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City of Santa Ana <br /> 7`'" -r 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 amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br /> ) <br /> The agreement with /tj `3kuJ 0 4-(A iqw-kfti-DY(...... <br /> No. U V 13) - og was completed on I and final payment has been made. <br /> (List all amendments. Use sp ce below if needed.) <br /> Department: ODA' Ma') <br /> Phone/Ext.: X NerEAMOVel7 <br /> Signature: <br /> Date: Si‘81.1 <br /> Revised 08-23-10 <br />