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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amendments (if any) are no longer in effect.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 />The agreement with <br />No. N-2010-070 was completed on % }l 11 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: <br />Phone/Ext.: � <br />Signature: ELI <br />LO A AVCAvO <br />Date: <br />Revised 0472-70 <br />