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City of Santa Ana <br /> ,-.,.Pyj 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 amendments (if any) are no longer in effect.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 /> Call 2520 if you have any questions. <br /> The agreement with C '-I N 50 Fc,,rlcj IZcc e co, -e-t <br /> No. A 2b<1-- I(.9G. '0\ was completed on <br /> p 1,(D t 2 and final payment has been made. <br /> (List all amendments. Use space below if needed.) <br /> • <br /> Department: <br /> Phone/Ext.: <br /> Signature: <br /> Date: <br /> Revised 04-12-10 <br />