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City of Santa Ana <br />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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />The agreement with <br />COTC Office Use Only <br />b,'JS ?I Pii 4: 5 f <br />CITYOF <br />OF COUNCIL <br />No. N-2016-090 was completed on p acand final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: `PRE& A <br />Phone/Ext.: ` 2ILI <br />Signature: <br />Date: aO Ig <br />Revised 10-31-12 <br />