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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amendments (if any) are no longer in effect.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 />COTC Office Use Only <br />12 <br />nml 9 PH 4 - <br />IA ANA <br />CITY <br />CLEF K i HHCIIL <br />The agreement with D A(, ', UAW <br />No. N-2011-024 was completed on and final payment has been made. <br />(List all amendments.. Use space below if needed.) <br />Department: <br />Phone/Ext.: 532E <br />Signature:�/ 2'-Ik2-011 " % �i C <br />J <br />Date: <br />Revised 08-23-10 <br />r <br />