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r City of Santa Ana <br /> 44 <br /> ' Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <br /> 75 satin 710 <br /> ;.,f5 <br /> Please complete this form when the attached agreement and all <br /> amendments (if any) are no longer in effect. :I; Y OF SAi! <br /> CLERK Or= <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 - 40GJ r�01-67 L (V? 7k4 ) <br /> /Q <br /> No.4 4 / (L (?S IG, was c/ /on completed r��7 <br /> p 3 f ' and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> A - 200 6" 1b 9 CO COf'i', Department: Police Department <br /> V 4 A- 2voq`ooq ((a) Phone/Ext.: 714 2 r8004., j <br /> -A -goo -157 ( I0 <br /> Signature: i�-- <br /> Date: 3 2� <br /> Revised 08-23-10 <br />