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City of Santa Ana <br />" Clerk of the Council <br />i 4 <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in eff ect. <br />Return form to the Clerk of the Council Office (M -30). <br />C2D13 <br />COTC Office Use Only <br />The agreement with [� <br />No. N- 2008 - 167 -001 Cl;') was completed on 7 % / and final payment has been made. <br />Aa (List all amendments. Use space below if needed.) <br />N-2- 00q-161 (() Core Department: /31- <br />N- 2ooSt- I67 -ooL CIB) <br />Phone /Ext.: 42-90 <br />Signature: <br />Date: <br />Revised <br />Revised 0412 -10 <br />