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City of Santa Ana <br />s ' 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amendments (if any) are no longer in effect.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 />The agreement with Pwlr� <br />No. A-aD0 `- 01{2 was completed on 12 t 31 1 <br />(List all amendments. Use space below if needed.) <br />(j-a.b®°I - o4s; <br />Revised 0412-10 <br />COTC Office Use Only <br />CITY OF SAM €�, },i't <br />y7rll <br />CLERK OFI'C . ,.. <br />jytc , <br />and final payment has been made. <br />Department: CDP& <br />Phone/Ext.: <br />Signature: <br />Date: <br />