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�; , City of Santa Ana <br /> • Clerk of the Council <br /> AGREEMENT TERMINATION FORM <br /> COTC Office Use Only • <br /> Please complete this form when the attached agreement and all f <br /> amendments (if any) are no longer in effect. <br /> Return form to the Clerk of the Council Office (M-30). <br /> Call 42520 if you have any questions. <br /> The agreement with O�c17iL 5�,� �C ��t2r�d�_ <br /> No. /1-oz6/2 /J? / was completed on 6 f?v/; and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> Department: g,.44/9\ <br /> Phone/Ext.: p2402-1 <br /> Signature: 46 j ,4 S4,ii1/ � <br /> Date: 4 2 D/` d' <br /> Revised 04-12-10 r <br />