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COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY-2017
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COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY-2017
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Last modified
10/22/2024 9:09:03 AM
Creation date
9/19/2017 11:17:41 AM
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Contracts
Company Name
COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY
Contract #
A-2017-092
Agency
Community Development
Council Approval Date
4/18/2017
Expiration Date
6/30/2018
Insurance Exp Date
10/15/2025
Destruction Year
2023
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City of Santa Ak.a <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with 0 / O C <br />n— <br />;ITY OF SANTA ANA <br />CLERK OF COUHCIL <br />No. h'u 11 ^ a �? was completed on %'� ��� and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: <br />Cf/J cLJ <br />Signature: <br />Date: <br />L� /- <br />Revised 08-23-10 <br />
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