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kii <br />c 2-olq <br />City of Santa Ana - ---- ---- - - --- - - 11 ...... <br />COTC Office Use Only <br />✓ <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />MI5 AILIG -6 PF1 q: l 0 <br />Please complete this form when the attached agreement and all <br />CITY OF <br />amendments (if any) are no longer in effect. <br />CLER!",', OF CC'Jt <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 iWafer Inc. <br />No. A-2009-069 (3� Cott was completed on 6/30/2013 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />-ZOID - 104 (34 Department: PWA- Water <br />2011- )bj (3b) Phone/Ext.: 3379 <br />Signature: z� <br />Date: 8/5/2015 <br />Revised 10-31-12 <br />