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07City of Santa Ana <br />7: <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <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amendments (if any) are no longer in effect.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 647-1520 if you have any questions. <br />COTC Office Use Only <br />?115 JiP 17 P4 - Ir' <br />The agreement with F-IJV)4Df-jYK,FyY-AI— -rI1%jIJ jsJ <br />O <br />No. A --?-Do :� ` 1-71-3 (1 was completed on j7-3 f.--Zob and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: �A -- <br />Phone/Ext.: <br />Signature: <br />Date: (p - 1-2-ZA15-- <br />Revised 10.31-12 <br />