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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amendments (if any) are no longer in effect.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 />U'u, Albert <br />The agreement with If III--f � Sc <br />L MP,4- /7, ck; P41:::-1 <br />No. i4- apj/ - I S--3 was completed on .6 6, and final payment has been made. <br />(List all amendments. Use space below if needed.) V <br />Department: vobu)f /&:2f;3 6", <br />Phone /Ext.: <br />Signature: P"'J'a-Ake- "Oei- 5-;I-, <br />Date: V2 7 ( ;z- <br />Revised 0412 -10 <br />0 <br />