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R >, 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 amendments (if any) are no longer in effect.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 <br /> No. 1\- a1 1 ; was completed on / ,, /e and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: ��� A..-- AL __,c r_ <br /> Phone/Ext.: V r j00S' <br /> Signature: �. <br /> DELIVERED MAR 2 6 2618 <br /> Date: -/v <br /> Revised 08-23-10 <br />