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! City of Santa Ana <br />Clerk of the Council V <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes _ No <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 />N-2018-181 <br />No. <br />(List all amendments. <br />was completed on C) ,--k) Ip <br />Use space below M needed.) <br />COTC OHke Use Only <br />City of Santa Ana <br />AUG o 2 2021 <br />Clerk of the Council <br />and final payment has been made. <br />Department: P 15--Ilnr yal�L <br />Phone/Ext.: S Lsq <br />Signature: � lOk-"IZ,Lev 010 <br />Date: 7 L-R-7 L-4 <br />1 �Fir+7-nLlr.w. <br />