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C 2012 <br />AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect 4" <br />Return form to the Deputy Clerk of the Council (M -30). Call 647 -5238 if youchave any 4uestmns.. , } <br />The agreement with <br />No. ©O %-I —[`}( C2R) was completed on IJy jbd <br />y and final payment has been made. <br />N- 20bl -12A (2) core <br />r4 -U101 -129 - 02(1-8). <br />N-2001 -114-03 (u) <br />N -2001 -12q- 004 (7.9) <br />Revised 05 -22 -08 <br />Department <br />Signature: <br />Date: <br />City of Santa Ana <br />Clerk of the Council <br />