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City of Santa AI <br />. I Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all amendments (if any) ;CITY OF SANTA ANA <br />are no longer in effect. CLFRK OF COUNCIL <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-2520 if you have any questions. <br />The agreement with <br />No. was completed on 1; I I and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department:C YYIRA lam' <br />Phone/Ext.: <br />Signature:_Q.�It�.� <br />Date: -7)ate 13' <br />Revised 07-22-09 <br />