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„ City of Santa Ana <br /> r: Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <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 amendments (if any) are no longer in effect.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 C L01-11— C r-y,, (�u; D�;rt. <br /> No. I'T J- 01-1- )10 was completed on I 14'�j and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: T'l/J r J C- <br /> Phone/Ext.: h c Yam` <br /> Signature: 000 ” <br /> Date: `J`( ( el 1 <br /> Revised 08-23-10 <br />