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City of Santa Ana <br />W 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amendments (if any) are no longer in effect.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 />4he agreement with <br />r �l$ <br />'�.p ;tea 3Ks <br />C <br />Use Only <br />I <br />No. N-2009-051-01 was completed on <br />and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N-2—Wq-otl Cafe <br />Department: <br />ik N-Zoo�-QSI -ooj, <br />Phone/Ext.: <br />Signature:�3` <br />Date:j <br />Revised 0472-10 <br />