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(9) <br />City of Santa i a <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />207-0 FEB -6 Mf 4: 24 <br />Please complete this form when the attached agreement andC1ITy OF SANTIA 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amendments (if any) are no longer in effect.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-2019-092 was completed on and final payment has been made. <br />(List all amendments. Use� space below if needed.) <br />Department: �' \�YGlrYlry <br />Phone/Ext.:� <br />Signature: g�5Y <br />Date: n g L�Z <br />Revised 10-31-12 <br />