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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 <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amendments (if any) are no longer in effect.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 Vi, Duonq 64 <br />G 2005 <br />COTC Office Use Only <br />No. N -2001 -171 was completed on 6/30/02 and final payment has been made. <br />(List all amendments. Use space below IT needed.) <br />Department: P <br />Phone /Ext.: <br />Signature: 5=�A � C2 A �C1 <br />Date: 4/17/14 <br />Revised 08 -2310 <br />