jl /) LP and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />A--aQ Iq-Mln' 0 I <br />Revised 08-23-10 <br />Department: �? F- A <br />Phone/Ext.:,� <br />Signature: o" <br />Date: S1 141 L � <br />