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City of Santa Ana <br />P� Clerk of the Council <br />�k 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amendments (if any) are no longer in effect.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 AYE a WIN Frrm"Oa <br />COTC <br />sf T <br />H <br />No. N-2019-006 was completed on 111 3i 12&0 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: f gcC)N <br />Phone/Ext.: cja 1 Q <br />Signature: <br />Revised: 10-18-I6 <br />