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City of Santa A, <br />----------- <br />Clerk of the Council COTCOHiceUse <br />AGREEMENT TERMINATION FORM <br />2020 rE8 -6 PM 14, 21 <br />Please complete this form when the attached agreement an(tply OF SANTA ANA <br />amendments (if any) are no longer in effect. CLERK OF COUNCIL <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 />No. N-2016-170 was completed on "J�RLAS and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: r c)jt-1 <br />Phone/Ext.: iotl(A <br />Signature:, <br />Date: a bZ 42 <br />Revised 10-31-12 <br />