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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 ?gig <br />amendments (if any) are no longer in effect. <br />�iF' <br />Return form to the Clerk of the Council Office (M -30). CL <br />Call 647 -6520 if you have any questions. <br />The agreement with Negrete, Abra <br />G 20p5 <br />COTC Office Use Only <br />FVI <br />P1 <br />�•�• 8a di 1�;1� <br />No. N- 2002 -164 was completed on 6/30/03 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: PRCSA <br />Phone /Ext.: 5254 <br />Signature: aA, k �aj QINQ � an <br />Date: <br />Revised 08 -2310 <br />