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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />7M S50 24 PH It 20 <br />C T TA A H A <br />The agreement with IY\c <br />e <br />/-2033 -o /` <br />No. \ 13/ Zcav3 was completed on k j l3 /Zcs«4- and final payment has been made. <br />(List all amendments. Use space below it needed.) <br />Department: <br />Phone /Ext.: <br />Signature: r� cxlo%L Sc Vjc <br />Date: °l 1 Z2 ( 7-c-1 1L0 <br />Revised 0412 -10 <br />