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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amendments (if any) are no longer in effect.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 -1520 if you have any questions. <br />The agreement with <br />Office <br />fir" 9 <br />C)TY OF S <br />CL F <br />No. 1V' DI , - was completed on q 2� and final payment has been made. <br />(List all amendments. Use space below it needed.) <br />Revised 10 -31 -12 <br />Department: kl — %INfMMR - <br />Phone /Ext.: <br />WE <br />Signature: C (Ujie � <br />Date: IW f (Q 120 (S <br />