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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all 2014 MNY <br />amendments (if any) are, no longer in effect. <br />C 1 1Y G; Wa'_'A N A <br />O!"E i oF IGIO 4GIL <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 Hoang, Viet <br />c �OOb <br />COTC Office Use Only <br />PM 3� 42 <br />No. , N- 2005 -096 was completed on 12/30/06 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: 5254 <br />Signature: Z � \�c��A t�il✓C�e'J <br />Date: 5/l/14 <br />Revised 08 -23 -10 <br />