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City of Santa Ana <br /> i 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 amendments (if any) are no longer in effect.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 /> / 1/r /141.,(C dei-i Fi/ <br /> The agreement with -J�'A' <br /> No. /7 '1m, .-p2a� was completed on04 // ) and final payment has been made. <br /> (List all amendments. U%e space below if needed.) <br /> Department: 0-M1- <br /> Phone/Ext.: a Ul <br /> Signature: / rA3OIUV* v st"NC,4 Z- <br /> Date: 0//i <br />