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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amendments (if any) are no longer in effect.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 />Call 647-1520 if you have any questions. <br />The agreement with <br />C <br />COTC Office Use <br />No. i IJr" 0 J `T was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) Department: <br />` �l " <br />Department: _-� � V "'�� `/\fin <br />Phone/Ext.: ✓ 13 <br />Signature: _ y_ <br />Date: <br />Revised 10.31-12 <br />