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City of Santa Ana G 2513 <br />Clerk of the Council COTC Office Use Only <br />AGREEMENT TERMINATION FORM <br />MOO AUG - 6 R"I 4: 1 G <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. C I T Y 0 F S A 14, TA, A I <br />CLERK <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 Doty Brothers Construction Company <br />No. A-2003-175 (1) (0 fe was completed on 12/31/2013 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />20106 - 11 q C I q) <br />Revised 10.31-12 <br />Department: PWA -Water <br />Phone/Ext.: 3379 <br />Signature: <br />Date: <br />15 <br />