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City of Santa Ana cIty Clerk's office Use Only <br /> City Clerk <br /> AGREEMENT TERMINATION FORM SANTA A A CITY CLERK <br /> JUL 16'24 AM 1:40 <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 amendments (if any) are no longer in effect.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 it you have any questions. <br /> The agreement with LAW Utf-iCPS c (- tis 1 (1cL;\ 1 - s ri f1 .., <br /> N-2023-120-01 07/16/2024 <br /> No. was completed on and final payment has been made. <br /> (Usf all amendments. Use space below if needed.) <br /> N-2023-120 Master Agreement Department: Planning & Building Agency <br /> Phone/Ext.: x2717 <br /> figned try Grater.R. <br /> Signature: Ll{- U (I`jt Date 20:4Q7161121.18470b <br /> Date: 07/16/2024 <br /> agrearnenbikemt orm,agreenere rrrtrwtaWr kern._ n. <br />