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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />`i� fi Ejk -Y <br />L:`e- }d`3 <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />The agreement with Mad Science of <br />G 2007 <br />COTC Office Use Only <br />i3 117 <br />3 <br />No. N- 2004 -037 was completed on 12/31/04 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />�Mrnen�S Department: PRCSA <br />H - Z94 -931- 01 Phone /Ext.: 5254 <br />N- 240`i- 031-92 <br />N_ -aZO4- 031 -u3 Signature: <br />Date: 4/17/14 <br />Revised 08 -2310 <br />