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City of Santa Ana 4 le 0, <br /> 1 Clerk of the Council (wilt <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 amendments (if any) are no longer in effect.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 /> Call 647-6520 if you have any questions. <br /> The agreement with 1C --) NOLI <br /> No. Pr aqivas completed on SO 113 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> CA10(..• <br /> Department: CANk <br /> Phone/Ext.: <br /> Signature: <br /> Date: <br /> Revised 08-23-10 <br />