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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTCOaaffice Use Only <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. }T o SA�ffn f <br />Return form to the Clerk of the Council Office (M-30). CL R}` C{F r' 33 `- <br />Call 647-6520 if you have any questions. <br />i <br />The agreement with Video Engineering Services <br />No. A-2006-003 was completed on 1 /31 /09 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />A-2005-005 <br />Department: <br />PRCSA <br />A-2006-003 <br />A-2006-331 <br />Phone/Ext.: <br />5254 <br />A-2007-279 <br />Signature: <br />Cj d �[ (}g ��GA .Q- <br />Date: <br />2/17/15 <br />Revised 08-23-10 <br />