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P <br />City of Santa. ja <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amendments (if any) are no longer in effect.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 <br />COTC Office Use Only <br />jUL 19 PM 3t 05 <br />OF SANTA ANA <br />tK OF COUNCIL <br />No. /'T'70 n - oq ! was completed on and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />CAfitPhone/Ext.: <br />iti2K-- <br />Signature: <br />Date: <br />p /, / c % <br />! v L V <br />Revised 08-23-10 <br />