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City of Santa Ana <br />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amendments (if any) are no longer in effect.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 />Call 647 -2520 if you have any questions. <br />The agreement with <br />No. N -2007- 143 -02 (3g) was completed on <br />(List all amendments. Use space below if needed.) <br />A- 2001-1 -) (3) co TL' <br />A-O-ZOI-143 -02 -0h) <br />Revised 0412 -10 <br />( 2013 <br />COTC Office Use Only <br />=5 <br />and final payment has been made. <br />Department: <br />Phone/Ext.: lJ 29 C7 <br />Signature: /�- <br />Date: <br />