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N •.;., City of Santa Ana <br /> p o.� 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 amendments (if any) are no longer in effect.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 - V k. I vl / nitavtd\I Col(Oftv_DIM51 <br /> 1 Ya.A,. <br /> No. was completed or�f 3 � and final payment has been made. <br /> (List all amendments. Use space below if needed.) b <br /> Department: ab pirl ci to <br /> Phone/Ext.: 1` 2401 <br /> Signature: /f d , <br /> Date: g l t a I <br /> Revised 04-12-10 <br />