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r. City of Santa Ana <br /> Clerk of the Council <br /> COTC Office Use Only <br /> AGREEMENT TERMINATION FORM <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 amendments (if any) are no longer in effect.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 647-1520 if you have any questions. • <br /> • <br /> The agreement with .4. � [ 91) <br /> No. N-2013-032 was completed on g 30 ( 3 and final payment has been made. <br /> (List all amendments. Use space below if needed.) � <br /> Department: CD� ,A. f S Cv <br /> Phone/Ext.: I <br /> j <br /> Signature: II <br /> Date: SI1 11 , <br /> Revised 10-31-12 <br />