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G 2�►,j <br />R City of Santa Ana <br />i Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />b Fti^ GQT affi1 O114 --ly <br />Please complete this form when the attached agreement and all CITY OF SA <br />amendments (if any) are no longer in effect. CLE <br />Return form to the Clerk of the Council Office (M 30). <br />Call 647-6520 if you have any questions. <br />I <br />The agreement with i fs, h 7 �I 7),:2 t J 1-7;q <br />No. as completed on and final payment has been made. <br />(List all amendments. Use space below if needed. <br />Department: sib f J �xe- <br />a`ld Phone/Ext.: Jr Sr �o l��re % Lad <br />Q¢ Ball /37 <br />eft gC/2-/5 Signature: <br />Date: <br />Revised 06-23-10 <br />