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City of Santa Ana <br />.. ................. . . . -- -- ------------------ <br />Clerk of the Council COTC Office Use Only <br />- --------- ---- - - -------- - ------------- <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amendments (if any) are no longer in effect.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 />ULEPK OF THE (33-1UNCIL <br />Is the agreement(s) a permanent record? Yes — No Fill, T 5'. 7, <br />Ft of <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 'Wov-� QDDcmq U� ml&f VU� 0A Di l A Sp, <br />W <br />No. N-2020-001 was completed on k2 131 11()20 and final payment has been made. <br />(List all amendments. Use space below it needed.) <br />Department: ? P)C'!) <br />Phone/Ext.: 15 -2 1 q <br />Signature: z <br />Date: qw <br />Revised: 10-18-16 <br />