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,-* City of Santa Ana <br />t City Clerk <br />AGREEMENT TERM► (NATION 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amendments (if any) are no longer in effect.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 City Clerk's Office (M-30). <br />Call 647-6520 if you have any questions. <br />The agreement with 'Dil"e-C M,� W <br />corc aft�c� ��� Qr,i <br />C 1022 <br />t �t Santa Arl <br />JAN 112024 <br />CIty Clerk's Office <br />No. N-2023-125 was completed on r and final a m (List all amendments. Use space below if needed.) p Y ent has been made. <br />iAagreementsVormsVorm - agreement termination form nnlrfanmri r{nn <br />Department:' <br />Phone/Ext.:�,�, <br />Signature: <br />Date: <br />1 � r14--15 <br />