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City of Santa Ana <br />(9D Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />fi!? SEPI 2 4 AM 11 c y <br />GLER? L. ?.:l1NCIL <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. G,ITY C? s -r? ANA <br />Return form to the Clerk of the Council Office (M-30). <br />Use Only <br />The agreement with Y- L "A c L ? N f <br />Department: -01- lie <br />No_ h;-2u? G- `°I b was completed on 91 ZO/I ? and final payment has been made. <br />(List all amendments. Use space below if needed.)T- <br />Phone/Ext.: ES 6l <br />Signature: 4s , . <br />Date: 2ti I it-, <br />Revised 04-12-1 O