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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 3 <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amendments (if any) are no longer in effect.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 Boys and Gllrs (Club of Santa Ana <br />No. A- 2001 -197A (4) was completed on 6/80/03 i and final payment has been made. <br />(List all amendments. Use space bellow if needed.) <br />�2 <br />Department: PRCSA <br />h- 2005 -21� (4) Phone /Ext.: 5254 /} � <br />Signature: <br />Date: 7/8/14 <br />Revised 08 -2 &10 <br />