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. . <br />City of Santa Ana a,, <br />=~,. ` Clerk of the Council C o2C0 (, <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all amendments (if any) <br />are no longer in effect. ~m~ rre I ~ bt <br />- - ~: t ~- 33 <br />Return form to the Clerk of the Council Office (M-30). <br />The agreement with ~rQ. - Li <br />No. ~- 20 pS -- ~ 2,(o was completed on ~ ~ D ~(o <br />(List all amendments. Use space below if needed.) and final payment has been made. <br />Department: C[>~ <br />Phone/Ext.: JC ~~~ <br />Revised 07-22-09 <br />Signature: GL. ~, - <br />Date: ~j <br />r <br />