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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amendments (if any) are no longer in effect.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 />Call 647 -6520 if you have any questions. <br />The agreement with / f L cij <br />No. warmscompleted on <br />z. <br />(List all amendments. Use space below if needed.) <br />i N• 200q - ®41 <br />�4 N-zooV °o41 -001 (Za) <br />Revised 0 8-23 -10 <br />IN <br />Department: <br />I; 2013 <br />COTC Office Use Only <br />2013 AUG, -7 API 9- 1 <br />T S.Ai A APIA <br />CLERK, CUOLI CIL <br />and final payment has been made. <br />Phone /Ext.: <br />Signature: <br />Date: <br />