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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amendments (if any) are no longer In effect.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 />G2p� <br />COTC Office Use Only <br />4M 7 9 17 .. . <br />OF SAM TA ANA <br />W Op COUNCIL <br />No. N -2010 -101 was c ompleted on � !�/ ( and final payment has been made. <br />(List all amendments. Use space below if needed. <br />Department: 196A <br />a <br />Phone /Ext.: <br />Signature: <br />Date: <br />Revised 0412 -10 <br />