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C 2011 <br />City of Santa Ana <br />Clerk of fhe Council core oftjce use only <br />AGREEMENT TERMINATION FORM i <br />Please complete this form when the attached agreement and all <br />amendments (It any) are no longer in effect. 1 <br />Note: If your agreement is grant related, please ensure that all grant retention requirements r;� <br />have been satisfied prior to signing the termination form. 1_ ! j <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />The agreement with Secudtas <br />No. A-2010-248 (2Z) was completed on <br />5131/11 <br />and final payment has been made. <br />A2 (List all amendments. Use space below it needed) <br />-- A-20FO6-310(2) COM <br />Department: <br />PWA <br />A -2009-336(2A) <br />/ <br />Phone/Ext.: <br />265Q, <br />A, - 200 9 -1X1(26) <br />' <br />Signature: <br />Date: <br />1/20/16 <br />RErsed=OtA7-lb <br />