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City of Santa Ana <br /> • <br /> 1*1. Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only <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 amendments (if any) are no longer in effect.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 /> The agreement with O\AQ., Cs-C LKS\ <br /> No. a - . C.I C• -- was completed on 130)! and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: (i i <br /> Phone/Ext.: aCo L t <br /> Signature: <br /> Date: 69 -( 6 -18/ <br /> Revised 04-12-10 <br />