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°r >, City of Santa Ana <br /> 7:.,7-4 1 Clerk of the Council <br /> 7771, <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 amendments (if any) are no longer in effect.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 - L- i2- C ti-►4- et- o v—rb orz-- <br /> No. A_7Q r i- I was completed on :_/:"/r 7 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: P VU A - l 2A GFl L <br /> Phone/Ext.: X ` -600 <br /> Signature: ``., '`�'� <br /> Date: 1 19j ( a <br /> Revised 08-23-10 <br />