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_ City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM oa, <br />�r Offi <br />COTC Office. Use Only <br />CITY rjF Sjrti /� a <br />please complete this form when the attached agreement and all CLE- { <br />amendments (if any) are no longer in effect. <br />j <br />i <br />Return form to the Clerk of the Council Office (M-30). j <br />Call 647 -6520 if you have any questions. <br />The agreement with <br />No. was completed on I/ and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone /Ext.: _ <br />Signature: 7RI <br />-1 <br />Date: ca- <br />Revised 0&2310 <br />