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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amendments (if any) are no longer in effect.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 />Retum form to the Clerk of the Council Office (M-30). <br />The agreement with F 0VxrtD VI ZaWmeot nr , <br />No. �(� w2o� was completed on <br />(List all amendments. Use space below if needed.) <br />Revised OC -12-10 <br />oh,011i <br />COTC Office Use <br />CITY OF SAHTA <br />CLERK <br />and final payment has been made. <br />Department: C FV� <br />Phone/Ext.: X�3 <br />Signature:` <br />Date: <br />