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° ?,. City of Santa Ana <br /> 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 amendments (if any) are no longer in effect.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.f{yA c_)� <br /> No. A l O -2..`7 I was completed on J �7 /1? and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: CAJ A <br /> Phone/Ext.: )C' C6,0e-zs <br /> l' <br /> Signature: <br /> Date: ' [t g/(C- <br /> Revised 08-23-10 <br />