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City of Santa I i <br />t Clerk of the Council <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amendments (if any) are no longer in effect.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 647-6520 if you have any questions. <br />The agreement with <br />No. A - aG 1-3- o-7) was completed on <br />(List all amendments. Use space below if needed.) <br />A_aC)�L'�—JOl <br />Revised 08-23-10 <br />COTC Office Use Only <br />City of Santa Ana <br />a 2 621 <br />Clerk of the Council <br />G(L and final payment has been made. <br />Department: PP42BA <br />Phone/Ext.: gmck <br />Signature: �,✓ <br />Date:C\ <br />